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International Urogynecology Journal

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01-02-2015 | Original Article

Short-term effect of adding pelvic floor muscle training to bladder training for female urinary incontinence: a randomized controlled trial

Authors: Serap Kaya, Turkan Akbayrak, Ceren Gursen, Sinan Beksac

Published in: International Urogynecology Journal | Issue 2/2015

Abstract

Introduction and hypothesis

The aim of this study was to assess whether bladder training (BT) combined with high-intensity pelvic floor muscle training (BT + PFMT) results in better outcomes in the short term than BT alone on female urinary incontinence (UI).

Methods

We randomly assigned 108 women with diagnoses of stress UI (SUI, n = 50), urgency UI (UUI, n = 16), or mixed UI (MUI, n = 42) to 6 weeks of BT + PFMT or BT alone (control group). The primary outcome measure was self-reported improvement. Secondary outcome measures were UI severity, symptom distress, quality of life (QOL), mean number of UI episodes and micturitions per day, and pelvic floor muscle strength and endurance (PFME).

Results

Overall and in the SUI and MUI subgroups, significantly more patients in the BT + PFMT group reported cured and improved symptoms. Overall and in SUI patients, the BT + PFMT group also improved to significantly greater degree in UI severity, symptom distress, QOL, daily UI episodes, and PFME. The only parameter showing more improvement in patients with UUI was QOL, and UI severity in patients with MUI (p < 0.05). There were no other significant differences between the two study groups in overall and subgroup analysis (p > 0.05).

Conclusions

High-intensity PFMT combined with BT is more effective than BT alone in the short term for treating UI or SUI. It appears that the combination therapy may also lead to greater benefits for patients with UUI and MUI. Based on the results of this study, further studies with larger sample sizes (for UUI) and long-term follow-ups are warranted.

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Title: Short-term effect of adding pelvic floor muscle training to bladder training for female urinary incontinence: a randomized controlled trial
Authors: Serap Kaya
Turkan Akbayrak
Ceren Gursen
Sinan Beksac
Publication date: 01-02-2015
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 2/2015
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-014-2517-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Short-term effect of adding pelvic floor muscle training to bladder training for female urinary incontinence: a randomized controlled trial

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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