Volume 6, Issue 4, July 2018, Page: 94-97
Effect of Pelvic Floor Muscle Rehabilitation in Preventing Recurrent Vulvovaginal Candidiasis and Recurrent Bacterial Vaginosis
Cheng Fang, Maternity and Child Care Hospital of Huaian in Jiangsu Province, Huaian, China
Yang Yun-Jie, Maternity and Child Care Hospital of Huaian in Jiangsu Province, Huaian, China
Shi Wen-jing, Maternity and Child Care Hospital of Huaian in Jiangsu Province, Huaian, China
Wang Xue-Ying, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China
Ma Le, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China
Received: Jul. 10, 2018;       Accepted: Jul. 24, 2018;       Published: Sep. 13, 2018
DOI: 10.11648/j.jgo.20180604.14      View  299      Downloads  24
Abstract
Objective To investigate the effect of pelvic floor muscle rehabilitation on recurrent vulvovaginal candidiasis (RVVC) and recurrent bacterial vaginosis (RBV). Methods Between January 2014 and July 2015, 121 cases of RVVC and RBV were selected, and the patients were randomly divided into control group and experimental group. For the control group of RVVC: miconazole suppository and vaginal delivery were utilized in every patient, 1 piece per night, the period of treatment was 7 to 14 days; oral intake of fluconazole was used again after 72 hours. Clotrimazole suppository or fluconazole was still chosen for the maintenance treatment: (1) 1 piece per week and lasted 6 months for every case; (2) 400 mg of itraconazole was used, 1 time every month or 100 mg was used once a week, the period of treatment lasted for 6 months. RBV: oralintake of metronidazole or clindamycin was chosen. One piece of metronidazole suppository by vaginal utilization was still needed per night, or 2% clindamycin ointment was used by inunction for 7 days. Experimental group: pelvic floor muscle rehabilitation. Results Before rehabilitation treatment, there were 4 cases with level 4 or 5 of type I muscle strength and 8 cases level 4 or 5 of type II muscle strength. After the treatment, there were 59 cases with level 4 or 5 of type I muscle, and 60 cases with level 4 or 5 of type II muscle (P<0.001). There were no statistical differences on the treatment of anterior vaginal wall prolapse. Before the treatment, the number of anterior vaginal wall prolapse was 53 cases, the number was 49 cases after treatment (P=0.328). Before treatment, the number of posterior vaginal wall prolapse was 25 cases, the number was11 cases after treatment (P=0.005). The number of Uterine prolapse was 14 cases, the number was 2 cases after treatment (P=0.002). Compared with the group with drug treatment, the rate of relapse in vaginitis was decreased significantly after pelvic floor rehabilitation within 1 year, 61 patients with vaginitis, there were only 2 cases of recurrences were observed after treatment (P<0.05). Conclusion Pelvic floor rehabilitation treatment could improve the pelvic floor function significantly, and also get significant recovery of sagging and prolapse in vagina which was injured by pregnancy and childbirth. Compared with the drug treatment group, the rate of relapse in RVVC and RBV was decreased significantly after pelvic floor muscle rehabilitation.
Keywords
Pelvic Organ Prolapse, Pelvic Floor Muscle Rehabilitation, Recurrent Vulvovaginal Candidiasis, Recurrent Bacterial Vaginosis
To cite this article
Cheng Fang, Yang Yun-Jie, Shi Wen-jing, Wang Xue-Ying, Ma Le, Effect of Pelvic Floor Muscle Rehabilitation in Preventing Recurrent Vulvovaginal Candidiasis and Recurrent Bacterial Vaginosis, Journal of Gynecology and Obstetrics. Vol. 6, No. 4, 2018, pp. 94-97. doi: 10.11648/j.jgo.20180604.14
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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