Impact of pelvic floor muscle training in pelvic organ prolapse
Abstract
Introduction and hypothesis This review article was aimed at evaluating the effectiveness of pelvic floor muscle training (PFMT) during conservative management and as an adjunct to prolapse surgery based on recently published articles.Methods The PubMed and PEdro databases were searched from 2005 to 2020 for all types of studies reporting on PFMT as the primary treatment for conservative management of prolapse as well as an adjunct for prolapse surgery.Result The result of this review demonstrated that PFMT is effective in conservative management, especially in women with mild to moderate prolapse(stages I-III), for those who wish to have more children, who are not willing to undergo surgery, who are frail because of co-morbidities, and for those who need to delay surgery. However, results evaluating the effectiveness of PFMT as an adjunct to surgery demonstrated insufficient evidence to support the benefit of PFMT in addition to prolapse surgery over the use of surgery alone.Conclusion Through this review, we have concluded that PFMT shows a more prominent effect when applied as conservative management. Currently available evidence demonstrated no additional clinically significant augmentation of PFMT as an adjunct to surgery compared with prolapse surgery alone.
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The effect of pelvic floor muscle training for women with pelvic organ prolapse: A meta-analysis
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“Four systematic reviews [48–51] were analysed through AMSTAR 2 tool; two narrative reviews [52,53] was examined with SANRA scale, and finally a clinical opinion paper [54] was analysed through JBI text & opinion tool.”
- Authors
- Basnet, R.
- Affiliations
- Scheer Memorial Adventist Hospital (NP)
- Corresponding author
- Basnet, Ritu
- ORCID
- Basnet, Ritu
- Venue
- International Urogynecology Journal
- Published
- 2021-01-08
- Volume
- 32
- Issue
- 6
- Pages
- 1351-1360
- ISSN
- 0937-3462 (ISSN-L)
- 1433-3023
- OpenAlex
- W3119256041
- Cited by
- 15
- References
- 41
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 4 · 2023: 3 · 2022: 4
- FWCI
- 0.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Urogynecology Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Keywords
- pelvic floor muscle training, pelvic organ prolapse, conservative treatment, prolapse surgery, surgical adjunct, women's health
- MeSH terms
- Child, Exercise Therapy, Female, Humans, Treatment Outcome, Pelvic Floor, Pelvic Organ Prolapse
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