Physical Therapy on Pelvic Organ Prolapse (PT-POP)
Pelvic Organ Prolapse
About this trial
This is an interventional treatment trial for Pelvic Organ Prolapse
Eligibility Criteria
Inclusion Criteria:
- Women with POP of any stage I or II according to POP-Q system.
Exclusion Criteria:
- Women diagnosed with POP stage III or IV according to POP-Q system
- Women with a history of conservative POP treatment or surgery
- Women with concomitant disease that may affect treatment (neurological, gynecological or urological) or urinary tract infection or recurrent hematuria
- Women who are pregnant or have had a vaginal birthing the last six months
- Women with cognitive limitations in understanding the information, answer questionnaires, consent and / or participate in the study
Sites / Locations
- Physiotherapy in women´s health research group. University of Alcalà
- University of Alcalá. FPSM research group. HUPA
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
PT group
Control group
The participants assigned to this group will receive 16 sessions of physical therapy. Each session will last 45/50 minutes, 2 sessions a week for 8 weeks. A directly pelvic floor muscle(PFM) training protocol will be applied. Throw vaginal palpation and in lithotomy position, participants will perform PFM exercises per the treatment proposed by the PERFECT scheme. Biofeedback exercises will be also performed in lithotomy position. Hypopressive exercises which are also home daily from the eighth session. Plus educational strategy.
Only educational strategy 1 session per week for 6 weeks (every session will last 40/45 minutes). The educational strategy will consist of instruction of printed materials and dimensional anatomical models about the anatomy of the pelvic floor and the physiology of the pelvic organs. It will be recommended to avoid risk factors, such as gaining weight, weight lifting, high impact sports, constipation, smoking, or drinking too much caffeine. They will be also instructed in toilet habits, and will be taught to use the knack maneuver before and during increases of intra-abdominal pressure.