Résumé
Contexte: Le prolapsus uro-génital (PUG) touche un grand nombre de femmes et a un impact important sur la qualité de vie de ces dernières. Le sujet est méconnu et beaucoup d’entre elles ignorent comment réagir. Objectif : Le but de cette revue systématique de la littérature était d’évaluer les effets des traitements de physiothérapie sur la sévérité et les symptômes du prolapsus ainsi que sur la qualité de vie des femmes atteintes d’un prolapsus uro-génital de stade I ou II. Méthode : La recherche d’études randomisées contrôlées a été effectuée sur PubMed/Medline, Cochrane et Web of Science. Dans chaque étude, un traitement de rééducation et d’entraînement du plancher pelvien était comparé à un groupe contrôle ayant un autre traitement conservateur ou n’ayant aucun traitement. Le critère de jugement principal était la sévérité du prolapsus. Résultats : Sur 275 études identifiées, sept études (857 patientes) ont été incluses. Les résultats montraient que l’entraînement des muscles du plancher pelvien améliore de manière statistiquement significative la sévérité du prolapsus (OR 0,18 ; 95 % CI :0,04-0,72 ; p = 0,02) ainsi que les symptômes ressentis (OR 0,09 ; 95 % CI :0,05-0,16 ; p < 0,001). Conclusion : Les patientes atteintes de prolapsus uro-génital de stade I et/ou II peuvent diminuer la sévérité de leur prolapsus ainsi que la sensation des symptômes du prolapsus par une rééducation et un entraînement musculaire de leur plancher pelvien.
Background: Urogenital prolapse affects many women and has a significant impact on their quality of life. The subject is not well known, and many women do not know what to do about it. Objective: This study aimed to evaluate the effects of physiotherapy treatments on the severity and symptoms of prolapse and the quality of life of women with stage I or II urogenital prolapse. Method: PubMed, Cochrane, and Web of Science were used to search for randomized controlled trials. In each study, a pelvic floor rehabilitation and training treatment was compared to a control group with other conservative treatments or no treatment. The primary outcome was the severity of the prolapse. Results: Of the 275 studies identified, seven studies (857 patients) were included. The results show that pelvic floor muscle training (PFMT) significantly improves the severity of prolapse (OR 0.18; 95% CI:0.04-0.72; p=0.02) and the symptoms experienced (OR 0.09; 95% CI:0.05-0.16; p<0.00001). Conclusion: Patients with stage I and/or II urogenital prolapse can reduce the severity of their prolapse and the sensation of prolapse symptoms by rehabilitation and pelvic floor muscle training.
Background: Urogenital prolapse affects many women and has a significant impact on their quality of life. The subject is not well known, and many women do not know what to do about it. Objective: This study aimed to evaluate the effects of physiotherapy treatments on the severity and symptoms of prolapse and the quality of life of women with stage I or II urogenital prolapse. Method: PubMed, Cochrane, and Web of Science were used to search for randomized controlled trials. In each study, a pelvic floor rehabilitation and training treatment was compared to a control group with other conservative treatments or no treatment. The primary outcome was the severity of the prolapse. Results: Of the 275 studies identified, seven studies (857 patients) were included. The results show that pelvic floor muscle training (PFMT) significantly improves the severity of prolapse (OR 0.18; 95% CI:0.04-0.72; p=0.02) and the symptoms experienced (OR 0.09; 95% CI:0.05-0.16; p<0.00001). Conclusion: Patients with stage I and/or II urogenital prolapse can reduce the severity of their prolapse and the sensation of prolapse symptoms by rehabilitation and pelvic floor muscle training.