POSTOPERATIVE PHYSIOTHERAPEUTIC INTERVENTION OF MCINDOE VAGINOPLASTY IN WOMEN WITH VAGINAL AGENESIS

• Grant number: 12/24979-3
• Support Opportunities: Scholarships in Brazil - Post-Doctoral
• Start date: December 01, 2013
• End date: November 30, 2015
• Field of knowledge: Health Sciences - Physiotherapy and Occupational Therapy
• Principal Investigator: Marair Gracio Ferreira Sartori
• Grantee: Liliana Stupp
• Host Institution: Escola Paulista de Medicina (EPM). Universidade Federal de São Paulo (UNIFESP). Campus São Paulo. São Paulo , SP, Brazil

Abstract

Abnormalities in the development of the reproductive organs can cause congenital absence of the vagina, widely known as vaginal agenesis (Breech, Laufer, 2011). Surgical treatment aims the reconstruction and formation of a neovagina, allowing the patient to have satisfactory sexual intercourse. The pelvic floor muscles (PFM) has an important function on sexual activity. Physical therapy works directly in the rehabilitation of these muscles and several studies have shown improvement in sexualactivity (Bo et al, 2000; Morkvedet al, 2007; Citak et al, 2010). However, no studies were found that included physical therapy in the treatment of these women.This study aims to evaluate the behavior of pelvic floor muscle in women with vaginal agenesis who underwent neovaginoplasty and physiotherapeutic treatment. It will include 25 women with vaginal agenesis who submit to physical therapy after neovaginoplasty. The physical therapy treatment will include 10 sessions of techniques of sensory integration and motor learning, followed by three months of home PFM training. The 4D pelvic floor ultrasound will applied in pre and post-operative period, after 10 sessions of outpatient physiotherapy and after three and six months of home PFM training.