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The Effect of Physiotherapy Treatment Following Gynaecological Surgery

This study is ongoing, but not recruiting participants.

Sponsored by: University of Melbourne
Information provided by: University of Melbourne
ClinicalTrials.gov Identifier: NCT00222326
  Purpose

Optimal pelvic floor muscle function is known to assist bladder and bowel function and control, pelvic organ support, as well as other areas of health. It is also known that problems in some of tehse areas can be a consequence of pelvic surgery. By addressing the requirements for good bladder and bowel function/control, and organ support in the early post-surgery phase when tissue repair and scar formation are critical, it is proposed that there will be a rduction in the longterm prevalence of bladder problems, bowel difficulties and weakened pelvic floor and abdominal muscles in post-surgery patients. This study is a randomised controlled trial to compare patients undergoing a physiotherapy-supervised pelvic floor muscle training and behavioural therapy program with a control group. It is hypothesised that at the 12 month post-operative follow-up assessment, the treatment group will demonstrate better outcomes in bladder and bowel function and control, as well as stronger pelvic floor muscle contractile strength than the control group.


Condition Intervention
Vaginal Hysterectomy,
Pelvic Organ Prolapse Vaginal Surgery
Behavioral: Pelvic floor muscle training and lifestyle modification

MedlinePlus related topics:   Hysterectomy    Pelvic Support Problems   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Randomized, Single Blind, Uncontrolled, Single Group Assignment, Efficacy Study
Official Title:   The Effect of a Physiotherapy Treatment Program on Pelvic Function Following Gynaecological Surgery

Further study details as provided by University of Melbourne:

Primary Outcome Measures:
  • Bladder questionnaire.
  • Bowel questionnaire.
  • Prolapse questionnaire.

Secondary Outcome Measures:
  • Pelvic floor muscle strength.

Estimated Enrollment:   50
Study Start Date:   July 2002
Estimated Study Completion Date:   April 2006

Detailed Description:

Optimal pelvic floor muscle function is known to assist bladder and bowel function and control, pelvic organ support, as well as other areas of pelvic health. It is also known that problems in some of these areas can develop after pelvic surgery. By addressing the requirements for good bladder and bowel function/control, and organ support in the early post-surgical phase when tissue repair and scar formation are critical, it is proposed that there will be a reduction in the long-term prevalence of bladder and bowel dysfunction, and weak pelvic floor and abdominal muscles in post-surgical patients. There have been no previous studies investigating whether a physiotherapy intervention can assist pelvic function in this group of surgical patients.

This study aims to investigate the effect of a physiotherapy treatment program on pelvic function following gynaecological surgery.

Comparisons: Pre- and post-operative physiotherapy treatment vs no treatment following gynaecological surgery.

Outcome measures: Pelvic floor muscle strength, urine leakage, quality of life, sexual functioning, general fitness, measured at 3, 6 and 12 months post-operatively

  Eligibility
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes

Criteria

Inclusion Criteria:

  • undergoing vaginal gynaecological surgery, for hysterectomy or prolapse repair

Exclusion Criteria:

  • surgery for malignancy
  • anti-incontinence surgery
  • laparotomy
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00222326

Locations
Australia, Victoria
School of Physiotherapy, The University of Melbourne    
      Melbourne, Victoria, Australia, 3124

Sponsors and Collaborators
University of Melbourne

Investigators
Principal Investigator:     Mary P Galea, PhD     The University of Melbourne, Australia    
  More Information


Publications:

Study ID Numbers:   08-15-10-01
First Received:   September 13, 2005
Last Updated:   September 13, 2005
ClinicalTrials.gov Identifier:   NCT00222326
Health Authority:   Australia: National Health and Medical Research Council

Keywords provided by University of Melbourne:
Hysterectomy,  
Prolapse,  
Pelvic floor muscles,  
Bladder,  
Bowel.  

Study placed in the following topic categories:
Pathological Conditions, Anatomical
Digestive System Diseases
Gastrointestinal Diseases
Intestinal Diseases
Rectal Diseases
Prolapse
Rectal Prolapse

ClinicalTrials.gov processed this record on October 03, 2008




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