The effect of pelvic floor exercise program on incontinence and sexual dysfunction in multiple sclerosis patients

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dc.authorscopusid57211906388
dc.authorscopusid57190847841
dc.authorscopusid56085483700
dc.authorscopusid16069377400
dc.authorscopusid6603040523
dc.contributor.authorAltunan, Bengü
dc.contributor.authorGündoğdu, Aslı Aksoy
dc.contributor.authorKurtoğlu Özçağlayan, Tuğba İlkem
dc.contributor.authorÜnal, A.
dc.contributor.authorTurgut, Nilda
dc.date.accessioned2022-05-11T14:05:04Z
dc.date.available2022-05-11T14:05:04Z
dc.date.issued2021
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Nöroloji Ana Bilim Dalı
dc.description.abstractPurpose: Multiple sclerosis (MS) is a chronic neuroinflammatory disease of the central nervous system that involves different neurological areas. In addition to lower urinary tract symptoms (LUTS), sexual dysfunction (SD), and psychopathological effects, MS sometimes seriously impairs the quality of life (QoL). We hypothesize that the pelvic floor exercise program (PFEP) could improve bladder, sexual function, depression, and QoL in MS patients. Methods: Patients diagnosed with MS completed the Incontinence Questionnaire Short Form (ICIQ-SF), the Beck Depression Inventory (BDI), the Multiple Sclerosis Quality of Life-54 (MSQoL-54) questionnaire, and either the Female Sexual Function Index (FSFI) or the Sexual Health Inventory for Men (SHIM). Maximum bladder volumes (MBV) and post-voiding residual (PVR) volumes were measured using ultrasonography. The patients who regularly completed the PFEP for 12 weeks were asked to fill out the questionnaires again, and their MBV and PVR were remeasured. Results: Seventy-two patients with relapsing–remitting multiple sclerosis (RRMS) were included in the study. Forty-two (58.3%) RRMS patients reached the end of the study. The patients’ post-PFEP average MBV statistically increased (p = 0.01). In contrast, no statistically significant difference was found in the PVR (p = 0.2). After exercise, the FSFI values in women increased (p = 0.02), and ICIQ-SF and BDI values in all the RRMS patients statistically decreased (p = 0.004, p = 0.01, respectively), but there was no improvement in the MSQoL-54 score (p > 0.05). Conclusion: PFEP, which causes a reduction in LUTS by enhancing the MBV of RRMS patients, can be seen as an investment in the future in terms of reducing depression in MS patients and preventing or delaying SD in women. © 2021, The Author(s), under exclusive licence to Springer Nature B.V. part of Springer Nature.
dc.identifier.doi10.1007/s11255-021-02804-y
dc.identifier.endpage1065
dc.identifier.issn0301-1623
dc.identifier.issue6en_US
dc.identifier.pmid33620664
dc.identifier.scopus2-s2.0-85101760264
dc.identifier.scopusqualityQ2
dc.identifier.startpage1059
dc.identifier.urihttps://doi.org/10.1007/s11255-021-02804-y
dc.identifier.urihttps://hdl.handle.net/20.500.11776/4887
dc.identifier.volume53
dc.identifier.wosWOS:000621006500001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAltunan, Bengü
dc.institutionauthorGündoğdu, Aslı Aksoy
dc.institutionauthorKurtoğlu Özçağlayan, Tuğba İlkem
dc.institutionauthorÜnal, A.
dc.institutionauthorTurgut, Nilda
dc.language.isoen
dc.publisherSpringer Science and Business Media B.V.
dc.relation.ispartofInternational Urology and Nephrology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectDepression
dc.subjectLower urinary tract symptoms
dc.subjectMSQoL-54
dc.subjectMultiple sclerosis
dc.subjectPelvic floor exercise program
dc.subjectSexual function
dc.subjectadult
dc.subjectaged
dc.subjectArticle
dc.subjectBeck Depression Inventory
dc.subjectbladder capacity
dc.subjectdepression
dc.subjectechography
dc.subjectfemale
dc.subjectFemale Sexual Function Index
dc.subjecthuman
dc.subjectIncontinence Questionnaire Short Form
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmultiple sclerosis
dc.subjectMultiple Sclerosis Quality of Life-54
dc.subjectpelvic floor muscle training
dc.subjectpostvoid residual urine volume
dc.subjectquestionnaire
dc.subjectscoring system
dc.subjectsexual dysfunction
dc.subjectsexual function
dc.subjectSexual Health Inventory for Men score
dc.subjecttherapy effect
dc.subjecturine incontinence
dc.subjectcomplication
dc.subjectkinesiotherapy
dc.subjectmiddle aged
dc.subjectmultiple sclerosis
dc.subjectpelvis floor
dc.subjectquality of life
dc.subjectsexual dysfunction
dc.subjecturine incontinence
dc.subjectAdult
dc.subjectAged
dc.subjectExercise Therapy
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectMultiple Sclerosis
dc.subjectPelvic Floor
dc.subjectQuality of Life
dc.subjectSexual Dysfunction, Physiological
dc.subjectUrinary Incontinence
dc.titleThe effect of pelvic floor exercise program on incontinence and sexual dysfunction in multiple sclerosis patients
dc.typeArticle

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