Evaluating Combined Physical Therapy and Diet for Functional Defecatory Disorders in Women with Pelvic Organ Prolapse

What this Trial Is About

Researchers are evaluating the effectiveness of a complex conservative treatment for women with pelvic organ prolapse who experience functional defecatory disorders. Pelvic organ prolapse involves a structural problem that can lead to difficulty with bowel movements and is often treated with surgery. However, surgery is not always possible, and the study aims to see if non-surgical therapies can improve symptoms in patients with mild to moderate prolapse. The study tests several treatments including biofeedback therapy, tibial neuromodulation, pelvic floor muscle training, and diet modification. Biofeedback therapy helps patients learn to control pelvic muscles using special devices, while tibial neuromodulation uses electrical stimulation on a nerve in the leg to improve anal sphincter function. Pelvic floor muscle training involves exercises taught by healthcare providers and continued at home for six months with online monitoring. Diet changes focus on fiber, vitamins, and hydration to support bowel function. Participants will be monitored over six months with assessments including stool frequency and form, difficulty with bowel emptying, and measures of anal muscle pressure and function. Researchers will use questionnaires and anorectal tests to evaluate changes. The study includes careful monitoring of treatment adherence and safety, with the goal of understanding how these combined therapies affect bowel function in women with pelvic organ prolapse.

Efficacy of Conservative Treatment of Functional Defecatory Disorders in Females With Pelvic Organ Prolapse