Morphometric changes in pelvic floor structure following non-invasive rehabilitation and neuromodulation assessed by...

Pelvic floor disorders represent a common problem in female urology practice and significantly affect quality of life. Objective evidence regarding structural changes induced by non-invasive neuromodulation remains limited. The aim of this study was to evaluate, using pelvic floor ultrasound (PFUS), the morphometric changes occurring in the pelvic floor following neuromodulation with high intensity focused electromagnetic energy (HIFEM).

This was an analytical, quasi-experimental, prospective observational study with pre- and post-intervention assessment. The study included women with pelvic floor dysfunction treated with transperineal neuromodulation using HIFEM. Urinary symptoms, quality of life, and morphometric parameters were assessed using PFUS.

Forty-six women with a mean age of 60.4 ± 12.6 years were analyzed. Significant improvements were observed in urinary frequency, ICIQ-SF, ICIQ-OAB, Sandvik Severity Index, and King's Health Questionnaire scores (p < 0.001). Ultrasound findings demonstrated reduced detrusor thickness, improved bladder emptying, enhanced pelvic floor dynamic activity, and improved pelvic support.

HIFEM neuromodulation was associated with improvements in clinical outcomes and quality of life, as well as morphometric changes in the pelvic floor objectively demonstrated by transperineal ultrasound.