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Triple therapy with Lactobacilli acidophili, estriol plus pelvic floor rehabilitation for symptoms of urogenital aging in postmenopausal women

Capobianco, Giampiero and Wenger, Jean Marie and Meloni, Giovanni Battista and Dessole, Margherita and Cherchi, Pier Luigi and Dessole, Salvatore (2014) Triple therapy with Lactobacilli acidophili, estriol plus pelvic floor rehabilitation for symptoms of urogenital aging in postmenopausal women. Archives of Gynecology and Obstetrics, Vol. 289 (3), p. 601-608. ISSN 0932-0067. eISSN 1432-0711. Article.

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DOI: 10.1007/s00404-013-3030-6

Abstract

Purpose: to assess the effects of the combination of pelvic floor rehabilitation, intravaginal estriol and Lactobacillus acidophil administration on stress urinary incontinence (SUI), urogenital atrophy and recurrent urinary tract infections in postmenopausal women.
Methods: 136 postmenopausal women with urogenital aging symptoms were enrolled in this prospective randomized study. Patients: randomly divided into two groups and each group consisted of 68 women. Interventions: Subjects in the triple therapy (group I) received 1 intravaginal ovule containing 30 mcg estriol and Lactobacilli acidophili (50 mg lyophilisate containing at least 100 million live bacteria) such as once daily for 2 weeks and then two ovules once weekly for a total of 6 months as maintenance therapy plus pelvic floor rehabilitation. Subjects in the group II received one intravaginal estriol ovule (1 mg) plus pelvic floor rehabilitation in a similar regimen. Mean outcome measures: We evaluated urogenital symptomatology, urine cultures, colposcopic findings, urethral cytologic findings, urethral pressure profiles and urethrocystometry before, as well as after 6 months of treatment.
Results: after therapy, the symptoms and signs of urogenital atrophy significantly improved in both groups. 45/59 (76.27 %) of the group I and 26/63 (41.27 %) of the group II referred a subjective improvement of their incontinence. In the patients treated by triple therapy with lactobacilli, estriol plus pelvic floor rehabilitation, we observed significant improvements of colposcopic findings, and there were statistically significant increases in mean maximum urethral pressure, in mean urethral closure pressure, as well as in the abdominal pressure transmission ratio to the proximal urethra.
Conclusions: our results showed that triple therapy with L. acidophili, estriol plus pelvic floor rehabilitation was effective and should be considered as first-line treatment for symptoms of urogenital aging in postmenopausal women.

Item Type:Article
ID Code:10307
Status:Published
Refereed:Yes
Uncontrolled Keywords:Pelvic floor rehabilitation, postmenopausal women, recurrent urinary tract infections, urogenital atrophy, urinary incontinence, lactobacillus acidophili, vaginal estriol
Subjects:Area 06 - Scienze mediche > MED/40 Ginecologia e ostetricia
Area 06 - Scienze mediche > MED/36 Diagnostica per immagini e radioterapia
Divisions:001 Università di Sassari > 01-a Nuovi Dipartimenti dal 2012 > Scienze Chirurgiche, Microchirurgiche e Mediche
Publisher:Springer Berlin / Heidelberg
ISSN:0932-0067
eISSN:1432-0711
Deposited On:17 Nov 2014 08:34

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