DOES POST PARTUM PELVIC FLOOR EXERCISES REDUCE ANAL AND URINARY INCONTINENCE ?
El-Negeri, M., Eltotongy, M., Elshamy, M., Elrefaei, A., Abdel Dayem, Y., Omar, W., Thabet, W. (2009). DOES POST PARTUM PELVIC FLOOR EXERCISES REDUCE ANAL AND URINARY INCONTINENCE ?. EKB Journal Management System, 13(1), 21-26. doi: 10.21608/egyfs.2009.4853
Mohamed El-Negeri; Mohamed Eltotongy; Maged Elshamy; AbdA. Elrefaei; Yasser Abdel Dayem; waleed Omar; Waleed Thabet. "DOES POST PARTUM PELVIC FLOOR EXERCISES REDUCE ANAL AND URINARY INCONTINENCE ?". EKB Journal Management System, 13, 1, 2009, 21-26. doi: 10.21608/egyfs.2009.4853
El-Negeri, M., Eltotongy, M., Elshamy, M., Elrefaei, A., Abdel Dayem, Y., Omar, W., Thabet, W. (2009). 'DOES POST PARTUM PELVIC FLOOR EXERCISES REDUCE ANAL AND URINARY INCONTINENCE ?', EKB Journal Management System, 13(1), pp. 21-26. doi: 10.21608/egyfs.2009.4853
El-Negeri, M., Eltotongy, M., Elshamy, M., Elrefaei, A., Abdel Dayem, Y., Omar, W., Thabet, W. DOES POST PARTUM PELVIC FLOOR EXERCISES REDUCE ANAL AND URINARY INCONTINENCE ?. EKB Journal Management System, 2009; 13(1): 21-26. doi: 10.21608/egyfs.2009.4853

DOES POST PARTUM PELVIC FLOOR EXERCISES REDUCE ANAL AND URINARY INCONTINENCE ?

The Egyptian Journal of Fertility of Sterility
Article 3, Volume 13, Issue 1, January 2009, Page 21-26  XML PDF (643.1 K)
Document Type: Original Article
DOI: 10.21608/egyfs.2009.4853
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Authors
Mohamed El-Negeri1; Mohamed Eltotongy1; Maged Elshamy1; AbdA. Elrefaei1; Yasser Abdel Dayem1; waleed Omar2; Waleed Thabet2
1Department of Obstetrics and Gynecology
2Anorectal Unit Department of General Surgery Mansoura University Hospitals, Faculty of Medicine, Mansoura University
Abstract
Post partum anal and urinary incontinence are potentially debilitating conditions, the incidence of which has been
grossly under appreciated mainly due to the reluctance of women to seek medical attention for this sensitive problem.
Recent epidemiologic studies have highlighted the fact that anal and urinary incontinence after childbirth is not as rare
as has been assumed.
Objective: To assess the effect of pelvic floor exercises after vaginal delivery on pelvic floor characteristics using
clinical assessment and perineal and endoanal ultrasonography in nulliparous women.
Design : Prospective cohort study.
Methods: 355 primigravid women were enrolled in the study between January 2004 to December 2007 who were
attending antenatal care of obstetrics & gynecologic department, Mansoura University from whom 205 women who
delivered vaginally at the emergency unit of the same department completed the study. Those nulliparous women were
examined during pregnancy, 6 weeks and 12 months after vaginal delivery; the method used included questionnaire,
clinical examination, perineal sonography and endoanal ultrasonography for assessment of the integrity of pelvic floor
muscles. After Ihe 2nd examination the women were assigned in alternating manner to either 12 seessions of pelvic
floor exercise (n = 102) or no training (2 = 103) and the two groups were compared in the 3rd examimation.
Results: There was a significant decrease in the incidence of urinary and anal incontinence in the group who underwent
pelvic floor exercise 62% vs 6% in UI & 70% vs 0% in anal incontinence respectively (p = 0.002).
Conclusion: Pelvic floor exercises starting 6 weeks postpartum significantly reduced the incidence of stress urinary
incontinence and anal incontinence.
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