To Compare the Effects of two Pelvic Floor Muscle Treatments on Quality of Life and Sexual Function in Female Patients With Urinary Incontinence

Wang, Yudong; Chen, Weihong; Li, Wei

doi:10.1016/j.esxm.2022.100561

Cited by 4 publications

(1 citation statement)

References 36 publications

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“…Excessive activity of the detrusor muscle is a pathological-physiological cause of urinary incontinence that can be corrected by PFMT. Wang et al found that pelvic floor muscle contractions effectively inhibit detrusor muscle hypertrophy, increasing mechanical pressure on the urethra and preventing urinary incontinence ( 24 ). However, this does not seem to be widely supported, and the effectiveness of PFMT in treating post-RP urinary incontinence remains a controversial issue.…”

Section: Discussionmentioning

confidence: 99%

The therapeutic effect of pelvic floor muscle training on stress urinary incontinence following prostatectomy: a systematic review and meta-analysis

Xin,

Li,

Pan

2023

Transl Androl Urol

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Background Prostatectomy often causes urinary incontinence, especially stress Urinary incontinence, which has a serious impact on the quality of life of patients. Previous studies have proved that pelvic floor muscle training can help restore pelvic floor function and reduce Urinary incontinence, but the quantitative evaluation and systematic analysis of its effect have not yet been clear. This meta-analysis aimed to systematically evaluate the therapeutic effect of pelvic floor muscle training on managing stress urinary incontinence after prostatectomy. Methods The literature on pelvic floor muscle training for patients after prostatectomy was searched in PubMed, Web of Science, EMBASE, CNKI, VIP, Wanfang, and China Biology Medical Literature Database (CBM) from database establishment up to January 30th, 2023. Risk bias assessment was conducted using RoB1, a risk assessment tool recommended by Cochrane for evaluating RCTs literature. Publication bias was evaluated through funnel plots. Meta-analysis of effect size was performed using R 4.2.2. Results Eleven randomized controlled studies were included. The risk of bias assessment showed that three studies had a moderate risk of bias and eight had a low risk. The meta-analysis results showed that the patient-reported incontinence was improved after one month [odds ratio (OR): 2.71, 95% 95% confidence interval (CI): 1.86–3.94, P<0.01]; improved after three months (OR: 3.42, 95% CI: 1.96–5.98, P<0.01); improved after six months (OR: 3.77, 95% CI: 1.51–9.41, P<0.01); improved after 12 months (OR: 1.21, 95% CI: 1.11–1.31, P<0.01); and the International Consultation on Incontinence Questionnaire-Simple Form (ICIQ-SF) score decreased [mean difference (MD): −2.74, 95% CI: −4.96 to −0.52, P=0.02]. Subgroup analysis showed that the ICIQ-SF score decreased after one month (MD: −0.61, 95% CI: −0.81 to −0.40) and three months (MD: −3.43, 95% CI: −6.85 to −0.02). Conclusions Pelvic floor muscle training significantly improves stress urinary incontinence after prostatectomy, which can be improved by 2.77 times at most. However, due to the limited number of studies included, further validation is needed.

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Section: Discussionmentioning

confidence: 99%

The therapeutic effect of pelvic floor muscle training on stress urinary incontinence following prostatectomy: a systematic review and meta-analysis

Xin,

Li,

Pan

2023

Transl Androl Urol

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Help-seeking behavior for nonsevere stress urinary incontinence among elderly women in communities, Beijing, China

et al. 2023

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Electrical Muscle Stimulation for Conservative Management of Female Pelvic Floor Muscle Dysfunction: A Scoping Review

Guitar,

Akbari,

Dzieduszycki

et al. 2024

Preprint

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Background Electrical muscle stimulation (EMS) is a conservative management tool for the treatment of pelvic floor dysfunctions (PFDs). This review aims to: (1) summarize available evidence on various types of EMS treatment and associated outcomes on PFDs in adult women; and (2) investigate the clinical utility of intra-vaginal EMS compared to extra-vaginal; high-intensity parameters compared to low-intensity; and differences in outcomes between EMS with, or without, a magnetic component. As a scoping review, this research aims to facilitate the generation of hypotheses for future investigation. Methods Arksey and O’Malley’s framework supplemented the Joanna Briggs Institute methodology for scoping reviews. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews was used. Three databases were searched. Included studies were analyzed using Arksey and O'Malley’s content analysis and t-tests. Results A total of 40 included studies had low risk of bias (PEDro score = 6.38, SD = 1.47). Low-intensity and intra-vaginal protocols were found to require greater lengths of overall treatment time when compared to high-intensity protocols; however, only magnetic EMS treatments were found to result in significant improvement in symptoms (p < 0.01) when compared to non-magnetic EMS. Due to the heterogeneity of the outcome measures used among the included studies, effect sizes could not be evaluated. Conclusions EMS demonstrates positive effect for improving outcomes related PFDs in adult women. Included studies support the use of EMS for stress, urgency and mixed urinary incontinence. All versions of EMS studied were found to provide significant improvements in symptoms. However, high intensity, extra-vaginal approach and EMS with a magnetic component required less time to achieve significant therapeutic effect.

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To Compare the Effects of two Pelvic Floor Muscle Treatments on Quality of Life and Sexual Function in Female Patients With Urinary Incontinence

Cited by 4 publications

References 36 publications

The therapeutic effect of pelvic floor muscle training on stress urinary incontinence following prostatectomy: a systematic review and meta-analysis

The therapeutic effect of pelvic floor muscle training on stress urinary incontinence following prostatectomy: a systematic review and meta-analysis

Help-seeking behavior for nonsevere stress urinary incontinence among elderly women in communities, Beijing, China

Electrical Muscle Stimulation for Conservative Management of Female Pelvic Floor Muscle Dysfunction: A Scoping Review

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