Effectiveness of Biofeedback-Assisted Pelvic Floor Muscle Training on Sexual Function and Quality of Life in Patient After Hysterectomy

Kafrelsheikh University70 enrolled

Overview

The purpose of this study is to determine the effectiveness of biofeedback-assisted pelvic floor muscle training in improving pelvic floor muscle strength, decreasing urinary incontinence symptoms, reducing genital prolaps and enhancing the quality of life in women after hysterectomy.

Hysterectomy, the surgical removal of the uterus, remains one of the most frequently performed gynecological procedures worldwide, indicated for both malignant and benign conditions. Pelvic floor dysfunction (PFD) is a common complication after hysterectomy, manifesting as urinary incontinence, pelvic organ prolapse, and colorectal symptoms. Conventional pelvic floor rehabilitation focuses on pelvic floor muscle training (PFMT), widely known as Kegel exercises, to strengthen weakened muscles and improve continence.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Effectiveness Biofeedback-Assisted Pelvic Floor Muscle Training Sexual Function

Interventions

Biofeedback + standarded post hysterectomy care protocolPROCEDURE

Participants will undergo standard post hysterectomy care protocol with electromyographic (EMG)-based biofeedback guidance, using a vaginal sensor to provide real-time visual and/or auditory feedback on pelvic floor muscles contractions.

Standard post hysterectomy care protocolPROCEDURE

Participants will perform undergo standard post hysterectomy core protocol without biofeedback assistance.

Eligibility

Sex: ALLMin age: 45 YearsMax age: 50 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Women aged 45-50 years. * Body Mass Index (BMI) within the range of 18.5 to 29.9 kg/m². * History of total or subtotal hysterectomy for benign conditions within the past 6 months. * Abdominal hysterectomy. * Women have menstrual cycle. * Presenting with at least one symptom of pelvic floor dysfunction (e.g., stress urinary incontinence and genital prolapse). * Willing to participate and provide informed consent. Exclusion Criteria: * Hysterectomy performed for malignant conditions. * Prior pelvic floor rehabilitation. * Neurological disorders affecting muscle control. * Pelvic infection or current urinary tract infection (UTI). * Inability to follow instructions or adhere to the program.

Outcomes

Primary Outcomes

Female Sexual Function Index (FSFI)

Female sexual function will be assessed using the Female Sexual Function Index (FSFI), a validated 19-item questionnaire evaluating six domains: desire, arousal, lubrication, orgasm, satisfaction, and pain. The total FSFI score ranges from 2 to 36, with higher scores indicating better sexual function. The change in total FSFI score from baseline to the end of the 12-week intervention will be compared between the two study groups.