Pelvic floor muscle training for treatment of pelvic organ prolapse: an assessor-blinded randomized controlled trial

Stüpp, Liliana; Resende, Ana Paula Magalhães; Oliveira, Emerson; Castro, Rodrigo Aquino; Girão, Manoel Joâo Batista Castello; Sartori, Marair Grácio Ferreira

doi:10.1007/s00192-011-1428-x

Cited by 75 publications

(57 citation statements)

References 20 publications

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“…All three reported significantly fewer prolapse symptoms in the PFMT group compared to the control group at follow-up. Two of three reported significantly more women with decreased POP-Q stage in the intervention group compared to control; [38,39] while the third trial also found a trend in this direction. [36] Based on previous studies and new evidence from four new trials, PFMT may improve the symptoms of prolapse and the anatomical defects (Level of Evidence: 1).…”

Section: (22) Physical Therapies For Popmentioning

confidence: 84%

Conservative management for female urinary incontinence and pelvic organ prolapse review 2013: Summary of the 5th International Consultation on Incontinence

Dumoulin

Hunter

Moore

et al. 2014

Neurourology and Urodynamics

114

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AimsThe objective of the 5th International Consultation on Incontinence (ICI) chapter on Adult Conservative Management was to review and summarize the new evidence on conservative management of urinary incontinence (UI) and pelvic organ prolapse (POP) in order to compile a current reference source for clinicians, health researchers, and service planners. In this paper, we present the review highlights and new evidence on female conservative management. MethodsRevision and updates of the 4th ICI Report using systematic review covering years 2008-2012. ResultsEach section begins with a brief definition and description of the intervention followed by a summary, where possible, of both the state and level of evidence for prevention and treatment, and ends with a "grade of recommendation." The paper concludes with areas identified as requiring further research. ConclusionsFor UI, there are no prevention trials on lifestyle interventions. There are, however, few new intervention trials of lifestyle interventions involving weight loss and fluid intake with improved levels of evidence and grade of recommendation. Outside of pre-and post-natal pelvic floor muscle training (PFMT) trials for the prevention of female UI, there is a dearth of PFMT prevention trials for women with UI. PFMT remains the first-line treatment for female UI with high levels of evidence and grades of recommendation. Bladder training levels of evidence and grades of recommendation are maintained. For POP, new evidence supports the effectiveness of physiotherapy in the treatment of POP and there are now improved levels of evidence and grades of recommendation. Neurourol. Urodynam. 35:15-20, 2016.

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Section: (22) Physical Therapies For Popmentioning

confidence: 84%

Conservative management for female urinary incontinence and pelvic organ prolapse review 2013: Summary of the 5th International Consultation on Incontinence

Dumoulin

Hunter

Moore

et al. 2014

Neurourology and Urodynamics

114

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“…After 14 weeks, the intervention group showed significant improvement in relation to control group and also the decrease of symptoms. Besides, it presented with increased strength and muscular resistance and better electromyography parameters than the control group 14 …”

Section: Resultsmentioning

confidence: 89%

Análise dos recursos para reabilitação da musculatura do assoalho pélvico em mulheres com prolapso e incontinência urinária

Filho

Fonseca

Camillato³

et al. 2013

Fisioter. Pesqui.

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| This review aimed to assess the capabilities and effectiveness of pelvic floor rehabilitation in the treatment of genital prolapse and urinary incontinence. The research was conducted in MEDLINE/PubMed, LILACS/ SciELO and Cochrane Library. There were found 886 articles, of which were used 34 relevant clinical trials that answered the questions constructed by the authors. The studies analyzed showed that pelvic floor training can be used in prolapse treatment, but further randomized studies are necessary to support this evidence. For urinary incontinence pelvic floor, rehabilitation is effective and should be the treatment of first choice.Keywords | rehabilitation; pelvic floor; women; prolapse; urinary incontinence. RESUMO | Esta revisão teve como objetivo analisar os recursos e sua eficácia na reabilitação do assoalho pélvi-co no tratamento dos prolapsos genitais e incontinência urinária. ser usado no tratamento dos prolapsos, porém são necessários mais estudos randomizados para sustentar essa evidência. Para a incontinência urinária a reabilitação do assoalho pélvico é eficiente e deve ser o tratamento de primeira escolha.Descritores | reabilitação; diafragma da pelve; mulheres; prolapso; incontinência urinária. RESUMEN | Esta revisión tiene como objetivo analizar los recursos y su eficacia en la rehabilitación del suelo pélvico en el tratamiento de los prolapsos genitales y la incontinencia urinaria. Las búsquedas fueron realizadas en las bases de datos Medline/Pubmed, LILACS/SciELO y Cochrane. Fueron encontrados 886 artículos, de los cuales fueron utilizados 34 estudios clínicos relevantes y que respondían las preguntas construidas por los autores. Los estudios analizados mostraron que el entrenamiento del suelo pélvico puede ser usado en el tratamiento de los prolapsos, sin embargo, son necesarios más estudios randomizados para sustentar esta evidencia. Para la incontinencia urinaria la rehabilitación del suelo pélvico es eficiente y debe ser el tratamiento de primera opción.Palabras clave | rehabilitación; suelo pélvico; mujeres; prolapso; incontinencia urinaria. 91Silva Filho et al. Pelvic floor: prolapse and urinary incontinence

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“…Studies have also demonstrated an improvement in associated stress urinary incontinence following pelvic floor muscle training [37,39,42]. It should be noted, however, that in these studies the correct pelvic floor contraction was determined by the physiotherapist by means of palpation.…”

Section: Pelvic Floor Muscle Trainingmentioning

confidence: 94%

“…Several randomized studies have shown that targeted pelvic floor muscle training can reduce the symptoms of prolapse, lower the grade of prolapse, and prevent progression [36][37][38][39][40][41]. Studies have also demonstrated an improvement in associated stress urinary incontinence following pelvic floor muscle training [37,39,42].…”

Section: Pelvic Floor Muscle Trainingmentioning

confidence: 99%

Diagnosis and Therapy of Female Pelvic Organ Prolapse. Guideline of the DGGG, SGGG and OEGGG (S2e-Level, AWMF Registry Number 015/006, April 2016)

Baeßler

Aigmüller

Albrich

et al. 2016

Geburtshilfe Frauenheilkd

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Ziel: Erstellung einer offiziellen, internationalen, interdisziplinären Leitlinie, publiziert und koordiniert von der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe (DGGG). Die Leitlinie wurde für den deutschsprachigen Raum entwickelt und wird neben der DGGG auch von der Schweizerischen Gesellschaft für Gynäkologie und Geburtshilfe (SGGG) und der Österreichischen Gesellschaft für Gynäkologie und Geburtshilfe (OEGGG) mitgetragen. Das Ziel dieser Leitlinie, die von der DGGG publiziert und koordiniert wurde, ist es, durch die Evaluation der relevanten Literatur einen evidenzbasierten Überblick über die Diagnostik sowie konservative und operative Therapie des Descensus genitalis der Frau mit oder ohne Belastungsinkontinenz zu geben. Methoden: Es erfolgte ein systematischer Review sowie Synthese von Daten, anteilig mit Metaanalyse (S2e). Es wurde eine umfassende Literatursuche in MEDLINE, Embase, Cinahl, Pedro und im Cochrane-Register, in Referenzlisten und in den Abstracts der Annual Meetings der International Continence Society und der International Urogynecological Association durchgeführt. Abstracts wurden eingeschlossen, wenn es sich um randomisierte Studien handelte, die als Podiumpräsentation vorgestellt und diskutiert wurden. Es wurden Originalarbeiten seit 2008 eingeschlossen, deren Nachkontrollzeitraum bei mindestens 12 Monaten lag. Für die Beschreibung von perioperativen Komplikationen wurden jegliche Daten herangezogen. Empfehlungen: Es werden Empfehlungen zur Diagnostik, konservativen und operativen Therapie des Genitaldeszensus gegeben, wobei die 3 urogynäkologischen Kompartimente, Prävention oder Behandlung von Belastungsinkontinenz, Vor-und Nachteile von Netzaugmentationen sowie uteruserhaltende Optionen, berücksichtigt

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Pelvic floor muscle training for treatment of pelvic organ prolapse: an assessor-blinded randomized controlled trial

Abstract: PFMT is effective in the treatment of pelvic organ prolapse.

Cited by 75 publications

References 20 publications

Conservative management for female urinary incontinence and pelvic organ prolapse review 2013: Summary of the 5th International Consultation on Incontinence

Conservative management for female urinary incontinence and pelvic organ prolapse review 2013: Summary of the 5th International Consultation on Incontinence

Análise dos recursos para reabilitação da musculatura do assoalho pélvico em mulheres com prolapso e incontinência urinária

Diagnosis and Therapy of Female Pelvic Organ Prolapse. Guideline of the DGGG, SGGG and OEGGG (S2e-Level, AWMF Registry Number 015/006, April 2016)

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