Randomized trial of circular muscle versus pelvic floor training for stress urinary incontinence in women

M. Liebergall-Wischnitzer*, D. Hochner-Celnikier, Y. Lavy, O. Manor, D. Shveiky, O. Paltiel

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

38 Scopus citations

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.

Original languageAmerican English
Pages (from-to)377-385
Number of pages9
JournalJournal of Women's Health
Volume18
Issue number3
DOIs
StatePublished - 1 Mar 2009

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