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| Research article summary (published 27 Feb 2009): |
Randomized trial of circular muscle versus pelvic floor training for stress urinary incontinence in women.
Full Abstract
BACKGROUND: Conservative management, such as pelvic floor muscle training (PMFT), is commonly recommended as first-line therapy for women with stress urinary incontinence (SUI). METHODS: We randomly assigned 245 women with SUI to 12 weeks of circular muscle exercises (Paula method) or PMFT in order to assess whether these approaches are equivalent. End points after 12 weeks included urinary leak as measured by a 1-hour pad test, subjective assessment of incontinence, and quality of life (QOL). Cure was defined as urinary leakage of <1 g. RESULTS: The mean decrease in urinary leakage was 7.9 g (SD 12.1) among women in the Paula group and 8.9 g (SD 18.2) in the PFMT group (90% confidence interval [CI] of between-group difference was -4.68 g to 3.0 g). This did not meet the prespecified criterion for equivalence. There were 15.2% (p = 0.04) more cures in those randomized to the Paula method. Improvement in subjective urinary complaints and QOL was observed in both groups. The study was limited by a dropout rate of 26.6%. CONCLUSIONS: Both methods are efficacious in women with SUI. The results suggest superiority of the Paula method in terms of cure rate.
Author information
Author/s: Liebergall-Wischnitzer, M (M); Hochner-Celnikier, D (D); Lavy, Y (Y); Manor, O (O); Shveiky, D (D); Paltiel, O (O);
Affiliation: Henrietta Szold Hadassah/Hebrew University School of Nursing, Jerusalem, Israel. michall2(-atsign-)hadassah.org.il
Journal and publication information
Publication Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
Journal: Journal of women's health (2002) (J Womens Health (Larchmt)), published in United States. (Language: eng)
Reference: 2009-Mar; vol 18 (issue 3) : pp 377-85
Dates: Created 2009/03/13; Completed 2009/05/29;
PMID: 19281321, status: MEDLINE (last retrieval date: 5/29/2009, IMS Date: )
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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