2020 Volume 11 Issue 1 Special Issue
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The Comparison of the Effects of Pessary, Pelvic Floor Physiotherapy, and ‎Corrective Surgery Methods in Correction of Vaginal Sound in Patients with Pelvic ‎Floor Disorders


Taheri Sahar, Mallah Fatemeh*, Bastani Parvin, Shahrasbi Mohammad Reza
Abstract

Aim and Background: Vaginal sounds is a common complaint in women affected by pelvic ‎floor disorders, and can be the cause of their referral to physician. In this study, we evaluate the ‎effectiveness of present treatments.‎ Evaluation Method: In this cross sectional study, 90 patients who were referred to Tabriz’s ‎educational centers because of vaginal sounds were assessed and classified to three treatment ‎groups including pessary, physiotherapy, and modifying surgery. Afterwards, the effects of ‎received treatment on quality of life and sexual relations, and decreasing the signs were ‎evaluated.‎ Findings: Mean age of patients were 52.56 ±14.44 years old. 85.6% of patients had degrees of ‎other pelvic problems such as dysuria and so on. This difference between three groups were not ‎statistically significant (P=0.70).‎ Statistical comparison of the three groups indicated that the effect of treatment on sexual ‎activity and quality of life of the patients had a significant difference (respectively P<0.001 and ‎P=0.01), and the difference in the first group was more than other groups. In the evaluation of ‎relationship between treatment and effect on patient, though no significant difference was seen ‎‎(P=0.58), consent frompessary method was more than other methods and less than surgery.‎ Conclusion: These findings indicated the effect of natural parturition on vaginal flatulence. The ‎time with highest occurrence of this disorder was during sexual intercourse. Most of patients ‎had also other pelvic disorders. Between three treatment methods, pessary was better than ‎others and had a significant effect on quality of life and sexual relations‎‎‎‎‎‎‎‎‎‎‎‎.


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