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Int J Gynaecol Obstet. 2017 Sep;138(3):250-255. doi: 10.1002/ijgo.12232. Epub 2017 Jul 6.

A meta-analysis of pelvic floor muscle training for the treatment of urinary incontinence.

Author information

1
School of Health Sciences, Wuhan University, Wuhan, China.

Abstract

BACKGROUND:

Symptoms associated with urinary incontinence (UI) frequently affect quality of life.

OBJECTIVES:

To assess the effects of pelvic floor muscle training (PFMT) among women with UI.

SEARCH STRATEGY:

The Cochrane Library, PubMed, and Web of Science databases were searched using relevant terms for all English-language studies published up to August 15, 2016.

SELECTION CRITERIA:

Studies that evaluated the effects of PFMT on UI symptoms, PFM function, and quality of life were included.

DATA COLLECTION AND ANALYSIS:

Data were screened and collected by two independent investigators. Pooled effect sizes and 95% confidence intervals (CIs) were calculated.

MAIN RESULTS:

Twelve studies were included, involving 763 patients. Use of PFMT increased PFM strength when measured by digital palpation and the Muscle Strength Oxford Scale (standardized mean difference [SMD] 1.18, 95% CI 0.56-1.80). The PFM pressure was increased by PFMT when measured using a perineometer (SMD 0.40, 95% CI 0.07-0.73). Finally, PFMT improved quality of life (SMD 1.67, 95% CI 0.41-2.94).

CONCLUSIONS:

Regular use of PFMT provided symptom relief and improved quality of life among women with UI.

KEYWORDS:

Meta-analysis; Pelvic floor muscle training; Pelvic floor muscles; Quality of life; Stress urinary incontinence; Urgency urinary incontinence

PMID:
28602038
DOI:
10.1002/ijgo.12232
[Indexed for MEDLINE]

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