Fast-Track Surgery, Pelvic Floor Muscle Electrophysiologic Therapy
Conditions
Keywords
pelvic floor muscle electrophysiologic therapy, enhanced recovery, muscle soreness, postoperative retention of urine, Intrauterine Adhesions, enhanced recovery after gynecologic surgery
Brief summary
This study is to evaluate the effect of pelvic floor muscle electrophysiologic therapy on enhanced recovery after gynecologic surgery,to solve muscle soreness and retention of urine after laparoscopy, and endometrial repair after electrosurgical resection of intrauterine adhesions.
Detailed description
Pelvic floor muscle electrophysiologic therapy is widely used in the treatment of pelvic floor dysfunction diseases at home and abroad. Electrical stimulation can also relieve depression and anxiety and play a sedative effect. In recent years, some studies have shown that pelvic floor electrophysiological therapy can improve the intimal blood flow resistance index of thin endometrium. Therefore, whether or not the pelvic floor electrophysiological therapy can relieve the muscle soreness caused by carbon dioxide retention after endoscopic surgery, reduce the postoperative urinary retention, shorten the postoperative anus exhaust time, and repair the endometrium after the intrauterine adhesion. we expect this electrophysiologic therapy can solve some common postoperative complications and difficult problems, such solve muscle soreness and retention of urine after laparoscopy, and endometrial repair after electrosurgical resection of intrauterine adhesions. Hope to help patients recover quickly after surgery.
Interventions
Pelvic floor electrophysiological therapy is used after common gynecologic surgery to record anal exhaust time and micturition time after surgery and endometrium recovery of intrauterine adhesions.For intrauterine adhesions patients, Drug: Aspirin(low dose of Aspirin after operation)Device: intrauterine balloon (insert intrauterine balloon after operation)
Sponsors
First Affiliated Hospital, Sun Yat-Sen University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
.After electrocision of intrauterine adhesions; .Or after common gynecologic laparoscopic surgery，patients occurred muscle pain or patients occurred urinary retention.
Exclusion criteria
* Pregnancy; * Suspected acute inflammation of the genitourinary system; * Postoperative persistent vaginal bleeding; * Patients have vaginal stenosis; * Patients have implantation of a pacemaker with a cardiac pacemaker; * Patients have a malignant pelvic organ tumor; .Patients have nervous system disease (dementia or unstable seizures),who cannot actively cooperate with the treatment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| time of anal exhaust and urination after gynecologic surgery | within three days after gynecologic surgery |
| Endometrial Thickness of All Participants in the Mid Menstrual Measured by Color Doppler Ultrasound | Within the first 3 months after surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Menstruation Pattern(Improvement or No Significant Change) of All Participants | Within the first 3 months after surgery | — |
| Reduction of American Fertility Society adhesion score at Second-look hysteroscopy of All Participants | Within the first 3 months after surgery | The severity and extent of intrauterine adhesions were scored according to a classification system recommended by the American Fertility Society (AFS) (1988 version) \[7\]. A score of 1-4 was considered to represent mild adhesions, a score of 5-8 was considered to represent moderate adhesions and a score of 9-12 represented severe adhesion |
| Number of Participants With Pregnancy after operation | within three years | — |
Countries
China
Contacts
Primary ContactYaling Guo, Master
Backup ContactYuqing Chen, Chief
Outcome results
None listed