Abstract:

Purpose: This study was aimed at investigating the effectiveness of short-term pelvic basic muscle exercise (PTKE) and mesh training (ME) in postmenopautic women with obesity, broad genital hiatus (GH) and hyperactive mesh syndrome (AAM) on urogenital symptoms and quality of life according to PTKE alone. Tools and Methods: In the study, 104 patients were included in the study, 36 patients (medium age: 55,22±9,68, average body mass index: 30,63±4,41 kg/m2) completed the study. Patients were divided into 2 groups for 8 weeks only-PTKE (n=20) and PTKE+ME (n=16) treatment. Primary results, AAM questionnaire form, Modified Oxford Score (MOS), PED test, secondary results with the workday were assessed by the Incontinence Impact Questionnaire (IIQ-7) , Pelvic Organ Prolapsus/Urinary Incontinence Sexual Questionnaire (PISQ-12) . Results: In each 2 groups, a statistically significant improvement was found in the ped test, the AAM scores and the processing functions (p<0,05). In MOS, the healing was statistically meaningful in the PTKE+ME group, only according to PTKE (p=0,003; p=0,083). There was no statistically significant improvement in the IIQ-7 and PISQ-12 scores in both groups (p>0,05). The result: In obesity, women with widespread GH and AAM syndrome, PTKE and PTKE+ME may be recommended because it improves the symptoms of urine incontinence and digestive functions in the short term. Each of the two treatments had no beneficial effect on the quality of life or sexual functions associated with urination.

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