Luz G. Vázquez-Uc, Servicio de Urología Ginecológica, Centro Médico Nacional 20 de Noviembre, Ciudad de México, México
Ricardo Hernández-Velázquez, Servicio de Urología Ginecológica, Centro Médico Nacional 20 de Noviembre, Ciudad de México, México
Guadalupe Guerrero-Reyes, Servicio de Urología Ginecológica, Centro Médico Nacional 20 de Noviembre, Ciudad de México, México
Pamela G. Castro-Maldonado, Servicio de Urología Ginecológica, Centro Médico Nacional 20 de Noviembre, Ciudad de México, México
Adrián Gutiérrez-González, Departamento de Urología Ginecológica, Hospital Universitario Doctor José Eleuterio González, Monterrey, Nuevo Léon, México
Omar Treviño-Cavazos, Departamento de Urología Ginecológica, Hospital Universitario Doctor José Eleuterio González, Monterrey, Nuevo Léon, México
Frida G. Hernández-Sandoval, Servicio de Urología Ginecológica, Centro Médico Nacional 20 de Noviembre, Ciudad de México, México
Lexie Carmona-Aguilera, Departamento de Urología Ginecológica, Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Ciudad de México, México
Objective: To evaluate the effectiveness of physiotherapy combined with electrostimulation in the management of pelvic floor myofascial pain syndrome (MPS) and its impact on quality of life. Methods: An analytical, longitudinal, retrospective study was conducted at a tertiary referral center. Fifty women aged 18 years or older with a diagnosis of MPS who completed ten sessions of physiotherapy with electrostimulation were included. Pain intensity was assessed using the Visual Analog Scale (VAS), and quality of life was measured with the Pelvic Floor Impact Questionnaire (PFIQ-7) before and after treatment. Results: Visual Analogue Scale (VAS) scores decreased significantly from 6.71 ± 1.94 at baseline to 1.32 ± 1.27 at the end of treatment (p < 0.001), representing an 80.3% reduction. Total PFIQ-7 scores decreased from 279.4 ± 54.2 to 93.1 ± 60.7 points (p < 0.05), reflecting a clinically meaningful improvement in quality of life. Conclusions: Physiotherapy combined with electrostimulation is effective in reducing pain associated with MPS and improving quality of life, regardless of the presence of comorbidities.
Keywords: Defecatory dyssynergia. Proctalgia fugax. Incontinence. TENS. Hemorrhoidal disease.
