GynecologyGynecology2079-56962079-5831Consilium Medicum3012110.26442/20795696.2019.1.190229Research ArticlePelvic floor muscle training in women with a history of breast cancerApolikhinaInna APhD, Professor, Head of Department of Aesthetic Gynecology and Rehabilitation-RodionovValerii VPhD, Head of Department of Breast Pathology-SeialovaAnna SResident Doctor-SaidovaAina SPhD, obstetrician-gynecologist of Department of Aesthetic Gynecology and Rehabilitation-GukasianIrina APhD, an owner of a private gynecologicalapolikhina@inbox.ruV.I.Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, I.M.Sechenov First Moscow State Medical UniversityV.I.Kulakov National Medical Research Center for Obstetrics, Gynecology and PerinatologyClinic Furesoe Gynaekologi15022019211192209042020Copyright © 2019, Consilium Medicum2019Relevance. The issue of pelvic floor muscle dysfunction (PFMD) is common in female population. It causes severe moral suffering and reduces both social activity and a quality of patient’s life. In this regard PFMD management with modern methods for training of pelvic floor muscles using devices is the "first line" method. Aim. To study treatment effectiveness and a quality of life in women with PFMD followed radical treatment for breast cancer (BC). Outcomes and methods. A prospective clinical study on clinical efficacy of a biofeedback method in combination with electrical stimulation of pelvic floor muscles using a device “Urostim” in patients with mild PFMD followed combined treatment fpr BC was carried out at Department of Aesthetic Gynecology of V.I.Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology. The study included 15 postmenopausal women. Results. It was established that 10 sessions of pelvic floor muscles training in a mode of biofeedback result in beneficial effects on for all clinical indicators. Conclusion. PFMD treatment by training of pelvic floor muscles using devices is one of the most promising ways to reduce surgical interventions number in urogynecology and to provide a rehabilitation of women who had surgery for BC.pelvic floor muscle dysfunctionpelvic floor muscle trainingbiofeedbackrehabilitationbreast cancerдисфункция мышц тазового днатренировка мышц тазового днабиологическая обратная связьреабилитациярак молочной железы[Краснопольский В.И., Буянова С.Н., Петрова В.Д. Комбинированное лечение больных с опущением и выпадением внутренних половых органов и недержанием мочи с применением антистрессовых технологий. Пособие для врачей. М., 2003. [Krasnopol'skii V.I., Buianova S.N., Petrova V.D. Kombinirovannoe lechenie bol'nykh s opushcheniem i vypadeniem vnutrennikh polovykh organov i nederzhaniem mochi s primeneniem antistressovykh tekhnologii. Posobie dlia vrachei. Moscow, 2003 ]][De Menezes Franco M, Driusso P, Bo K. Relationship between pelvic floor muscle strength and sexual dysfunction in postmenopausal women: a cross-sectional study. Int Urogynecol J 2017; 28 (6): 931-6. DOI: 10.1007 / s00192-016-3211-5][Nygaard I, Barber M.D, Burgio K.L. Prevalence of symptomatic pelvic floor disorders in US women. JAMA 2008; 300 (11): 1311-6.][Frota I, Oliveira Rocha A. Pelvic floor muscle function and quality of life in post-menopausal women with and without pelvic floor dysfunction. Acta Obstet Gynecol Scand 2018; 97 (5): 552-9. DOI: 10.1111/aogs.13305][Стеняева Н.Н., Аполихина И.А., Хритинин Д.Ф. Биологическая обратная связь в реабилитации женщин с дисфункцией тазового дна: урогинекологические и сексологические аспекты. Гинекология. 2013; 15 (2): 85-8. [Steniaeva N.N., Apolikhina I.A., Khritinin D.F. Biofeedback in rehabilitation of women with pelvic floor dysfunction: uroginecological and sexological aspects. Gynecology. 2013; 15 (2): 85-8]][Ермакова Е.И., Кубицкая Ю.В., Балан В.Е., Аполихина И.А. Биологическая обратная связь в лечении недержания мочи у женщин. Акушерство и гинекология. 2013; 12: 92-5. [Ermakova E.I., Kubitskaia Iu.V., Balan V.E., Apolikhina I.A. Biologicheskaia obratnaia sviaz' v lechenii nederzhaniia mochi u zhenshchin. Akusherstvo i ginekologiia. 2013; 12: 92-5 (in Russian).]][Дикке Г.Б. Ранняя диагностика и консервативное лечение дисфункции тазового дна. Эффективная фармакотерапия. Акушерство и гинекология. 2016; 4: 28-36. [Dikke G.B. Ranniaia diagnostika i konservativnoe lechenie disfunktsii tazovogo dna. Effektivnaia farmakoterapiia. Akusherstvo i ginekologiia. 2016; 4: 28-36]][Bump R.C, Mattiasson A, Bo K et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 1996; 175 (1): 10-7.]