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Effect of Pelvic Floor Muscle Rehabilitation in Preventing Recurrent Vulvovaginal Candidiasis and Recurrent Bacterial Vaginosis

Received: 10 July 2018     Accepted: 24 July 2018     Published: 13 September 2018
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Abstract

Objective To investigate the effect of pelvic floor muscle rehabilitation on recurrent vulvovaginal candidiasis (RVVC) and recurrent bacterial vaginosis (RBV). Methods Between January 2014 and July 2015, 121 cases of RVVC and RBV were selected, and the patients were randomly divided into control group and experimental group. For the control group of RVVC: miconazole suppository and vaginal delivery were utilized in every patient, 1 piece per night, the period of treatment was 7 to 14 days; oral intake of fluconazole was used again after 72 hours. Clotrimazole suppository or fluconazole was still chosen for the maintenance treatment: (1) 1 piece per week and lasted 6 months for every case; (2) 400 mg of itraconazole was used, 1 time every month or 100 mg was used once a week, the period of treatment lasted for 6 months. RBV: oralintake of metronidazole or clindamycin was chosen. One piece of metronidazole suppository by vaginal utilization was still needed per night, or 2% clindamycin ointment was used by inunction for 7 days. Experimental group: pelvic floor muscle rehabilitation. Results Before rehabilitation treatment, there were 4 cases with level 4 or 5 of type I muscle strength and 8 cases level 4 or 5 of type II muscle strength. After the treatment, there were 59 cases with level 4 or 5 of type I muscle, and 60 cases with level 4 or 5 of type II muscle (P<0.001). There were no statistical differences on the treatment of anterior vaginal wall prolapse. Before the treatment, the number of anterior vaginal wall prolapse was 53 cases, the number was 49 cases after treatment (P=0.328). Before treatment, the number of posterior vaginal wall prolapse was 25 cases, the number was11 cases after treatment (P=0.005). The number of Uterine prolapse was 14 cases, the number was 2 cases after treatment (P=0.002). Compared with the group with drug treatment, the rate of relapse in vaginitis was decreased significantly after pelvic floor rehabilitation within 1 year, 61 patients with vaginitis, there were only 2 cases of recurrences were observed after treatment (P<0.05). Conclusion Pelvic floor rehabilitation treatment could improve the pelvic floor function significantly, and also get significant recovery of sagging and prolapse in vagina which was injured by pregnancy and childbirth. Compared with the drug treatment group, the rate of relapse in RVVC and RBV was decreased significantly after pelvic floor muscle rehabilitation.

Published in Journal of Gynecology and Obstetrics (Volume 6, Issue 4)
DOI 10.11648/j.jgo.20180604.14
Page(s) 94-97
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Pelvic Organ Prolapse, Pelvic Floor Muscle Rehabilitation, Recurrent Vulvovaginal Candidiasis, Recurrent Bacterial Vaginosis

References
[1] Xie Xing. Obstetrics and Gynecology [M]. 8th Edition. Beijing; People's Medical Publishing House, 2013: 248-250.
[2] Sobel JD. Vulvovaginal candidosis [J]. Lancet, 2007, 369(9577):1961-1971.
[3] Achkar JM, Fries BC. Candida infections of the genitourinarytract [J]. Clin Microbiol Rev, 2010, 23(2): 253-273.
[4] Ono F, Yasumoto S. Genital candidiasis [J]. Nippon Rinsho, 2009, 67(1): 157-161.
[5] El Din SS. Reynolds MT, Ashbee HR. et al. An investigation in -to the pathogenesis of vulvovaginal candidosis [J]. Sex TransmInfect, 2001, 77(3): l 79-183.
[6] Su Yuanyuan, Han Yanhua, Li Danyan. Female pelvic floor function and evaluation method of pelvic floor muscle function [J]. Chinese Journal of Practical Gynecology and Obstetrics, 2015, 31(4):310-313.
[7] Zhang Jie, Wang Zhongmin, Ma Le, et al. Stress urinary incontinence caused by imbalance of levator ani muscle tension on both sides of postpartum [J]. Chinese Journal of Practical Gynecology and Obstetrics, 2015, 31(12): 1172-1173.
[8] Ferreira C, Silva S, Faria-Oliveira F, et al. Candida albicansvirulence and drug- resistance requires the 0- acyltransferase Guplp [J]. BMC Microbiol, 2010, 10: 238-240.
[9] Chong PP, Lee YL, Tan BC, et a1. Genetic relatedness of Can-dida strains isolated from women, IVith vaginal candidiasis in Malaysia [J]. J Med Microbiol, 2003, 52(Pt 8):657-666.
[10] Lockhart SR, Rccd BD, Pierson CL, et al. Most frequent scenario for recurrent Candida vaginitis is strain maintenance with "substrain shuffling": demonstration by sequential DNA finger- printing with probes Ca3, C 1, and CARE2 [J]. J Clin Micro-biol, 1996, 34(4):767-777.
[11] Li Ping. The risk of bacterial vaginitis on premature delivery and miscarriage [J]. Foreign Medical Intelligence, 1994, 15(18):98-99.
[12] Hay-Smith EJ, Dumoulin C. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontience in women [J]. Cochrane Database Syst Rev, 2006, 25: CD005654.
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  • APA Style

    Cheng Fang, Yang Yun-Jie, Shi Wen-jing, Wang Xue-Ying, Ma Le. (2018). Effect of Pelvic Floor Muscle Rehabilitation in Preventing Recurrent Vulvovaginal Candidiasis and Recurrent Bacterial Vaginosis. Journal of Gynecology and Obstetrics, 6(4), 94-97. https://doi.org/10.11648/j.jgo.20180604.14

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    ACS Style

    Cheng Fang; Yang Yun-Jie; Shi Wen-jing; Wang Xue-Ying; Ma Le. Effect of Pelvic Floor Muscle Rehabilitation in Preventing Recurrent Vulvovaginal Candidiasis and Recurrent Bacterial Vaginosis. J. Gynecol. Obstet. 2018, 6(4), 94-97. doi: 10.11648/j.jgo.20180604.14

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    AMA Style

    Cheng Fang, Yang Yun-Jie, Shi Wen-jing, Wang Xue-Ying, Ma Le. Effect of Pelvic Floor Muscle Rehabilitation in Preventing Recurrent Vulvovaginal Candidiasis and Recurrent Bacterial Vaginosis. J Gynecol Obstet. 2018;6(4):94-97. doi: 10.11648/j.jgo.20180604.14

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  • @article{10.11648/j.jgo.20180604.14,
      author = {Cheng Fang and Yang Yun-Jie and Shi Wen-jing and Wang Xue-Ying and Ma Le},
      title = {Effect of Pelvic Floor Muscle Rehabilitation in Preventing Recurrent Vulvovaginal Candidiasis and Recurrent Bacterial Vaginosis},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {6},
      number = {4},
      pages = {94-97},
      doi = {10.11648/j.jgo.20180604.14},
      url = {https://doi.org/10.11648/j.jgo.20180604.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20180604.14},
      abstract = {Objective To investigate the effect of pelvic floor muscle rehabilitation on recurrent vulvovaginal candidiasis (RVVC) and recurrent bacterial vaginosis (RBV). Methods Between January 2014 and July 2015, 121 cases of RVVC and RBV were selected, and the patients were randomly divided into control group and experimental group. For the control group of RVVC: miconazole suppository and vaginal delivery were utilized in every patient, 1 piece per night, the period of treatment was 7 to 14 days; oral intake of fluconazole was used again after 72 hours. Clotrimazole suppository or fluconazole was still chosen for the maintenance treatment: (1) 1 piece per week and lasted 6 months for every case; (2) 400 mg of itraconazole was used, 1 time every month or 100 mg was used once a week, the period of treatment lasted for 6 months. RBV: oralintake of metronidazole or clindamycin was chosen. One piece of metronidazole suppository by vaginal utilization was still needed per night, or 2% clindamycin ointment was used by inunction for 7 days. Experimental group: pelvic floor muscle rehabilitation. Results Before rehabilitation treatment, there were 4 cases with level 4 or 5 of type I muscle strength and 8 cases level 4 or 5 of type II muscle strength. After the treatment, there were 59 cases with level 4 or 5 of type I muscle, and 60 cases with level 4 or 5 of type II muscle (P<0.001). There were no statistical differences on the treatment of anterior vaginal wall prolapse. Before the treatment, the number of anterior vaginal wall prolapse was 53 cases, the number was 49 cases after treatment (P=0.328). Before treatment, the number of posterior vaginal wall prolapse was 25 cases, the number was11 cases after treatment (P=0.005). The number of Uterine prolapse was 14 cases, the number was 2 cases after treatment (P=0.002). Compared with the group with drug treatment, the rate of relapse in vaginitis was decreased significantly after pelvic floor rehabilitation within 1 year, 61 patients with vaginitis, there were only 2 cases of recurrences were observed after treatment (P<0.05). Conclusion Pelvic floor rehabilitation treatment could improve the pelvic floor function significantly, and also get significant recovery of sagging and prolapse in vagina which was injured by pregnancy and childbirth. Compared with the drug treatment group, the rate of relapse in RVVC and RBV was decreased significantly after pelvic floor muscle rehabilitation.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Effect of Pelvic Floor Muscle Rehabilitation in Preventing Recurrent Vulvovaginal Candidiasis and Recurrent Bacterial Vaginosis
    AU  - Cheng Fang
    AU  - Yang Yun-Jie
    AU  - Shi Wen-jing
    AU  - Wang Xue-Ying
    AU  - Ma Le
    Y1  - 2018/09/13
    PY  - 2018
    N1  - https://doi.org/10.11648/j.jgo.20180604.14
    DO  - 10.11648/j.jgo.20180604.14
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 94
    EP  - 97
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20180604.14
    AB  - Objective To investigate the effect of pelvic floor muscle rehabilitation on recurrent vulvovaginal candidiasis (RVVC) and recurrent bacterial vaginosis (RBV). Methods Between January 2014 and July 2015, 121 cases of RVVC and RBV were selected, and the patients were randomly divided into control group and experimental group. For the control group of RVVC: miconazole suppository and vaginal delivery were utilized in every patient, 1 piece per night, the period of treatment was 7 to 14 days; oral intake of fluconazole was used again after 72 hours. Clotrimazole suppository or fluconazole was still chosen for the maintenance treatment: (1) 1 piece per week and lasted 6 months for every case; (2) 400 mg of itraconazole was used, 1 time every month or 100 mg was used once a week, the period of treatment lasted for 6 months. RBV: oralintake of metronidazole or clindamycin was chosen. One piece of metronidazole suppository by vaginal utilization was still needed per night, or 2% clindamycin ointment was used by inunction for 7 days. Experimental group: pelvic floor muscle rehabilitation. Results Before rehabilitation treatment, there were 4 cases with level 4 or 5 of type I muscle strength and 8 cases level 4 or 5 of type II muscle strength. After the treatment, there were 59 cases with level 4 or 5 of type I muscle, and 60 cases with level 4 or 5 of type II muscle (P<0.001). There were no statistical differences on the treatment of anterior vaginal wall prolapse. Before the treatment, the number of anterior vaginal wall prolapse was 53 cases, the number was 49 cases after treatment (P=0.328). Before treatment, the number of posterior vaginal wall prolapse was 25 cases, the number was11 cases after treatment (P=0.005). The number of Uterine prolapse was 14 cases, the number was 2 cases after treatment (P=0.002). Compared with the group with drug treatment, the rate of relapse in vaginitis was decreased significantly after pelvic floor rehabilitation within 1 year, 61 patients with vaginitis, there were only 2 cases of recurrences were observed after treatment (P<0.05). Conclusion Pelvic floor rehabilitation treatment could improve the pelvic floor function significantly, and also get significant recovery of sagging and prolapse in vagina which was injured by pregnancy and childbirth. Compared with the drug treatment group, the rate of relapse in RVVC and RBV was decreased significantly after pelvic floor muscle rehabilitation.
    VL  - 6
    IS  - 4
    ER  - 

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Author Information
  • Maternity and Child Care Hospital of Huaian in Jiangsu Province, Huaian, China

  • Maternity and Child Care Hospital of Huaian in Jiangsu Province, Huaian, China

  • Maternity and Child Care Hospital of Huaian in Jiangsu Province, Huaian, China

  • Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China

  • Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China

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