Intensive Supervised Versus Unsupervised Pelvic Floor Muscle Training for the Treatment of Stress Urinary Incontinence: a Randomized Comparative Trial

Overview

Journal Int Urogynecol J

Publisher Springer

Specialties Gynecology & Obstetrics
Urology

Date 2010 Feb 25

PMID 20179901

Citations 31

Authors

Monica Faria Felicissimo

Marcia Mendonca Carneiro

Cristina Said Saleme

Rafael Zambelli Pinto

Andrea Moura Rodrigues Maciel da Fonseca

Agnaldo Lopes da Silva-Filho

Affiliations

Soon will be listed here.

Abstract

Introduction And Hypothesis: Pelvic floor muscle training (PFMT) is considered to be the first-line treatment for female stress urinary incontinence (SUI). There are few studies that have tested the efficacy of unsupervised PFMT. The aim of this study was to compare the effectiveness of intensive supervised PFMT to unsupervised PFMT in the treatment of female SUI.

Methods: Sixty-two women with SUI were randomized to either supervised or unsupervised PFMT after undergoing supervised training sessions. They were evaluated before and after the treatment with the Oxford grading system, pad test, quality of life questionnaire, subjective evaluation, and exercise compliance.

Results: After treatment, there were no differences between the two groups regarding PFM strength (p = 0.20), International Consultation on Incontinence Questionnaire-Short Form score (p = 0.76), pad test (p = 0.78), weekly exercise compliance (p = 0.079), and subjective evaluation of urinary loss (p = 0.145).

Conclusions: Both intensive supervised PFMT and unsupervised PFMT are effective to treat female SUI if training session is provided.

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