Pelvic floor muscle training improves quality of life of women with urinary incontinence: a prospective study

Fan, Hiu Lan; Chan, Symphorosa Shing Chee; Law, Tracy Sze Man; Cheung, Ray C. C.; Chung, Tony K.H.

doi:10.1111/ajo.12075

Cited by 28 publications

(28 citation statements)

References 24 publications

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“…Women with USI who did not improve after pelvic floor exercise were offered TO-TVT. 5 Women who had USI only underwent TO-TVT surgery, while women with both USI and POP received TO-TVT and concomitant PFR surgery. Vaginal hysterectomy and anterior or posterior colporrhaphy were performed accordingly as PFR surgery.…”

Section: Methodsmentioning

confidence: 99%

“…[1][2][3][4] It has a significant adverse impact on quality of life for 12% of women with the condition in Hong Kong. [3][4][5] Surgical treatment with tension-free vaginal tape New knowledge added by this study • Transobturator tension-free vaginal tape (TO-TVT) is an effective treatment for urinary stress incontinence in women who received it alone or with concomitant pelvic floor repair surgery for pelvic organ prolapse (POP).…”

Section: Introductionmentioning

confidence: 99%

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Efficacy and outcomes of transobturator tension-free vaginal tape with or without concomitant pelvic floor repair surgery for urinary stress incontinence: five-year follow-up

et al. 2015

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Objectives:To compare the 5-year subjective and objective outcomes of transobturator tensionfree vaginal tape alone versus the same procedure with concomitant pelvic floor repair surgery for pelvic organ prolapse in women with urinary stress incontinence.Design: Prospective cohort study. Setting:Urogynaecology unit at a university hospital in Hong Kong. Patients:Of 218 women, 96 (44%) received transobturator tension-free vaginal tape alone and 122 (56%) received transobturator tension-free vaginal tape with concomitant pelvic floor repair surgery from September 2004 to December 2009. The women were followed up annually for up to 5 years after the operation. Main outcome measures:The 5-year subjective and objective cure rates were assessed. Subjective cure was defined as no urine loss during physical activity and objective cure was defined as no urine leakage on coughing during urodynamic study. Results:Overall, 88 women receiving transobturator tension-free vaginal tape alone and 101 women receiving transobturator tension-free vaginal tape with concomitant pelvic floor repair surgery were followed up for 5 years after operation. The

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Efficacy and outcomes of transobturator tension-free vaginal tape with or without concomitant pelvic floor repair surgery for urinary stress incontinence: five-year follow-up

et al. 2015

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“…Fan et al evaluated the effects of PFMT on the urinary symptoms and quality of life. Participants participating in 3 to 9 months of PFMT observed improvement both in their urinary symptom scores and in their quality of life regardless of their diagnosis of SUI, OAB symptoms, or mixed urinary incontinence (26).…”

Section: Discussionmentioning

confidence: 98%

Effectiveness of pelvic floor muscle training on symptoms and uroflowmetryparameters in female patients with overactive bladder

Kulaksızoğlu¹,

Akand²,

Çakmakçi³

et al. 2015

Turk J Med Sci

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Background/aim: To evaluate the effects of pelvic floor muscle training (PFMT) on symptoms of overactive bladder (OAB) as well as uroflowmetry parameters and functional bladder capacity.Materials and methods: Fifty-nine female patients with OAB symptoms were included. Patients were assessed by SEAPI-QMM, uroflowmetry, and abdominal ultrasound. A specially designed PFMT program using a Pilates ball was generated for patients. The training period was 1-h sessions twice a week for 6 weeks and aerobic home exercises to be performed at home 4 or 5 times every other day. Following training, subjects were reevaluated for body mass index, SEAPI questionnaire, and uroflowmetry.Results: Initial mean SEAPI score, mean maximum and average flow rates, and mean voided volume were 9.8 ± 7.2, 29.8 ± 16.4 mL/s, 16.3 ± 8.7 mL/s, and 211.6 ± 173.5 mL, respectively. After completion of the training program, SEAPI scores improved significantly to 3.4 ± 6.4 (P < 0.05). Maximum and average flow rate results did not show significant changes, whereas voided volume seemed to have improved in conjunction with patients' symptom scores (Pearson correlation coefficient: 0.86). Conclusion:According to our results, we think that proper PFMT results in increase of functional bladder capacity as well as improvement in OAB symptoms and can be recommended as first-line therapy or in conjunction with medical therapy in severe cases.

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“…Despite the very frequent complaints of sexual dysfunction, menopause related signs and symptoms and a negative impact on the quality of life in women with fibromyalgia, [15][16][17][18][19][20] and despite previous studies showing positive effects of pelvic floor kinesiotherapy for these complaints, 21,22 to date there were no reports in the literature on the use of this intervention as part of the treatment of such disorders considering this particular group of climacteric women. Thus, this is the first report in the literature pointing out that the clinical impact of pelvic floor kinesiotherapy is different in women with an associated diagnosis of fibromyalgia, which may have important implications for the clinical management of these patients.…”

Section: Discussionmentioning

confidence: 99%

“…[21][22][23] A recent study in Nigerian women in the climacteric phase, which aimed to investigate the effect of a twelveweek program of physical exercises and pelvic floor muscle strengthening, showed that the intervention led to a significant improvement on quality of life in general. 24 Although fibromyalgia is directly linked to emotional and psychological disorders, 25 the climacteric period, by itself, is a difficult transition phase, which involves a complex process of emotional and bodily changes, being under the influence of multiple factors such as personal and family life history, environment, culture, customs and personal peculiarities.…”

Section: Discussionmentioning

confidence: 99%

Kinesiotherapy effect on quality of life, sexual function and climacteric symptoms in women with fibromyalgia

Lisboa

Sonehara

Oliveira

et al. 2015

Revista Brasileira de Reumatologia (English Edition)

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r e v b r a s r e u m a t o l . 2 0 1 5;5 5(3):209-215 w w w . r e u m a t o l o g i a . c o m . b r Quality of life Sexuality Sexual approach Climacteric a b s t r a c t Objective: To evaluate the effect of the kinesiotherapy in the quality of life, sexual function and menopause-related symptoms and compare in climacteric women with and without fibromyalgia (FM). Methodology: The group was composed of 90 climacteric women divided in 2 groups: FM (47) and control (43). The patients were analyzed on their quality of life (Utian Quality of Life [UQoL]), sexual function (Sexual Quotient-Female Version [SQ-F] questionnaire) and intensity of the climacteric symptoms (Blatt-Kupperman menopausal index [BKMI]). Both groups performed pelvic floor kinesiotherapy, composed of 20 sessions, twice a week. Statistical analysis was performed using Student's t-test, mixed-design analysis of variance (ANOVA) and Cohen's Kappa.Results: In the quality of life, an improvement was noticed in both groups for all domains analyzed. In the comparison between groups it was noticed a difference in the emotional (p = 0.01), health (p = 0.03) and sexual (p = 0.001) domains with considerable gains verified in the control group. Improvement was also noticed in the sexual function. In the analysis between groups, FM group showed a lower score compared to the control group (p < 0.001).With respect to the climacteric symptoms, there was no difference in the analysis between groups after the intervention (p < 0.001). Conclusions: The pelvic floor kinesiotherapy promotes a positive effect in the domains of quality of life, sexual function and climacteric symptoms in women with and without 210 r e v b r a s r e u m a t o l . 2 0 1 5;5 5(3):209-215fibromyalgia in the climacteric period; however, fibromyalgia seems to be a limiting factor to achieve better results in some of the aspects evaluated. Efeito da cinesioterapia na qualidade de vida, função sexual e sintomas climatéricos em mulheres com fibromialgiaPalavras-chave: Fibromialgia Qualidade de vida Sexualidade Abordagem sexual Climatério r e s u m o Objetivo: Avaliar e comparar o efeito da cinesioterapia na qualidade de vida, função sexual e sintomas climatéricos em mulheres climatéricas com e sem fibromialgia. Métodos: Participaram 90 mulheres climatéricas, divididas em dois grupos: fibromialgia (47) e controle (43). As pacientes foram avaliadas nas variáveis: qualidade de vida (Utian Quality of Life [UQOL]), função sexual (questionário do quociente sexual/versão feminina [QS-F]) e intensidade dos sintomas climatérios (Índice Menopausal de Blatt-Kupperman [IMBK]). Os grupos fizeram cinesioterapia para o assoalho pélvico, composto de 20 sessões, duas vezes por semana. Análise estatística foi feita por meio dos testes t de Student pareado, análise de variância de delineamento misto e Kappa de Cohen.Resultados: Na qualidade de vida, foi observada melhoria em ambos os grupos para todos os domínios avaliados. Na análise intergrupo foi evidenciada diferença nos domínios emocional (p = 0,01), saúde (0,...

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Pelvic floor muscle training improves quality of life of women with urinary incontinence: a prospective study

Abstract: Pelvic floor muscle training appears to be an effective first-line intervention for improving urinary symptoms and QoL of women presenting with urinary incontinence. Future studies on long-term effectiveness and cost-effectiveness are also required.

Cited by 28 publications

References 24 publications

Efficacy and outcomes of transobturator tension-free vaginal tape with or without concomitant pelvic floor repair surgery for urinary stress incontinence: five-year follow-up

Efficacy and outcomes of transobturator tension-free vaginal tape with or without concomitant pelvic floor repair surgery for urinary stress incontinence: five-year follow-up

Effectiveness of pelvic floor muscle training on symptoms and uroflowmetryparameters in female patients with overactive bladder

Kinesiotherapy effect on quality of life, sexual function and climacteric symptoms in women with fibromyalgia

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