ArticleInternational urology and nephrology2026
Evaluation of the therapeutic effects of pelvic floor muscle training combined with electromagnetic stimulation on pelvic organ prolapse in elderly women using three-dimensional ultrasound parameters.
Article in International urology and nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPelvic organ prolapse (POP) is a common condition affecting elderly women. This study aimed to evaluate whether combining pelvic floor muscle training (PFMT) with electromagnetic stimulation (EMS) provides better outcomes than PFMT alone, using objective three-dimensional (3D) ultrasound parameters.
methodsWe conducted a retrospective analysis of 240 elderly women with POP treated between January 2023 and January 2025. Based on the received treatment, patients were grouped to a PFMT group (n = 114) or a PFMT-EMS group (n = 126). All patients underwent a standardized 15 week intervention. We assessed pelvic floor 3D ultrasound parameters, Pelvic Organ Prolapse Quantification (POP-Q) stage, pelvic floor muscle strength metrics, and symptom scores pre- and post-treatment.
resultsThis analysis included 240 patients. The PFMT-EMS group showed significantly greater improvement in key ultrasound parameters, including a smaller levator ani hiatus area on Valsalva (P < 0.001) and reduced bladder neck descent (P < 0.001). This group also achieved better POP-Q stage improvement (P = 0.013), greater enhancement in muscle strength and symptom relief (all P < 0.001), and a higher total effective rate (P = 0.027).
conclusionCombining PFMT with EMS produces superior anatomical and functional outcomes in elderly women with POP than PFMT alone.
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