Standard questions for a bowel diary to assess fecal incontinence in adults: A consensus project of the International Continence Society

Igualada-Martinez, Paula; Engberg, Sandra; Herbert, Julia; Gurvich, Olga V; Igbedioh, Carlene; Hunter, Amy; Voelkl, Jenniffer; León, Karina Cuiñas; Schizas, Alexis

doi:10.1016/j.cont.2023.100588

Cited by 2 publications

(3 citation statements)

References 11 publications

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“…To date, there is good evidence/recommendations that PFMT is effective in improving symptoms of POP, 41 but for AI, the results are inconsistent. 42 Our PFMT protocol followed recommendations for effective training dosage, 43 but the PFMT group did not improve their PFM strength or endurance significantly compared with the control group. The CIs were wide, suggesting various responses related to improvements in PFM strength and endurance.…”

Section: Original Researchmentioning

confidence: 82%

“…These results may be explained by random recall bias of the categorical responses, increased training intensities or increased awareness of these symptoms in both groups. To date, there is good evidence/recommendations that PFMT is effective in improving symptoms of POP,41 but for AI, the results are inconsistent 42…”

Section: Discussionmentioning

confidence: 99%

“…To date, there is good evidence/recommendations that PFMT is effective in improving symptoms of POP, 41 but for AI, the results are inconsistent. 42 …”

Section: Discussionmentioning

confidence: 99%

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Pelvic floor muscle training in female functional fitness exercisers: an assessor-blinded randomised controlled trial

Skaug,

Engh,

Bø

2024

Br J Sports Med

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ObjectiveStress urinary incontinence (SUI) is common among females during functional fitness training, such as CrossFit. The aim of this study was to assess the effect of pelvic floor muscle training (PFMT) on SUI in female functional fitness exercisers.MethodsThis was an assessor-blinded randomised controlled trial with a PFMT group (n=22) and a control group (n=25). The PFMT group followed a 16-week home-training programme with 3 sets of 8–12 maximum pelvic floor muscle (PFM) contractions daily and weekly follow-up/reminders by phone. The primary outcome was change in a total score of the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI-SF). The secondary outcomes were perceived change of symptoms of SUI, change of PFM strength measured by vaginal manometry and symptoms of anal incontinence (AI) and pelvic organ prolapse (POP).Results47 women, mean age of 33.5 years (SD: 8.1), participated. At 16 weeks, there was a mean difference between groups of −1.4 (95% CI: −2.6 to −0.2) in the change of the ICIQ-UI-SF score in favour of the PFMT group. The PFMT group completed a mean of 70% (SD: 23) of the prescribed protocol. 64% in the PFMT group versus 8% in the control group reported improved symptoms of SUI (p<0.001, relative risk: 7.96, 95% CI, 2.03 to 31.19). There were no group differences in the change of PFM strength or AI/POP symptoms.ConclusionA 16-week home-training programme of the PFM led to improvements in SUI in female functional fitness exercisers. However, PFM strength and AI and POP symptoms did not improve significantly in the PFMT group compared with the control group.

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Section: Original Researchmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%