Volume 24, Issue 105, September - October, 2020

The use of neuromuscular electrical stimulation in vaginoperineorrhaphy (rectocele repair)

Ettedal Aljahdali

Department of Obstetrics and Gynecology, Pediatric Adolescent Gynecology, Faulty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia; Email: dr.aljahdali@hotmail.com

ABSTRACT

Introduction: This study presenting experience of utilizing neuromuscular stimulation in posterior vaginal wall muscles repair to identify pelvic floor muscles defects. Methods: This prospective study carried at King Abdulaziz University Hospital (KAUH) and Baksh private Hospital, Jeddah, Saudi Arabia from May 2019 till june 2020. Attended 20 patients with rectocele. Patients demographic and clinical characteristics were collected. Pre-repair assessment of rectocele were recorded. Neuromuscular electrical stimulation was used intraoperatively for initial muscles defects evaluations then during dissection to identified muscles at applying stiches of repair and at repair conclusion for final vaginoperineal muscles assessment. Pain intensity, vaginal calibration and intercouse and sexual satisfations were evaluated. Patiens were followed up post-operative. Results: Repair causes were sexual dissatisfaction (100%), recurrent vaginitis (85.0%), difficult defecation (75.0%), urinary incontinence (65.0%), urinary tract infections (50.0%), dyspareunia (50.0%). All patients had rectocele and cystocele, defective perineal body, 8 (40.0%) urethrocele, 4 (20.0%) abnormal vaginal mucosa. Post-procedure vaginal width, vaginal caliberation, pain scale, intercourse and sexual statisfactions improved versus pre-procedure. Conclusions: High beneficial of neuromuscular stimulation usage in intra-operative identifying vaginal and perineal muscles defects.

Keywords: Electrical stimulation, intercourse, neuromuscular pelvic floor muscles, pain scale, posterior vaginal wall repair, rectocele, sexual staisfaction, vaginal caliberation

Medical Science, 2020, 24(105), 3324-3335

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