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01-02-2019 | Original Article

Effects of vaginal tampon training added to pelvic floor muscle training in women with stress urinary incontinence: randomized controlled trial

Authors: Ceren Orhan, Türkan Akbayrak, Serap Özgül, Emine Baran, Esra Üzelpasaci, Gülbala Nakip, Nejat Özgül, Mehmet Sinan Beksaç

Published in: International Urogynecology Journal | Issue 2/2019

Abstract

Introduction and hypothesis

We evaluated whether vaginal tampon training (VTT) combined with pelvic floor muscle training (PFMT) results in better outcomes than PFMT alone for treating stress urinary incontinence (SUI).

Methods

This was a randomized, controlled study. Patients were allocated to either the combined program, consisting of PFMT and VTT over 12 weeks [PFMT and VTT group (n = 24)] or to PFMT alone [PFMT group (n = 24)]. The primary outcome measure was self-reported improvement, while secondary outcome measures were severity of incontinence, quality of life (QoL), urinary parameters, and pelvic floor muscle strength (PFMS) and endurance (PFME). Values were analyzed with Friedman, Mann–Whitney U, Wilcoxon, and chi-square tests.

Results

Between-group analysis showed no statistically significant differences in self-reported improvement, severity of incontinence, symptom distress score, PFMS, PFME, urinary parameters, and all domains of QoL scores, except social limitations, at weeks 4, 8, and 12 (p > 0.05). However, the increase in PFMS and PFME between baseline and week 12 and earlier improvement was significantly greater in the PFMT and VTT than in the PFMT group (both p < 0.05)

Conclusion

Short-term results demonstrated that PFMT with and without VT exercises had similar effectiveness on the symptoms of SUI and QoL.

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Title: Effects of vaginal tampon training added to pelvic floor muscle training in women with stress urinary incontinence: randomized controlled trial
Authors: Ceren Orhan
Türkan Akbayrak
Serap Özgül
Emine Baran
Esra Üzelpasaci
Gülbala Nakip
Nejat Özgül
Mehmet Sinan Beksaç
Publication date: 01-02-2019
Publisher: Springer International Publishing
Published in: International Urogynecology Journal / Issue 2/2019
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-018-3585-7

At a glance: The STEP trials

Springer Medicine

Effects of vaginal tampon training added to pelvic floor muscle training in women with stress urinary incontinence: randomized controlled trial

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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