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Zhumanova E.N.

Center of gynecology, oncology, reproductive and aesthetic medicine in Clinical hospital No. 1 of JSC GC «Medsi», Krasnogorsk, Otradnoe;
Central state medical Academy of the presidential administration of the Russian Federation

Koneva E.S.

Center of Restorative Medicine of the MEDSI group;
Sechenov First Moscow State Medical University

Epifanov V.A.

The Moscow state medical University named after A.I. Evdokimov of the Ministry of health of Russia

Korchazhkina N.B.

Russian research center of surgery named after academician B.V. Petrovsky;
The Moscow state medical University named after A.I. Evdokimov of the Ministry of health of Russia

Illarionov V.E.

Central state medical Academy of the presidential administration of the Russian Federation

Elfimov M.A.

Krasnov Research Institute of Eye Diseases

Lyadov K.V.

Sechenov First Moscow State Medical University

Influence of various rehabilitation complexes on sexual function in fertile females and women of perimenopausal and menopausal age after surgery for rectocele

Authors:

Zhumanova E.N., Koneva E.S., Epifanov V.A., Korchazhkina N.B., Illarionov V.E., Elfimov M.A., Lyadov K.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2020;(12): 76‑82

DOI: 10.17116/hirurgia202012176

Read: 1954 times

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Table of contents

INFLUENCE OF VARIOUS REHABILITATION COMPLEXES ON SEXUAL FUNCTION IN FERTILE FEMALES AND WOMEN OF PERIMENOPAUSAL AND MENOPAUSAL AGE AFTER SURGERY FOR RECTOCELE
INFLUENCE OF VARIOUS REHABILITATION COMPLEXES ON SEXUAL FUNCTION IN FERTILE FEMALES AND WOMEN OF PERIMENOPAUSAL AND MENOPAUSAL AGE AFTER SURGERY FOR RECTOCELE

To cite this article:

Zhumanova EN, Koneva ES, Epifanov VA, Korchazhkina NB, Illarionov VE, Elfimov MA, Lyadov KV. Influence of various rehabilitation complexes on sexual function in fertile females and women of perimenopausal and menopausal age after surgery for rectocele. Pirogov Russian Journal of Surgery. 2020;(12):76‑82. (In Russ.)
https://doi.org/10.17116/hirurgia202012176

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To study the effect of general magnetotherapy, muscle stimulation with biofeedback of pelvic floor muscles, and a special complex of physiotherapy exercises with and without fractional microablative CO2-laser therapy on sexual status in females after plastic surgery for rectocele.

MATERIAL AND METHODS

There were 200 fertile females and women of perimenopausal and menopausal age with rectocele grade II-III. Various rehabilitation programs were used in delayed postoperative period in order to improve sexual function. Rehabilitation included various combinations general magnetotherapy, electrical muscle stimulation with biofeedback of pelvic floor muscles, intravaginal fractional microablative CO2-laser therapy and a special complex of exercise therapy.

RESULTS AND CONCLUSION

Postoperative rehabilitation including general magnetotherapy, fractional microablative CO2-laser therapy, muscle stimulation with biofeedback of pelvic floor muscles and a special exercise therapy significantly improves sexual function in patients with rectocele. This is true for fertile females and women of perimenopausal and menopausal age. Significant data on PISQ-12 questionnaire (Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire) and Female Sexual Function Index of (FSFI) confirmed these results.

Keywords:

pelvic organ prolapse
rectocele
fertile, perimenopausal and menopausal age
surgery
non-drug technologies
general magnetotherapy
electromyostimulation
biofeedback
fractional microablative CO2-laser therapy
sexual function
female sexual function index
PISQ-12 questionnaire

Authors:

Zhumanova E.N.

Center of gynecology, oncology, reproductive and aesthetic medicine in Clinical hospital No. 1 of JSC GC «Medsi», Krasnogorsk, Otradnoe;
Central state medical Academy of the presidential administration of the Russian Federation

Koneva E.S.

Center of Restorative Medicine of the MEDSI group;
Sechenov First Moscow State Medical University

Epifanov V.A.

The Moscow state medical University named after A.I. Evdokimov of the Ministry of health of Russia

Korchazhkina N.B.

Russian research center of surgery named after academician B.V. Petrovsky;
The Moscow state medical University named after A.I. Evdokimov of the Ministry of health of Russia

Illarionov V.E.

Central state medical Academy of the presidential administration of the Russian Federation

Elfimov M.A.

Krasnov Research Institute of Eye Diseases

Lyadov K.V.

Sechenov First Moscow State Medical University

Received:

30.06.2020

Accepted:

10.07.2020

Conflict of Interest :

The authors declare no conflicts of interest.

Close metadata

References:

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  2. Ryzhkov SV, Ostapenko AV, Shabunina EYu, Nikonova AS, Mikhailov AG, Polonskaya EI, Pampulo NS. Evaluation of sexual function in women after surgical treatment of genital prolapse and/or stress urinary incontinence. Vestnik novykh meditsinskikh tekhnologij. 2012;19(3):51-55. (In Russ.).
  3. Azar M, Sima Noohi S, Radfar S. Sexual function in women after surgery for pelvic organ prolapsed. Int Urogynecol J. 2007;19:53-57.  https://doi.org/10.1007/s00192.007.0399-4
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  8. Cundiff GW, Fenner D. Evaluation and treatment of women with rectocele: focus on associated defecatory and sexual dysfunction. Obstet Gynecol. 2004;104(6):1403-1421.
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  12. Rogers RG, Kammerer-Doak D, Darrow A, Murray K, Olsen A, Barber M, Qualls C. Sexual function after surgery for stress urinary incontinence and/or pelvic organ prolapse: A multicenter prospective study. American Journal of Obstetrics and Gynecology. 2004;191:206-210.  https://doi.org/10.1016/j.ajog.2004.03.087
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