Objectives: To investigate the impact of Specification of pelvic muscle training (PFMT ) on the stress urinary incontinence (SUI) patients after tension-free vaginal tape surgery (TVT). In order to promote the rehabilitation of postoperative SUI patients.
Methods: 101 female SUI patients who underwent TVT surgery were included in this study. 50 patients in the trial group received the specification of pelvic muscle training after surgery and 51 patients in control group performed traditional methods. All the patients were asked to finish the Incontinence-specific Quality of Life questionnaire (I-QOL) at the day before surgery and 3 months after the surgery, respectively. And subjective cure rate was evaluated at 3 months after the surgery. Descriptive statistics, t-tests and rank sum test were used to analyze the data.
Results: A total of 94 (93.07%) participants completed all questionnaires, including 48 patients of the trial group and 46 patients of the control group. The age of the participants ranged from 39 to 75 years old and the mean age was 52.57±7.16.
Comparing the preoperative scores of I-QOL, there were no significantly differences between the two groups(t=1.754，P=0.083). The postoperative score of I-QOL in the trial group were higher than that of control group (94.32 VS 90.43, Z=3.863，P<0.001). Further analysis found that avoidance and limiting behaviors domain score (90.63VS87.50, Z=3.227, P=0.001) and psychosocial impacts domain score (97.22 VS 90.28, Z=4.186，P<0.001) in the trial group were higher than that of control group. The subjective cure rate reported significantly differences between the two groups (Z=-2.657，P=0.009). 60.42% of patients in the trial group reported subjective cured while control group only 30.43% of patients reported. According to the results, the patients’ overall quality of life of the trial group was better than that of control group after surgery.
Conclusions: Postoperative SUI patients implementation of the specification of pelvic muscle training can improve the subjective cure rate and can significantly increased their quality of life. Based on the results of this study, the long-term follow-ups need further research.