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Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women

  1. Chantale Dumoulin1,*,
  2. E. Jean C Hay-Smith2,
  3. Gabrielle Mac Habée-Séguin3

Editorial Group: Cochrane Incontinence Group

Published Online: 14 MAY 2014

Assessed as up-to-date: 15 APR 2013

DOI: 10.1002/14651858.CD005654.pub3


How to Cite

Dumoulin C, Hay-Smith EJC, Mac Habée-Séguin G. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database of Systematic Reviews 2014, Issue 5. Art. No.: CD005654. DOI: 10.1002/14651858.CD005654.pub3.

Author Information

  1. 1

    University of Montreal, School of Rehabilitation, Faculty of Medicine, Montreal, Quebec, Canada

  2. 2

    University of Otago, Rehabilitation Teaching and Research Unit, Department of Medicine, Wellington, New Zealand

  3. 3

    Universitaire de gériatrie de Montréal, Centre de recherche de l'Institut, Montreal, Canada

*Chantale Dumoulin, School of Rehabilitation, Faculty of Medicine, University of Montreal, C.P.6128 Succ. Centre-ville, Montreal, Quebec, H3C 3J7, Canada. chantal.dumoulin@umontreal.ca.

Publication History

  1. Publication Status: New search for studies and content updated (no change to conclusions)
  2. Published Online: 14 MAY 2014

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References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Aksac 2003 {published data only}
  • Aksac B, Aki S, Karan A, Yalcin O, Isikoglu M. Biofeedback and pelvic floor exercises for the rehabilitation of urinary stress incontinence. Gynecologic and Obstetric Investigation 2003;56:23-7.
Beuttenmuller 2010 {published data only}
  • Beuttenmuller L, Cader SA, Macena RHM, Araujo NDS, Nunes EFC, Dantas EHM. Muscle contraction of the pelvic floor and quality of life of women with stress urinary incontinence who underwent kinesitherapy. Fizjoterapia 2010;18(1):35-41. [: SR-INCONT43326]
Bidmead 2002 {published data only}
  • Bidmead J, Mantle J, Cardozo L, Hextall A, Boos K. Home electrical stimulation in addition to conventional pelvic floor exercises: A useful adjunct or expensive distraction? [abstract 68]. Neurourology and Urodynamics 2002;21:372-3.
  • Parsons M, Mantle J, Cardozo L, Hextall A, Boos K, Bidmead J. A single blind, randomised, controlled trial of pelvic floor muscle training with home electrical stimulation in the treatment of urodynamic stress incontinence [abstract 296]. Proceedings of the 34th Annual Meeting of the International Continence Society; 2004; Paris, France. 2004.
Burgio 1998 {published data only}
  • Burgio KL, Locher JL, Goode PS. Combined behavioral and drug therapy for urge incontinence in older women. Journal of the American Geriatric Society 2000;48:370-4.
  • Burgio KL, Locher JL, Goode PS, Hardin JM, McDowell BJ, Dombrowski M, et al. Behavioral vs drug treatment for urge urinary incontinence in older women. JAMA 1998;280:1995-2000.
  • Burgio KL, Locher JL, Roth DL, Goode PS. Psychological improvements associated with behavioral and drug treatment of urge incontinence in older women. The Journals of Gerontology Series B. Psychological Sciences and Social Sciences 2001;56:46-51.
  • Goode PS, Burgio KL, Locher JL, Umlauf MG, Lloyd D, Roth DL. Urodynamic changes associated with behavioral and drug treatment of urge incontinence in older women. Journal of the American Geriatric Society 2002;50:808-16.
Burns 1993 {published data only}
  • Burns PA, Nochajksi TH, Pranikoff K. Factors discriminating between genuine stress and mixed incontinence. Journal of the American Academy of Nurse Practitioners 1992;4:15-21.
  • Burns PA, Pranikoff K, Nochajski T, Desotelle P, Harwood MK. Treatment of stress incontinence with pelvic floor exercises and biofeedback. Journal of the American Geriatric Society 1990;38:341-4.
  • Burns PA, Pranikoff K, Nochajski TH, Hadley EC, Levy KJ, Ory MG. A comparison of effectiveness of biofeedback and pelvic muscle exercise treatment of stress incontinence in older community dwelling women. Journal of Gerontology 1993;48:M167-74.
Bø 1999 {published data only}
  • Bø K, Talseth T, Home I. Single blind, randomised controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women. BMJ 1999;318:487-93.
Carneiro 2010 {published data only}
  • Carneiro EF, Araujo Ndos S, Beuttenmull L, Vieira PC, Cader SA, Cader SA, et al. [The anatomical-functional characteristics of the pelvic floor and quality of life of women with stress urinary incontinence subjected to perineal exercises]. [Spanish]. Actas Urologicas Espanolas 2010;34(9):788-93. [: SR-INCONT40377]
Castro 2008 {published data only}
  • Castro RA, Arruda RM, Zanetti MR, Santos PD, Sartori MG, Girao MJ. Single-blind, randomized, controlled trial of pelvic floor muscle training, electrical stimulation, vaginal cones, and no active treatment in the management of stress urinary incontinence. Clinics (Sao Paulo, Brazil). 2008;63(4):465-72.
Diokno 2010 {published data only}
  • Diokno AC, Ocampo MS Jr, Ibrahim IA, Karl CR, Lajiness MJ, Hall SA. Group session teaching of behavioral modification program (BMP) for urinary incontinence: a randomized controlled trial among incontinent women. International Urology and Nephrology 2010;42(2):375-81. [: SR-INCONT39469]
Henalla 1989 {published data only}
  • Henalla SM, Hutchins CJ, Robinson P, MacVicar J. Non-operative methods in the treatment of female genuine stress incontinence of urine. Journal of Obstetrics and Gynaecology 1989;9:222-5.
Henalla 1990 {published data only}
  • Henalla SM, Millar DR, Wallace KJ. Surgical versus conservative management for post-menopausal genuine stress incontinence of urine [abstract 87]. Neurourology and Urodynamics 1990;9:436-7.
Hofbauer 1990 {published data only}
  • Hofbauer VJ, Preisinger F, Nurnberger N. [The value of physical therapy in genuine female stress incontinence]. [German] [Der stellenwert der physiokotherapie bei der wieblichen genuinen seb-inkontinenz]. Zeitschrift Fur Urologie Und Nephrologie 1990;83:249-54. [: SR-INCONT350]
  • Preisinger E, Hofbauer J, Nurnberger N, Sadil S, Schneider B. [Possibilities of physiotherapy for urinary stress incontinence]. [German] [Moglichkeiten der physikalischen therapie bei strebinkontinenz]. Zeitschrift fur Physikalische Medizin, Balneologie Med Klimatologie 1990;19(2):75-9. [: SR-INCONT6314]
Kim 2007 {published data only}
Kim 2011 {published data only}
Kim 2011a {published data only}
  • Kim H, Yoshida H, Suzuki T. Exercises treatment to reduce the urine leakage in elderly community-dwelling Japanese women with stress, urge, and mixed urinary incontinence (Abstract number 772). Proceedings of the 39th Annual Meeting of the International Continence Society (ICS), 2009 Sep 29 - Oct 3, San Francisco, CA 2009. [: SR-INCONT35628]
  • Kim H, Yoshida H, Suzuki T. The effects of multidimensional exercise treatment on community-dwelling elderly Japanese women with stress, urge, and mixed urinary incontinence: a randomized controlled trial. International Journal of Nursing Studies 2011;48(10):1165-72. [: SR-INCONT42657]
Lagro-Janssen 1991 {published data only}
  • Lagro-Janssen ALM, Debruyne FMJ, Smits AJA, van Weel C. The effects of treatment of urinary incontinence in general practice. Family Practice 1992;9:284-9.
  • Lagro-Janssen T, van Weel C. Long-term effect of treatment of female incontinence in general practice. British Journal of General Practice 1998;48:1735-8.
  • Lagro-Janssen TLM, Debruyne FMJ, Smits AJA, van Weel C. Controlled trial of pelvic floor exercises in the treatment of urinary stress incontinence in general practice. British Journal of General Practice 1991;41:445-9.
Miller 1998 {published data only}
  • Miller JM, Ashton-Miller JA, DeLancey JOL. A pelvic muscle precontraction can reduce cough-related urine loss in selected women with mild SUI. Journal of the American Geriatric Society 1998;46:870-4.
Pereira 2011 {published data only}
  • Nascimento-Correia G, Santos-Pereira V, Tahara N, Driusso P. [Effects of pelvic floor muscle training on quality of life of a group of women with urinary incontinence: randomized controlled trial]. [Spanish]. Actas Urologicas Espanolas 2012;36(4):216-21. [: 44721]
  • Pereira VS, Correia GN, Driusso P. Individual and group pelvic floor muscle training versus no treatment in female stress urinary incontinence: a randomized controlled pilot study. European Journal of Obstetrics, Gynecology, and Reproductive Biology 2011;159(2):465-71. [: SR-INCONT42734]
  • Pereira VS, de Melo MV, Correia GN, Driusso P. Long-term effects of pelvic floor muscle training with vaginal cone in post-menopausal women with urinary incontinence: A randomized controlled trial. Neurourology and Urodynamics 2013;32(1):48-52. [: SR-INCONT46703]
  • Pereira VS, de Melo MV, Correia GN, Driusso P. Vaginal cone for postmenopausal women with stress urinary incontinence: randomized, controlled trial. Climacteric 2012;15(1):45-51. [: SR-INCONT42979]
Sar 2009 {published data only}
  • Sar D, Khorshid L. The effects of pelvic floor muscle training on stress and mixed urinary incontinence and quality of life. Journal of Wound, Ostomy, and Continence Nursing 2009;36(4):429-35. [: SR-INCONT32103]
Wells 1999 {published and unpublished data}
  • Wells TJ, Mayor RD, Brink CA, Brown R. Pelvic floor muscle exercise: a controlled clinical trial. Unpublished work however portions were presented at the sixteenth annual scientific meeting of the American Urogynecologic Society, Seattle, October 12-15, 1995. 1999.
Yoon 2003 {published data only}
  • Yoon HS, Song HH, Ro YJ. A comparison of effectiveness of bladder training and pelvic muscle exercise on female urinary incontinence. International Journal of Nursing Studies 2003;40:45-50.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Abdulaziz 2012 {published data only}
  • Abdulaziz K, Hasan T. Role of pelvic floor muscle therapy in obese perimenopausal females with stress incontinence: A randomized control trial. Internet Journal of Gynecology and Obstetrics 2012; Vol. 16:2. [DOI: 10.5580/2ba3]
Albers-Heitner 2008 {published data only}
  • Albers-Heitner P, Berghmans B, Joore M, Lagro-Janssen T, Severens J, Nieman F, et al. The effects of involving a nurse practitioner in primary care for adult patients with urinary incontinence: the PromoCon study (Promoting Continence). BMC Health Services Research 2008;8:84.
Bernier 2008 {published data only}
  • Bernier F. Pelvic floor muscle retraining: quantitative, experimental, randomized pilot study (PhD thesis). Charlottesville, Virginia, USA: University of Virginia, 2008.
Bernier 2008a {published data only}
  • Bernier F. Pelvic floor muscle retraining: quantitative, experimental, randomized pilot study (Abstract). Proceedings of the 39th Annual Conference of the Society of Urologic Nurses and Associates (SUNA), 2008 Oct 3-6, Philadelphia (PA) 2008.
Beuttenmuller 2011 {published data only}
  • Beuttenmuller L, Cader SA, Macena RHM, Araujo NDS, Nunes EFC, Dantas EHM. Floor muscles contraction in women with stress urinary incontinence underwent to exercises and electric stimulation therapy: a randomized study [Portuguese]. Fisioterapia e Pesquisa 2011;18(3):210-6. [: SR-INCONT47117]
Burgio 2002 {published data only}
  • Burgio KL, Goode PS, Locher JL, Umlauf MG, Roth DL, Richter HE, et al. Behavioral training with and without biofeedback in the treatment of urge incontinence in older women. A randomized controlled trial. JAMA 2002;288:2293-9.
Chang 2011 {published data only}
  • Chang KK, Wong TK, Wong TH, Leung AW, Chung JW. Effect of acupressure in treating urodynamic stress incontinence: a randomized controlled trial. American Journal of Chinese Medicine 2011;39(6):1139-59.
Felicissimo 2010 {published data only}
  • Felicissimo MF, Carneiro MM, Saleme CS, Pinto RZ, da Fonseca AM, da Silva-Filho AL. Intensive supervised versus unsupervised pelvic floor muscle training for the treatment of stress urinary incontinence: a randomized comparative trial. International Urogynecology Journal 2010;21(7):835-40.
Ferreira 2011 {published data only}
  • Ferreira M, Santos P, Duarte J. Influence of home-based and supervised exercise programs on women stress urinary incontinence: a randomized trial (Abstract number RR-PO-312-6-Wed). Physiotherapy 2011; Vol. 97 Suppl S1.
Ferreira 2011a {published data only}
  • Ferreira M, Pitanguy M, Vasconcelos ECLM, Antonio FI. Evaluation of urinary incontinence reports and pelvic floor muscle knowledge among women participating in a pelvic floor educational group (Abstract number RR-PO-312-18-Wed). Physiotherapy 2011; Vol. 97 Suppl S1.
Ghoniem 2005 {published data only}
  • Ghoniem GM, Van Leeuwen JS, et al. A randomized controlled trial of duloxetine alone, pelvic floor muscle training alone, combined treatment and no active treatment in women with stress urinary incontinence. J Urol 2005;173 (5):1647-53.
Goode 2003 {published data only}
  • Goode PS, Burgio KL, Locher JL, Roth DL, Umlauf MG, Richter HE, et al. Effect of behavioral training with or without pelvic floor electrical stimulation on stress incontinence in women. A randomized controlled trial. JAMA 2003;290:345-52.
Hazewinkel 2009 {published data only}
  • Hazewinkel MH. A randomized controlled trial to evaluate the effect on pelvic floor function of pelvic physiotherapy following radical hysterectomy in early stage cervical cancer. Nederlands Trial Register (http://www.trialregister.nl/trialreg/index.asp) (last accessed 24 October 2011) 2009.
Kumari 2008 {published data only}
Ramsay 1990 {published data only}
  • Ramsay IN, Thou M. A randomised, double blind, placebo controlled trial of pelvic floor exercises in the treatment of genuine stress incontinence [abstract 59]. Neurourology and Urodynamics 1990;9:398-9.
Rutledge 2012 {published data only}
  • Rutledge T, Lee S, Rogers R, Muller C. A pilot randomized controlled trial to evaluate pelvic floor muscle training for urinary incontinence among gynecologic cancer survivors [abstract number 282]. Gynecologic Oncology 2012;125 Suppl 1:S117.
van Leeuwen 2004 {published data only}
  • Schagen van Leeuwen JH, Elser D, Freeman R, Ghoniem G, Zhao Y, Yalcin I, et al. Controlled trial of duloxetine alone, pelvic floor muscle training alone, combined treatment in women with stress urinary incontinence (SUI) [Abstract]. European Urology Supplements 2004;3(2):52.
Yang 2012 {published data only}
  • Yang EJ, Lim JY, Rah UW, Kim YB. Effect of a pelvic floor muscle training program on gynecologic cancer survivors with pelvic floor dysfunction: A randomized controlled trial. Gynecologic Oncology 2012;125(3):705-11.
Yoon 1999 {published data only}
  • Yoon HN, Hong JY, Choi YH, Back SH. The effect of pelvic floor muscle exercises on genuine stress incontinence among Korean women: focusing on its effects on the quality of life. Proceedings of the 29th Annual Meeting of the International Continence Society. Denver, USA, 1999.

References to studies awaiting assessment

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Miller 2009 {published data only}
  • Miller J, Park L, Tolbert M, Ashton-Miller J, DeLancey J. Short term response to Knack therapy (no dedicated muscle strengthening) for treatment of incontinence (Abstract number 548). Proceedings of the 39th Annual Meeting of the International Continence Society (ICS), 2009 Sep 29 - Oct 3, San Francisco, CA 2009.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
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References to other published versions of this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Dumoulin 2010
Hay-Smith 2006
  • Hay-Smith J, Dumoulin C. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database of Systematic Reviews 2006, Issue 1. [DOI: 10.1002/14651858.CD005654]