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A model identifying characteristics predictive of successful pelvic floor muscle training outcomes among women with stress urinary incontinence.


ABSTRACT:

Introduction and hypothesis

The aim of this study was to prospectively identify aspects of baseline demographic, clinical, and pelvic morphology of women with stress urinary incontinence (SUI) that are predictive of cure with physiotherapist-supervised pelvic floor muscle training (PFMT).

Methods

Women ?18 years old with SUI were recruited from urogynecology and pelvic health physiotherapy clinics. Participants completed a 3-day bladder diary, the International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ-UI-SF), a standardized pad test, manual assessment of pelvic floor muscle (PFM) strength and tone, and transperineal ultrasound (TPUS) assessment of their urogenital structures at rest while in a supine position and standing, and during contraction, straining, and coughing. Participants attended six physiotherapy sessions over 12 weeks and performed a home PFMT program. The assessment was repeated after the intervention; cure was defined as a dry (?2 g) pad test.

Results

Seventy-seven women aged 50 (±10) years completed the protocol; 38 (49%) were deemed cured. Based on univariate testing, four predictors were entered into a binary logistic regression model: ICIQ-UI-SF, PFM tone, bladder neck (BN) height in a quiet standing position, and BN height during a cough in a standing position. The model was significant (p?ConclusionsWomen with better bladder support in a standing position and less severe symptoms were most likely to be cured with PFMT.

Clinical trial registration

#NCT01602107.

SUBMITTER: Brooks KCL 

PROVIDER: S-EPMC7902568 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature

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Publications

A model identifying characteristics predictive of successful pelvic floor muscle training outcomes among women with stress urinary incontinence.

Brooks Kaylee C L KCL   Varette Kevin K   Harvey Marie-Andrée MA   Robert Magali M   Brison Robert J RJ   Day Andrew A   Baker Kevin K   Della Zazzera Vincent V   Sauerbrei Eric E   McLean Linda L  

International urogynecology journal 20201125 3


<h4>Introduction and hypothesis</h4>The aim of this study was to prospectively identify aspects of baseline demographic, clinical, and pelvic morphology of women with stress urinary incontinence (SUI) that are predictive of cure with physiotherapist-supervised pelvic floor muscle training (PFMT).<h4>Methods</h4>Women ≥18 years old with SUI were recruited from urogynecology and pelvic health physiotherapy clinics. Participants completed a 3-day bladder diary, the International Consultation on Inc  ...[more]

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