Effect of vaginal spheres and pelvic floor muscle training in women with urinary incontinence: A randomized, controlled trial

Porta-Roda, Oriol; Vara-Paniagua, Jesús; Díaz‐López, Miguel Angel; Sobrado-Lozano, Pilar; Simó-González, Marta; Díaz-Bellido, Paloma; Reula-Blasco, María C.; Muñoz-Garrido, Francisco

doi:10.1002/nau.22640

Cited by 12 publications

(29 citation statements)

References 28 publications

(109 reference statements)

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“…After treatment, mean scores were reduced by 3.0 to 4.5. In two of those studies, 23,24 participant ages (32-72 years and 35-60 years) were similar to those in our study; the third study 22 included older women. Also, in our previous RCT with 250 participants (mean age 48.6 years, baseline ICIQ-UI SF score 10.4), we reported mean score reductions of 3.4 and 2.9, respectively, in groups randomized to either an internet-based or a postal program that focused on PFMT.…”

Section: Discussionsupporting

confidence: 70%

“…This reduction was of the same magnitude as reductions previously reported in other RCTs with different types of PFMT programs, thus indicating that the improvement in our study was not a mere placebo effect. For example, 3 RCTs that tested PFMT programs (1 supervised and two unsupervised) included participants with mean baseline ICIQ‐UI SF scores ranging from 8.6‐12.0. After treatment, mean scores were reduced by 3.0 to 4.5.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Mobile app for treatment of stress urinary incontinence: A randomized controlled trial

Asklund

Nyström

Sjöström

et al. 2016

Neurourology and Urodynamics

140

315

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Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Mobile app for treatment of stress urinary incontinence: A randomized controlled trial

Asklund

Nyström

Sjöström

et al. 2016

Neurourology and Urodynamics

140

315

View full text Add to dashboard Cite

show abstract

“…Face‐to‐face meetings took place once weekly in one study, 20 once monthly in 2 16,24 and slightly less (3 meetings in 4 months) in another study 21 . In 3 other studies 22,23,25,26 supervision occurred 3 times during the first month of training and in much lesser frequency the subsequent months. Telephone supervisions took place once during the whole treatment, 21 twice per week 20 or whenever participants had concerns about their exercise program, without specifying the exact frequency 22 …”

Section: Resultsmentioning

confidence: 99%

Pelvic floor muscle training: Novel versus traditional remote rehabilitation methods. A systematic review and meta‐analysis on their effectiveness for women with urinary incontinence

Papanikolaou

Lampropoulou

Giannitsas

et al. 2023

Neurourology and Urodynamics

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To investigate the effectiveness of supervised remote rehabilitation programs comprising novel methods of pelvic floor muscle (PFM) training for women with urinary incontinence (UI).Design: A systematic review and meta-analysis including randomized controlled trials (RCTs), involving novel supervised PFM rehabilitation programs as intervention groups (e.g., mobile applications programs, webbased programs, vaginal devices) versus more traditional PFM exercise groups (acting as control); both sets of groups being offered remotely.Methods: Data have been searched and retrieved from the electronic databases of Medline, PUBMED, and PEDro using relevant key words and MeSH terms. All included study data were handled as reported in the Cochrane Handbook for Systematic Reviews of Interventions and the evaluation of their quality was undertaken utilizing the Cochrane risk-ofbias tool 2 (RoB2) for RCTs. The included RCTs, involved adult women with stress UI (SUI) or mixed urinary incontinence, where SUI were the most predominant symptoms. Exclusion criteria involved pregnant women or up to 6-month postpartum, systemic diseases and malignancies, major gynecological surgeries or gynecological problems, neurological dysfunction or mental impairments. The searched outcomes included subjective and objective improvements of SUI and exercise adherence in PFM exercises. Metaanalysis was conducted and included studies pulled by the same outcome measure.

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“…In addition, due to the low absorption of the main components of the tissue (water and collagen), the effect is carried out on the entire depth of the mucosa, including its own plate, while classical ablation lasers create micro-damage only in the surface layer at the depth of several microns. Thus, neodymium non-ablative laser treatment of the POP can compete with conservative methods [81][82][83], physiotherapeutic techniques [84] traditionally used in the clinic today, as well as microablative laser therapy approaches that are being developed today. At the same time, surgical correction remains the main method of treatment of POP, with more than 30% of relapses being recorded [3].…”

Section: Discussionmentioning

confidence: 99%

Compression Optical Coherence Elastography for Assessing Elasticity of the Vaginal Wall under Prolapse after Neodymium Laser Treatment

et al. 2022

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Early stages of pelvic organ prolapses are mainly associated with the pelvic floor disfunction as a result of elasticity changes in the connective tissues including the vaginal wall. In this study, for the first time we used a compression optical coherence elastography (C-OCE) method for assessing elasticity of the vaginal wall under prolapse conditions after intravaginal neodymium (Nd:YAG) laser treatment. C-OCE was used for a comparative ex vivo study of vaginal wall average values of stiffness (elastic Young’s modulus) in patients with age norm (n = 6), stage I–II prolapse (n = 5) without treatment and stage I–II prolapse post 1–2 months Nd:YAG laser treatment (n = 10). To verify the C-OCE data, the structural features of the submucosal connective tissue were identified morphometrically by Van Gieson staining using quantitative textural analysis of the state of collagen bundles. The results of a comparative evaluation of C-OCE and histological images demonstrate a statistically significant tissue stiffness decrease in vaginal wall prolapse compared to the age norm (73.5 ± 18.9 kPa vs. 233.5 ± 48.3 kPa; p < 0.05). This agrees with the histologically revealed increase in the space between the bundles of collagen fibers, which leads to a decrease in the uniformity of their arrangement. After Nd:YAG laser treatment, we observed statistically significant connective tissue stiffness increase compared to vaginal wall prolapse without treatment (152.1 ± 19.2 kPa vs. 73.5 ± 18.9 kPa; p < 0.05), which was associated with an increase in the local thickness of the collagen bundles, a change in their orientation, and an increase in the uniformity of their arrangement. The obtained results indicate that the C-OCE can be a robust method for detecting the early stages of vaginal wall prolapse and assessing the elastic modulus increase in the vaginal wall after laser treatment.

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Effect of vaginal spheres and pelvic floor muscle training in women with urinary incontinence: A randomized, controlled trial

Abstract: Both treatments improved urinary incontinence but women who performed the exercises with vaginal spheres showed an earlier improvement. Vaginal spheres were well tolerated and safe.

Cited by 12 publications

References 28 publications

Mobile app for treatment of stress urinary incontinence: A randomized controlled trial

Mobile app for treatment of stress urinary incontinence: A randomized controlled trial

Pelvic floor muscle training: Novel versus traditional remote rehabilitation methods. A systematic review and meta‐analysis on their effectiveness for women with urinary incontinence

Compression Optical Coherence Elastography for Assessing Elasticity of the Vaginal Wall under Prolapse after Neodymium Laser Treatment

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