| Objective: To investigate the effect of Pilates combined with pelvic floor rehabilitation training on pelvic floor muscle tension and sexual function in young patients with urinary incontinence after radical cervical cancer surgery. Methods: A prospective collection of 132 postoperative urinary incontinence patients with cervical cancer in our hospital from January 2022 to January 2023 was conducted. The patients were randomly divided into an observation group and a control group, with 66 cases in each group. The control group received routine pelvic floor rehabilitation training. The observation group implemented Pilates combined with pelvic floor rehabilitation training. The bladder functions (bladder pressure during storage and urination, urethral distribution pressure) were compared between two groups. The pelvic floor muscle tone was evaluated using the modified Oxford scale (MOS) and postoperative female sexual function index (FSFI) scores were compared. The comfort level after treatment was compared using the Kolcaba General Comfort Questionnaire (GCQ), and the postoperative complications were observed. Results: Before and 1 week after surgery, there was no statistically significant difference in bladder pressure and urethral distribution pressure during urine storage, as well as bladder pressure and urethral distribution pressure during urination in both groups. At 13th week after surgery, the bladder pressure during urine storage, urethral distribution pressure, and bladder pressure during urination in both groups were increased as compared with those before and 1 week after surgery, while the urethral distribution pressure was reduced as compared with that before and 1 week after surgery (all P<0.05). At 13th week after operation, the bladder pressure during bladder function storage, urethral distribution pressure, and bladder pressure during urination in the observation group were increased as com-pared with those in the control group, while the urethral distribution pressure during urination was lower in the observation group than that in the control group (all P<0.05); There was no statistically significant differ-ence in the strength of class I and II muscle fibers between the two groups before and one week after surgery. At 13th week after surgery, the strength of class I and II muscle fibers increased compared to that before and one week after surgery (P<0.05), and that in the observation group was significantly higher than in the control group (P<0.05). After treatment, with the prolongation of time, the sexual intercourse pain score in the observation group gradually decreased, significantly lower than in the control group. The scores of other dimensions and total scores gradually increased with the prolongation of time, significantly higher in the observation group than in the control group, and the differences were statistically significant (all P<0.05). At 13th weeks post-operation, the GCQ score in the observation group was obviously higher than in the control group (P<0.05). The incidence of postoperative complications in the observation group (9.09%) was significantly lower than that in the control group (P<0.01). Conclusion: Pilates combined with pelvic floor rehabilitation training can improve pelvic floor muscle tension and sexual function in young patients with urinary incontinence after radical cervical cancer surgery, and reduce the incidence of postoperative complications. |
