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

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

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.

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.