Effect of Pelvic Floor Muscle Electrophysiologic Therapy on Enhanced Recovery After Gynecologic Surgery

Study Overview
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Brief Summary
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This study is to evaluate the effect of pelvic floor muscle electrophysiologic therapy on enhanced recovery after gynecologic surgery,to solve muscle soreness and retention of urine after laparoscopy, and endometrial repair after electrosurgical resection of intrauterine adhesions.

Detailed Description
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Pelvic floor muscle electrophysiologic therapy is widely used in the treatment of pelvic floor dysfunction diseases at home and abroad. Electrical stimulation can also relieve depression and anxiety and play a sedative effect. In recent years, some studies have shown that pelvic floor electrophysiological therapy can improve the intimal blood flow resistance index of thin endometrium. Therefore, whether or not the pelvic floor electrophysiological therapy can relieve the muscle soreness caused by carbon dioxide retention after endoscopic surgery, reduce the postoperative urinary retention, shorten the postoperative anus exhaust time, and repair the endometrium after the intrauterine adhesion. we expect this electrophysiologic therapy can solve some common postoperative complications and difficult problems, such solve muscle soreness and retention of urine after laparoscopy, and endometrial repair after electrosurgical resection of intrauterine adhesions. Hope to help patients recover quickly after surgery.

Official Title
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Effect of Pelvic Floor Muscle Electrophysiologic Therapy on Enhanced Recovery After Gynecologic Surgery

Conditions
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Pelvic Floor Muscle Electrophysiologic Therapy, Fast-Track Surgery

Intervention / Treatment
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* Device: Electrophysiologic therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: .After electrocision of intrauterine adhesions; .Or after common gynecologic laparoscopic surgery，patients occurred muscle pain or patients occurred urinary retention. Exclusion Criteria: Pregnancy; Suspected acute inflammation of the genitourinary system; Postoperative persistent vaginal bleeding; Patients have vaginal stenosis; Patients have implantation of a pacemaker with a cardiac pacemaker; Patients have a malignant pelvic organ tumor; .Patients have nervous system disease (dementia or unstable seizures),who cannot actively cooperate with the treatment.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Electrophysiologic therapy group<br>apply electrophysiologic therapy after surgery | Device: Electrophysiologic therapy<br>* Pelvic floor electrophysiological therapy is used after common gynecologic surgery to record anal exhaust time and micturition time after surgery and endometrium recovery of intrauterine adhesions.For intrauterine adhesions patients, Drug: Aspirin(low dose of Aspirin after operation)Device: intrauterine balloon (insert intrauterine balloon after operation)<br>* Other names: pelvic floor muscle electrophysiologic therapy;|
| No Intervention: non-electrophysiologic therapy group<br>do not apply electrophysiologic therapy after surgery | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| time of anal exhaust and urination after gynecologic surgery |  | within three days after gynecologic surgery | 
| Endometrial Thickness of All Participants in the Mid Menstrual Measured by Color Doppler Ultrasound |  | Within the first 3 months after surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Menstruation Pattern(Improvement or No Significant Change) of All Participants |  | Within the first 3 months after surgery | 
| Reduction of American Fertility Society adhesion score at Second-look hysteroscopy of All Participants | The severity and extent of intrauterine adhesions were scored according to a classification system recommended by the American Fertility Society (AFS) (1988 version) [7]. A score of 1-4 was considered to represent mild adhesions, a score of 5-8 was considered to represent moderate adhesions and a score of 9-12 represented severe adhesion | Within the first 3 months after surgery | 
| Number of Participants With Pregnancy after operation |  | within three years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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pelvic floor muscle electrophysiologic therapy, enhanced recovery, muscle soreness, postoperative retention of urine, Intrauterine Adhesions, enhanced recovery after gynecologic surgery