The Effect of Physiotherapy Treatment Following Gynaecological Surgery

Status Completed

Clinical Trial Summary

Optimal pelvic floor muscle function is known to assist bladder and bowel function and control, pelvic organ support, as well as other areas of health. It is also known that problems in some of tehse areas can be a consequence of pelvic surgery. By addressing the requirements for good bladder and bowel function/control, and organ support in the early post-surgery phase when tissue repair and scar formation are critical, it is proposed that there will be a rduction in the longterm prevalence of bladder problems, bowel difficulties and weakened pelvic floor and abdominal muscles in post-surgery patients. This study is a randomised controlled trial to compare patients undergoing a physiotherapy-supervised pelvic floor muscle training and behavioural therapy program with a control group. It is hypothesised that at the 12 month post-operative follow-up assessment, the treatment group will demonstrate better outcomes in bladder and bowel function and control, as well as stronger pelvic floor muscle contractile strength than the control group.

Clinical Trial Description

Optimal pelvic floor muscle function is known to assist bladder and bowel function and control, pelvic organ support, as well as other areas of pelvic health. It is also known that problems in some of these areas can develop after pelvic surgery. By addressing the requirements for good bladder and bowel function/control, and organ support in the early post-surgical phase when tissue repair and scar formation are critical, it is proposed that there will be a reduction in the long-term prevalence of bladder and bowel dysfunction, and weak pelvic floor and abdominal muscles in post-surgical patients. There have been no previous studies investigating whether a physiotherapy intervention can assist pelvic function in this group of surgical patients. This study aims to investigate the effect of a physiotherapy treatment program on pelvic function following gynaecological surgery. Comparisons: Pre- and post-operative physiotherapy treatment vs no treatment following gynaecological surgery. Outcome measures: Pelvic floor muscle strength, urine leakage, quality of life, sexual functioning, general fitness, measured at 3, 6 and 12 months post-operatively ;

Study Design

Related Conditions & MeSH terms

Pelvic Organ Prolapse
Pelvic Organ Prolapse Vaginal Surgery
Prolapse
Vaginal Hysterectomy

Clinical Trial Details

NCT number	NCT00222326
Study type	Interventional
Source	University of Melbourne
Contact
Status	Completed
Phase	N/A
Start date	July 2002
Completion date	April 2007

View Details

See also
Status	Clinical Trial	Phase
Terminated	`NCT03907033` - Liposomal Bupivacaine in Vaginal Hysterectomy	Phase 4
Not yet recruiting	`NCT06429605` - Evaluating the Efficacy and Safety of Preoperative Administration of Duloxetine for Pain Management in Women Undergoing Vaginal Hysterectomy.	N/A
Completed	`NCT03446950` - Study Investigating Role of Unalike Patient Positioning on PROMIS Scores	N/A
Recruiting	`NCT01079754` - 0.05 Versus 0.1 mg Spinal Morphine for Reducing Morphine Requirement After Vaginal Hysterectomy	Phase 4
Recruiting	`NCT03883347` - Sedation With Dexmedetomidine Versus Remifentanil in Urogynecological Surgery Under Spinal Anaesthesia	Phase 3
Recruiting	`NCT04797585` - Vaginal Hysterectomy vs Supracervical Hysterectomy at the Time of Sacrocolpopexy	N/A
Recruiting	`NCT04886791` - Vaginal NOTES Hysterectomy Versus Vaginal Hysterectomy	N/A
Recruiting	`NCT05921071` - Do Patients Who Received Tranexamic Acid in Vaginal Hysterectomy Loose Les Blood, Comparing to Patients Who Did Not?	N/A
Not yet recruiting	`NCT04251923` - Vaginal Prolapse Surgery Accompanied by Mid Urethral Sling Versus no Sling for Reduction of Postoperative Incontinence	Phase 2/Phase 3
Recruiting	`NCT05418764` - Effect of Validated Skills Simulation With the Miya Model	N/A
Terminated	`NCT03228654` - Electrosurgical Unipolar Vessel Sealing in Vaginal Hysterectomy	Phase 4
Not yet recruiting	`NCT00456170` - Are Sutures Required for Vaginal Hysterectomy: A Randomized Controlled Trial	Phase 1

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.