Zinat Ghanbari - Department of Obstetrics and Gynecology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
Marzieh Hajibabaei - Psychosomatic Medicine Research Center. Tehran University of Medical Sciences, Tehran, Iran
Elaheh Miri Ashtiani - Department of Obstetrics and Gynecology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
Azita Ghanbarpour - Department of Obstetrics and Gynecology, Babol University of Medical Sciences, Babol, Iran
Ali Montazeri - Population Health Research Group, Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran

Background & Objective: Pelvic floor disorders (PFDs) are common devastating situations among women globally. The present study aimed to evaluate the clinical efficacy of radiofrequency (RF) on pelvic floor distress, restoration, and sexual function among women with PFDs. Materials & Methods: This pre-post intervention study was performed on forty-three women with PFDs, who referred to a teaching pelvic floor clinic. Patients underwent RF three times fortnightly. Women were examined at three time points of baseline, one month post-intervention, and in a three months follow-up. In addition, a biofeedback evaluation was performed by a physiotherapist at the first session and follow-up. All women were asked to complete the Female Sexual Function Index and Pelvic Floor Distress Inventory questionnaires at the first session and in follow-up assessments. Descriptive statistics, the paired samples t-test, and the Friedman test were used to analyze the data. Results: The mean and standard deviation of the age and gravidity of participants were ۴۰.۳±۸.۰۱ years and ۲.۶۵±۱.۳, respectively. We observed that ۸۱.۴% of women had a history of vaginal delivery. A significant improvement was found in the levator muscle tonicity by manual examination in the three-month follow-up (P<۰.۰۰۱). Moreover, maximal pelvic floor contraction measured by biofeedback improved (P=۰.۰۷۵). There were significant improvements in female sexual function and pelvic floor distress, including pelvic organ prolapse, colorectal-anal distress, and urinary distress after RF therapy (P<۰.۰۰۱). Conclusion: The findings of the current investigation showed that RF could be applied for pelvic floor restoration and is likely to improve sexual function and pelvic floor distress.

Pelvic floor, Pelvic floor disorders, Radiofrequency Therapy, Sexual Function