Pelvic floor muscle training in women with urinary incontinence and pelvic organ prolapse: A protocol study.

Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE

Original Publication: San Francisco, CA : Public Library of Science

Exercise Therapy*/methods ; Pelvic Floor*/physiopathology ; Pelvic Organ Prolapse*/therapy ; Pelvic Organ Prolapse*/physiopathology ; Quality of Life*; Adult ; Aged ; Female ; Humans ; Middle Aged ; Surveys and Questionnaires ; Treatment Outcome ; Urinary Incontinence/therapy ; Urinary Incontinence/physiopathology ; Urinary Incontinence, Stress/therapy ; Urinary Incontinence, Stress/physiopathology ; Randomized Controlled Trials as Topic

Objective: To evaluate the effectiveness of pelvic floor muscle training (PFMT) on pelvic floor muscle (PFM) function and quality of life (QoL) in women with stress urinary incontinence (SUI) and pelvic organ prolapse (POP).
Methods: This study will be a randomized, controlled, parallel, and blinded clinical trial. The final sample will consist of 32 women diagnosed with SUI and cystocele (stage I and II). All volunteers will be assessed and reassessed using the same protocol: assessment form, gynecological examination, functional evaluation of PFM, and questionnaires to assess quality of life, urinary function, and sexual function. All volunteers will be evaluated for satisfaction levels post-treatment. The intervention will be PFMT, totaling 16 sessions to be conducted twice a week. Reevaluation will take place at the end of treatment and 1 month after completion of PFMT. Descriptive analysis and repeated measures ANOVA will be used for result analysis. A significance level of p<0.05 will be considered for all statistical tests.
Ethics and Dissemination: This study has been submitted to the Ethics in Research Committee of the Federal University of Rio Grande do Norte and approved under protocol number 5.826.563. It has been registered with the Brazilian Clinical Trials Registry ReBec (RBR-49p6g3t). It is expected that these studies will provide a deeper understanding of the efficacy of PFMT in women with SUI and cystocele. Additionally, it aims to provide more insights into the efficacy of PFMT prior to surgery.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 de Carvalho et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

Ultrasound Obstet Gynecol. 2020 Jul;56(1):28-36. (PMID: 32144829)
Eur J Pain. 2019 Jul;23(6):1117-1128. (PMID: 30793414)
Physiotherapy. 2011 Jun;97(2):132-8. (PMID: 21497247)
Am J Obstet Gynecol. 1996 Jul;175(1):10-7. (PMID: 8694033)
J Med Life. 2011 Jan-Mar;4(1):75-81. (PMID: 21505577)
Cochrane Database Syst Rev. 2007 Jul 18;(1):CD001407. (PMID: 17636671)
Rev Bras Ginecol Obstet. 2010 Jun;32(6):273-8. (PMID: 20945012)
Am J Obstet Gynecol. 2002 Jun;186(6):1160-6. (PMID: 12066091)
Rev Saude Publica. 2000 Apr;34(2):178-83. (PMID: 10881154)
Cochrane Database Syst Rev. 2018 Oct 04;10:CD005654. (PMID: 30288727)
Health Technol Assess. 2010 Aug;14(40):1-188, iii-iv. (PMID: 20738930)
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Jan;20(1):45-51. (PMID: 18806910)
Cochrane Database Syst Rev. 2011 Dec 07;(12):CD003882. (PMID: 22161382)
PLoS One. 2017 Oct 30;12(10):e0187045. (PMID: 29084229)
Int Urogynecol J. 2015 Nov;26(11):1559-73. (PMID: 25966804)
Obstet Gynecol Clin North Am. 1998 Dec;25(4):757-69. (PMID: 9921555)
N Engl J Med. 2021 Jun 24;384(25):2428-2436. (PMID: 34161707)
Int Braz J Urol. 2020 Jan-Feb;46(1):5-14. (PMID: 31851453)
BMJ. 2014 Dec 22;349:g7378. (PMID: 25533442)
Cochrane Database Syst Rev. 2020 Nov 18;11:CD004010. (PMID: 33207004)
J Obstet Gynaecol. 2023 Dec;43(1):2181061. (PMID: 36803636)
Obstet Gynecol Clin North Am. 1998 Dec;25(4):723-46. (PMID: 9921553)
Acta Obstet Gynecol Scand. 2000 Mar;79(3):208-15. (PMID: 10716302)
Am J Obstet Gynecol. 2010 Aug;203(2):170.e1-7. (PMID: 20435294)
Am J Obstet Gynecol. 2015 Jan;212(1):38.e1-7. (PMID: 24983687)
Sex Med Rev. 2018 Apr;6(2):224-233. (PMID: 29289535)
Int Urogynecol J. 2016 Apr;27(4):555-63. (PMID: 26439114)
Urology. 2009 Oct;74(4):762-4. (PMID: 19679338)
Climacteric. 2019 Jun;22(3):236-241. (PMID: 30612484)
Rev Saude Publica. 2004 Jun;38(3):438-44. (PMID: 15243675)
Neurourol Urodyn. 2017 Feb;36(2):221-244. (PMID: 27918122)
Cochrane Database Syst Rev. 2016 Nov 30;11:CD004014. (PMID: 27901278)
Neurourol Urodyn. 2019 Jan;38(1):171-179. (PMID: 30311680)
Int Urogynecol J. 2022 Feb;33(2):337-342. (PMID: 33944978)
Clinics (Sao Paulo). 2009;64(6):527-33. (PMID: 19578656)
Games Health J. 2021 Feb;10(1):43-49. (PMID: 32716652)
Int Urogynecol J. 2016 Jul;27(7):1097-106. (PMID: 26782099)
Acta Obstet Gynecol Scand. 2016 Jul;95(7):811-9. (PMID: 26910261)
Lancet. 2014 Mar 1;383(9919):796-806. (PMID: 24290404)
Neurourol Urodyn. 2002;21(2):167-78. (PMID: 11857671)
J Sex Marital Ther. 2000 Apr-Jun;26(2):191-208. (PMID: 10782451)
Obstet Gynecol. 2010 Feb;115(2 Pt 1):317-324. (PMID: 20093905)
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Sep;20(9):1037-45. (PMID: 19444368)

Date Created: 20240816 Date Completed: 20240816 Latest Revision: 20250102

20250102

PMC11329135

10.1371/journal.pone.0308701

39150919