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Female urology

The benefits of pelvic floor muscle training for prolapse

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A newly published randomized controlled trial shows that pelvic floor muscle training can significantly reduce prolapse symptoms compared with provision of a prolapse lifestyle advice leaflet and no muscle training. However, the important role of surgery in the treatment of these women must be taken into account.

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References

  1. Hagen, S. et al. Individualised pelvic floor muscle training in women with pelvic organ prolapse (POPPY): a multicentre randomised controlled trial. Lancet http://dx.doi.org/10.1016/S0140-6736(13)61977-7.

  2. Olsen, A. L., Smith, V. J., Bergstrom, J. O., Colling, J. C. & Clark, A. L. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet. Gynecol. 89, 501–506 (1997).

    Article  CAS  Google Scholar 

  3. Hagen, S. & Stark, D. Conservative prevention and management of pelvic organ prolapse in women. Cochrane Database Systematic Reviews Issue 12 Art. No.: CD003882 http://dx.doi.org/10.1002/14651858.CD003882.pub4.

  4. Braekken, I. H., Majida, M., Engh, M. E. & Bø, K. Can pelvic floor muscle training reverse pelvic organ prolapse and reduce prolapse symptoms? An assessor-blinded, randomized, controlled trial. Am. J. Obstet. Gynecol. 203, 170.e1–170.e7 (2010).

    Article  Google Scholar 

  5. Paddison, K. Complying with pelvic floor exercises: a literature review. Nurs. Stand. 16, 33–38 (2002).

    Article  Google Scholar 

  6. Cetinkaya, S. E., Dokmeci, F. & Dai, O. Correlation of pelvic organ prolapse staging with lower urinary tract symptoms, sexual dysfunction, and quality of life. Int. Urogynecol. J. 24, 1645–1650 (2013).

    Article  Google Scholar 

  7. Brazzelli, M., Griffiths, P. V., Cody, J. D. & Tappin, D. Behavioural and cognitive interventions with or without other treatments for the management of faecal incontinence in children. Cochrane Database Systematic Reviews Issue 12 Art. No.: CD002240 http://dx.doi.org/10.1002/14651858.CD002240.pub3.

  8. Jelovsek, J. E., Maher, C. & Barber, M. D. Pelvic organ prolapse. Lancet 369, 1027–1038 (2007).

    Article  Google Scholar 

  9. Labrie, J. et al. Surgery versus physiotherapy for stress urinary incontinence. N. Engl. J. Med. 369, 1124–1133 (2013).

    Article  CAS  Google Scholar 

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Correspondence to Jan-Paul Roovers.

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The author declares no competing financial interests.

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Roovers, JP. The benefits of pelvic floor muscle training for prolapse. Nat Rev Urol 11, 192–193 (2014). https://doi.org/10.1038/nrurol.2014.35

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