Pelvic floor muscle training in treatment of female stress urinary incontinence, pelvic organ prolapse and sexual dysfunction

Bø, Kari

doi:10.1007/s00345-011-0779-8

Cited by 214Pelvic floor disorders treatmentsUrinary Bladder and Prostate ResearchSexual function and dysfunction studies

Pelvic floor muscle training in treatment of female stress urinary incontinence, pelvic organ prolapse and sexual dysfunction

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Bø, Kari·2012·World Journal of Urology

DOI 10.1007/s00345-011-0779-8

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Abstract

Objectives The objectives of the present review was to present and discuss evidence for pelvic floor muscle (PFM) training on female stress urinary incontinence (SUI), pelvic organ prolapse (POP) and sexual dysfunction.Methods This manuscript is based on conclusions and data presented in systematic reviews on PFM training for SUI, POP and sexual dysfunction. Cochrane reviews, the 4th International Consultation on Incontinence, the NICE guidelines and the Health Technology Assessment were used as data sources. In addition, a new search on Pubmed was done from 2008 to 2011. Only data from randomized controlled trials (RCTs) published in English language is presented and discussed.Results There is Level 1, Grade A evidence that PFM training is effective in treatment of SUI. Short-term cure rates assessed as <2 g of leakage on pad testing vary between 35 and 80%. To date there are 5 RCTs showing significant effect of PFM training on either POP stage, symptoms or PFM morphology. Supervised and more intensive training is more effective than unsupervised training. There are no adverse effects. There is a lack of RCTs addressing the effect of PFM training on sexual dysfunction.Conclusions PFM training should be first line treatment for SUI and POP, but the training needs proper instruction and close follow-up to be effective. More high quality RCTs are warranted on PFM training to treat sexual dysfunction.

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Adverse effects of PFMT are rare, generally mild and transient, and consist mainly of occasional discomfort or pain, with no serious complications reported.
“Adverse effects are rare, generally mild and transient, and consist mainly of occasional discomfort or pain, with no serious complications reported [59].”
From Pelvic Floor Muscle Training Following Surgery for Pelvic Organ Prolapse: Recommendation from Scientific Literature (2026) · cites this paper as [59]
High-quality evidence consistently demonstrates that PFMT has an excellent safety and tolerability profile.
“High-quality evidence consistently demonstrates that PFMT has an excellent safety and tolerability profile.”
From Pelvic Floor Muscle Training Following Surgery for Pelvic Organ Prolapse: Recommendation from Scientific Literature (2026) · cites this paper as [59]

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Self-citation

Authors: Bø, K.
Affiliations: Norwegian School of Sport Sciences (NO)
Corresponding author: Bø, Kari
ORCID: Bø, Kari
Venue: World Journal of Urology
Publisher: Springer Science and Business Media LLC
Published: 2011-10-09
Volume: 30
Issue: 4
Pages: 437-443
ISSN: 0724-4983 (ISSN-L)
1433-8726
DOI: 10.1007/s00345-011-0779-8
OpenAlex: W1987602655
Cited by: 214
References: 45
Citations by year: 2026: 9 · 2025: 10 · 2024: 15 · 2023: 12 · 2022: 24 · 2021: 20 · 2020: 22 · 2019: 13 · 2018: 16 · 2017: 17 · 2016: 11 · 2015: 18 · 2014: 12 · 2013: 11 · 2012: 2
FWCI: 1.27
Type: journal article
Language: en
Open access: green
hdl.handle.net
Licence: other-oa
www.springer.com/tdm (tdm)
Locations: World Journal of Urology (publishedVersion)
PubMed (publishedVersion)
BIBSYS Brage (BIBSYS (Norway)) (submittedVersion)
NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
Topics: Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
Keywords: pelvic floor muscle training, female stress urinary incontinence, pelvic organ prolapse, sexual dysfunction, first-line therapy, pelvic floor morphology
MeSH terms: Abdominal Muscles, Biofeedback, Psychology, Exercise Therapy, Female, Humans, Sexual Dysfunction, Physiological, Urinary Incontinence, Stress, Treatment Outcome, Pelvic Floor, Muscle Strength, Pelvic Organ Prolapse

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Pelvic floor muscle training in treatment of female stress urinary incontinence, pelvic organ prolapse and sexual dysfunction

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