Randomized Trial of Circular Muscle Versus Pelvic Floor Training for Stress Urinary Incontinence in Women

Liebergall-Wischnitzer, Michal; Hochner‐Celnikier, D.; Lavy, Yuval; Manor, Orly; Shveiky, David; Paltiel, Ora

doi:10.1089/jwh.2008.0950

Cited by 38 publications

(46 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Women have an estimated 11% lifetime risk for at least one surgical procedure for prolapse or urinary incontinence (UI) and 30% of women who have undergone surgery suVer from a recurrent prolapse [4][5][6][7]. Both urinary incontinence and POP have been found to negatively aVect the quality of life [8,9] and sexual function [7,10].…”

Section: Introductionmentioning

confidence: 99%

Women’s well-being after Manchester procedure for pelvic reconstruction with uterine preservation: a follow-up study

Liebergall-Wischnitzer

Ben‐Meir

Sarid

et al. 2011

Arch Gynecol Obstet

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Women’s well-being after Manchester procedure for pelvic reconstruction with uterine preservation: a follow-up study

Liebergall-Wischnitzer

Ben‐Meir

Sarid

et al. 2011

Arch Gynecol Obstet

View full text Add to dashboard Cite

show abstract

“…Only one study assessed this comparison, 49 including 176 women, 84 in the PFMT group and 92 in the Paula method group.…”

Section: Pfmt Versus the Paula Methodsmentioning

confidence: 99%

Conservative Treatment of Stress Urinary Incontinence: A Systematic Review with Meta-analysis of Randomized Controlled Trials

Moroni

Magnani

Haddad

et al. 2016

Rev Bras Ginecol Obstet

View full text Add to dashboard Cite

We performed a systematic review and meta-analysis of randomized controlled trials that studied the conservative management of stress urinary incontinence (SUI). There were 1058 results after the initial searches, from which 37 studies were eligible according to previously determined inclusion criteria. For the primary outcomes, pelvic floor muscle training (PFMT) was more efficacious than no treatment in improving incontinence-specific quality of life (QoL) scales (SMD ¼ À1.24SDs; CI 95% ¼ À1.77 to À0.71SDs). However, its effect on pad tests was imprecise. Combining biofeedback with PFMT had an uncertain effect on QoL (MD ¼ À4.4 points; CI 95% ¼ À16.69 to 7.89 points), but better results on the pad test, although with elevated heterogeneity (MD ¼ 0.9g; 95%CI ¼ 0.71 to 1,10g); group PFMT was not less efficacious than individual treatment, and home PFMT was not consistently worse than supervised PFMT. Both intravaginal and superficial electrical stimulation (IES and SES) were better than no treatment for QoL and pad test. Vaginal cones had mixed results. The association of IES with PFMT may improve the efficacy of the latter for QoL and pad test, but the results of individual studies were not consistent. Thus, there is evidence of the use of PFMT on the treatment of SUI, with and without biofeedback.

show abstract

“…According to this theory, if there is weakness in the levator ani, resulting in stress UI, this muscle dysfunction can be improved by circular muscle training, such as the eyes, nose and mouth 26,27 (LE 1; DR A / LE 4; DR C).…”

Section: (Le 1; Dr A)mentioning

confidence: 99%

“…Liebergall-Wischnitzer et al 26 performed circular exercises (Paula Method) or PFME to treat women with stress UI. It was observed that both methods are efficient and suggest the superiority of the Paula Method in relation to healing rates 26 (LE 1; DR A).…”

Section: (Le 1; Dr A)mentioning

confidence: 99%

“…It was observed that both methods are efficient and suggest the superiority of the Paula Method in relation to healing rates 26 (LE 1; DR A). On the other hand, some authors recommend that the contraction of the circular muscle is a way to help the patients who cannot isolate or contract the PFM, and not a way to strengthen them specifically 28 .…”

Section: (Le 1; Dr A)mentioning

confidence: 99%

See 1 more Smart Citation

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.

View full text Add to dashboard Cite

| 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

show abstract

Randomized Trial of Circular Muscle Versus Pelvic Floor Training for Stress Urinary Incontinence in Women

Cited by 38 publications

References 27 publications

Women’s well-being after Manchester procedure for pelvic reconstruction with uterine preservation: a follow-up study

Women’s well-being after Manchester procedure for pelvic reconstruction with uterine preservation: a follow-up study

Conservative Treatment of Stress Urinary Incontinence: A Systematic Review with Meta-analysis of Randomized Controlled Trials

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

Contact Info

Product

Resources

About