Effects of Pelvic Floor Muscle Training on Sexual Dysfunction,Sexual Satisfaction of Partners,Urinary Symptoms,and Pelvic Floor Muscle Strength in Women With Overactive Bladder: A Randomized Controlled Study |
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| Affiliation: | 1. Department of Physiotherapy and Rehabilitation, Health Sciences Faculty, Ankara Yildirim Beyazit University, Ankara, Turkey;2. Department of Physiotherapy and Rehabilitation, Health Sciences Faculty, Hatay Mustafa Kemal University, Hatay, Turkey;3. Department of Urology, Istanbul Gaziosmanpasa Taksim Training and Research Hospital, Istanbul, Turkey;1. Department of Urology, Taipei Veterans General Hospital, Taipei, Taiwan;2. Department of Urology, College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwann;3. Shu-Tien Urological Research Center, National Yang Ming Chiao Tung University, Taipei, Taiwan;4. Department of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan;5. Department of Psychiatry, College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan;6. Program in Molecular Medicine, School of Life Sciences, National Yang Ming Chiao Tung University, Taipei, Taiwan;7. Institute of Biopharmaceutical Science, School of Life Science, National Yang Ming Chiao Tung University, Taipei, Taiwan;8. Division of Urology, Department of Surgery, Taipei City Hospital, Zhongxiao Branch, Taipei, Taiwan;1. Urological Research Network, Miami, FL, USA;2. Nova Southeastern University, Fort Lauderdale, FL, USA;1. Stony Brook University, Department of Obstetrics, Gynecology, and Reproductive Medicine, Stony Brook, NY, USA;2. Stony Brook University, School of Marine and Atmospheric Sciences, Stony Brook, NY, USA;1. Institute of Psychology, Polish Academy of Sciences, Warsaw, Poland;2. Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland;3. Laboratory of Brain Imaging, Nencki Institute of Experimental Biology, Polish Academy of Sciences, Warsaw, Poland;4. Swartz Center for Computational Neuroscience, Institute for Neural Computations, University of California San Diego, San Diego, CA, USA;1. Department of Physiology, Brody School of Medicine at East Carolina University, Greenville, NC, USA;2. Department of Urology, Mayo Clinic, Jacksonville, FL, USA;3. Department of Radiation Oncology, Brody School of Medicine at East Carolina University, Greenville, NC, USA;4. Genesis Care, Fort Myers, FL, USA |
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| Abstract: | ![]()
BackgroundIn women with overactive bladder (OAB), sexual dysfunctions and sexual satisfaction of their partners have been problems that are as important as urinary symptoms.AimTo investigate the effects of pelvic floor muscle training (PFMT) on sexual dysfunction, sexual satisfaction of partners, urinary symptoms, and pelvic floor muscle strength (PFMS) in women with OAB.MethodsWomen with OAB were randomized into 2 groups: 6-week PFMT (n = 21) (home exercise program) and a control group (n = 22) (did not receive any treatment for OAB).OutcomesSexual dysfunction, sexual satisfaction of partner, urinary symptoms, and PFMS were assessed at baseline and after 6 weeks with the Female Sexual Function Index (FSFI), a Visual Analogue Scale (VAS), the OAB-Version8 (OAB-V8), and the Modified Oxford Scale (MOS), respectively.ResultsAfter 6 weeks, there was an increase in FSFI domains [desire (95% CI: 0.18 to 0.64; P:.001, d: 0.88); arousal (95% CI: 0.42 to 1.24, P:<.001, d: 1.17); orgasm (95% CI:0.85 to 1.47; P:<.001, d:1.89); satisfaction (95% CI: 0.85 to 1.44; P:<.001, d: 2.29); sexual pain (95% CI:0.80 to 1.52; P:<.001, d:1.47); total score (95% CI: 3.70 to 5.94; P:<.001, d: 2.55)], sexual satisfaction of partners (95% CI: 1.80 to 2.85; P:<.001, d:2.83) and PFMS scores (95% CI: 1.10 to 1.55; P:<.001, d:3.18), and a decrease in the OAB-V8 score (95% CI: -13.01 to -7.10; P:<.001, d:2.19) in the PFMT group compared to the control group. There was a significant decrease in sexual dysfunction in the PFMT group compared to the control group (P:.046).Clinical ImplicationsIn order to improve sexual function, sexual satisfaction of the partners, urinary symptoms, and PFMS in women with OAB, PFMT should be added to the rehabilitation program in clinics.Strengths & LimitationsThe strength of this study was that it is a randomized controlled trial investigating the effect of PFMT in improving sexual function in OAB. The limitations of our study were the lack of a long-term (6 months-1 year) follow-up and the inability to blind.ConclusionPFMT was effective in improving sexual dysfunction, sexual satisfaction of partners, urinary symptoms, and PFMS in women with OAB.Celenay ST, Karaaslan Y, Ozdemir E. Effects of Pelvic Floor Muscle Training on Sexual Dysfunction, Sexual Satisfaction of Partners, Urinary Symptoms, and Pelvic Floor Muscle Strength in Women With Overactive Bladder: A Randomized Controlled Study. J Sex Med 2022;19:1421–1430. |
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