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Published in: International Urogynecology Journal 7/2010

01-07-2010 | Original Article

Intensive supervised versus unsupervised pelvic floor muscle training for the treatment of stress urinary incontinence: a randomized comparative trial

Authors: Mônica Faria Felicíssimo, Márcia Mendonça Carneiro, Cristina Said Saleme, Rafael Zambelli Pinto, Andrea Moura Rodrigues Maciel da Fonseca, Agnaldo Lopes da Silva-Filho

Published in: International Urogynecology Journal | Issue 7/2010

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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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Metadata
Title
Intensive supervised versus unsupervised pelvic floor muscle training for the treatment of stress urinary incontinence: a randomized comparative trial
Authors
Mônica Faria Felicíssimo
Márcia Mendonça Carneiro
Cristina Said Saleme
Rafael Zambelli Pinto
Andrea Moura Rodrigues Maciel da Fonseca
Agnaldo Lopes da Silva-Filho
Publication date
01-07-2010
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 7/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-010-1125-1

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