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Published in: Current Urology Reports 2/2016

01-02-2016 | Female Urology (K Kobashi, Section Editor)

Pelvic Floor Muscle Training: Underutilization in the USA

Authors: Eliza Lamin, Lisa M. Parrillo, Diane K. Newman, Ariana L. Smith

Published in: Current Urology Reports | Issue 2/2016

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Abstract

Pelvic floor disorders are highly prevalent in women of all ages and can greatly impair quality of life. Pelvic floor muscle training (PFMT) is a viable treatment option for several pelvic floor conditions including urinary incontinence and pelvic organ prolapse. PFMT is a program of therapy initiated by an experienced clinician (e.g., women’s health or urology nurse practitioner (NP), physical therapist (PT)) that involves exercises for women with stress urinary incontinence (UI) and exercises combined with behavioral or conservative treatments (lifestyle changes, bladder training with urge suppression) for women with urgency or mixed UI. These exercise programs are more comprehensive than simple Kegel exercises. Despite evidence-based research indicating the efficacy and cost-effectiveness for treatment of urinary incontinence, PFMT is not commonly used as a first-line treatment in clinical practice in the USA (Abrams et al., 2012). This article will review PFMT for the treatment of UI and pelvic organ prolapse (POP) and theorize how this conservative therapy can be utilized more effectively in the USA.
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Metadata
Title
Pelvic Floor Muscle Training: Underutilization in the USA
Authors
Eliza Lamin
Lisa M. Parrillo
Diane K. Newman
Ariana L. Smith
Publication date
01-02-2016
Publisher
Springer US
Published in
Current Urology Reports / Issue 2/2016
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-015-0572-0

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