CHANGE IN THE ASSESSMENT OF SEXUAL INTERCOURSE OF WOMEN AFTER GYNAECOLOGICAL OPERATIONS CAUSED BY DISORDERS OF MICTURITION UNDER THE INFLUENCE OF ELECTROSTIMULATION OF PELVIC FLOOR MUSCLES AND OVERVERTEBRAL ELECTROSTIMULATION

*Krystyna Garstka-Namysł¹, Juliusz Huber², Magdalena Pisarska³, Grzegorz H. Bręborowicz⁴, Łucja Pilaczyńska-Szcześniak⁵

Summary
Background: Symptoms of urinary incontinence (UI) and pelvic floor muscle (PFM) and nerve activity disorders in women after gynaecological operations (OP) significantly affect the subjective assessment of quality of sexual life (QSL).
Aim of the study was to compare the changes in PFM activity resulting from electrotherapy using objective SEMG methods and to assess their influence on QSL.
Material and methods
27 women after OP with UI underwent gynaecological and global SEMG tests using a vaginal probe and an examination of motor evoked potentials (MEP) induced by a magnetic field. The parameters of 8-week home continued FES and EMS were individually set. Statistical analysis using Wilcoxon´s signed rank test and a T-test for dependent samples in the present and in the future was carried out.
Results
In 27 patients the EMG and MEP tests indicated a neurogenic cause of complaints in the form of axonopathy of motor fibres rather than weakened impulsation at the level of neurons of the motor centre. PFM resting tone improved from an average of 2.52 ěV before to 1.87 ěV after therapy, and strength of contraction from 14.7 ěV before to 16.9 ěV after. QSL was assessed on average as 3.41 before and 4.37 after the therapy (scale 1-5). Satisfaction with QSL and life optimism increased statistically significantly in each case.
Conclusions
The individually set FES and EMS therapy resulted in a statistically significant improvement of the functional state of motor units confirmed by objective SEMG and MEP tests. The therapy may lead to significantly QSL improvement.

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