Awareness of Gynecologists about Role of Physical Therapy in Genital Prolapse in Egypt: A Cross Sectional Study
كود المقالة : 1029-IPTCCU. (R1)
المؤلفون
Marwa Sayed Mohamed Nouh *1، Soheir Mahmoud Elkosery2، Mohamed Fawzy Mohamed Abo El-Enein3، Marwa Mohamed Ahmed Mahran4
1Faculty of physical therapy cairo university
2Physical Therapy for Woman’s Health Department, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
3Faculty of Medicine Cairo University
4Faculty of physical therapy Cairo University
المستخلص
Background and Objective: Physical therapy (PT) integrates managing pelvic organ prolapse by
enhancing muscle control, alleviating symptoms, and preventing complications like incontinence.
However, gynecologists in Egypt often overlook its role. This study evaluates gynecologists’
awareness of PT’s in managing and preventing genital prolapse.
Methods: A cross-sectional study included 370 Cairo-based gynecologists with ≥5 years of
experience. Validated questionnaire collected data, and chi-squared tests evaluated awareness
differences by experience and sex.
Results: A minority agreed that: prolapse prevention is limited to medical career (38.4%), they
refer cases to PT (28.4%), needed pre/post operatively (33.5%), effective methods (31.9%), easily
applicable (43.8%), sufficient females’ awareness (11.1%), valuable interferential (24.3%),
biofeedback (29.5%), PT helps in 3rd-degree prolapse (23.8%). Conversely, most agreed PT is:
prophylactic in prolapse-susceptible cases (61.4%), expertise in pelvic floor anatomy (68.9%),
controlling symptoms by teamwork (62.2%), basic in treatment (53.8%), with unique modalities to
gynecological PT (55.4%), females reluctant (54.9%), valuable pelvic floor training (88.1%),
valuable Kegel exercise (81.1%), valuable vaginal cones (64.9%), effective bladder training
(51.6%), effective intravaginal pessaries (61.4%), curative in 1st/2nd degree (51.6%), awareness
lack not to harmful results (68.4%). Consultants had greater knowledge than specialists (p < 0.05),
females undervalued the applicability (p < 0.05). 41.1% believed lectures could improve awareness.
Conclusions: Despite mixed opinions, gynecologists recognize PT’s preventive role but question
its efficacy and practicality. Enhanced education and awareness programs are needed to emphasize
pelvic floor training’s benefits in reducing surgical needs and improving quality of life.
الكلمات الرئيسية
Awareness, Gynecologists, Gynecological Physical Therapists, Women’s Health, Genital Prolapse
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