Efficacy of biofeedback on quality of life in stages I and II pelvic organ prolapse: A Pilot study
Abstract
Objectives Pelvic organ prolapse (POP) is a prevalent disorder which seriously affects the sufferer's quality of life. The main goal of this study was to evaluate biofeedback impact on quality of life in women with mild to moderate POP.Study design 40 females in stages I and II POP were allocated into 2 groups. One group received pelvic floor muscle exercise and lifestyle advice in addition to biofeedback twice a week for 4 weeks, while the other received a lifestyle advice sheet and pelvic floor muscle exercise without biofeedback. A valid Persian version of P-QOL questionnaire was applied to assess the patients̕ quality of life at baseline, 4 weeks and 12 weeks follow up. Pressure biofeedback and Physical examination were also performed in order to determine pelvic floor muscle strength and staging of the prolapse, respectively. Collected data were analyzed by mixed ANOVA test using SPSS 22.Results Biofeedback improved the quality of life in seven of nine P-QOL domains. However, it had no significant impact either on pelvic floor muscle strength or on the stage of the prolapse.Conclusion Biofeedback could be considered as a non-invasive treatment leading to quality of life promotion in women with stages I and II POP.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The studies with no effect on POP-Q stage had a lower training dosage compared with studies finding statistically significant improvement in anatomical POP.
“The studies with no effect on POP-Q stage had a lower training dosage compared with studies finding statistically significant improvement in anatomical POP [45, 49, 51].”
From International urogynecology consultation chapter 3 committee 2; conservative treatment of patient with pelvic organ prolapse: Pelvic floor muscle training (2022) · cites this paper as [51]
In Ahadi et al.-17, P-QOL showed a significant difference in favor of supervised PFMT, but no significant difference between groups in POP-Q or manometry.
“P-QOL: Significant difference in favor of supervised PFMTNo significant difference between groups in POP-QNo significant difference between groups in manometry assessment”
From International urogynecology consultation chapter 3 committee 2; conservative treatment of patient with pelvic organ prolapse: Pelvic floor muscle training (2022) · cites this paper as [51]
Frawley et al. (2012), Due et al. (2016) and Ahadi et al. (2017) did not find a significant change in POP stage, but significant improvements were found in some individual POP-Q measurements (Ap and Bp) in Frawley et al. (2012).
“Frawley et al., (2012) [45], Due et al. (2016) [49] and Ahadi et al. (2017) [51] did not find a significant change in POP stage, but significant improvements were found in some of the individual POP-Q measurements (POP-Q points Ap and Bp) in the study by Frawley et al. (2012) [45].”
From International urogynecology consultation chapter 3 committee 2; conservative treatment of patient with pelvic organ prolapse: Pelvic floor muscle training (2022) · cites this paper as [51]
Cites
Randomized controlled trial of biofeedback for fecal incontinence
Norton, C. S., Chelvanayagam, S., Wilson‐Barnett, J., Redfern, S., & Kamm, M. A. (2003) · Gastroenterology · doi:10.1016/j.gastro.2003.09.039 · Cited by 407 · see citing works
Brækken, I. H., Majida, M., Engh, M. E., & Bø, K. (2010) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2010.02.037 · Cited by 241 · see citing works
Pelvic Symptoms in Women With Pelvic Organ Prolapse
Burrows, L. J., Meyn, L. A., Walters, M. D., & Weber, A. M. (2004) · Obstetrics and Gynecology · doi:10.1097/01.aog.0000142708.61298.be · Cited by 207 · see citing works
Feedback or biofeedback to augment pelvic floor muscle training for urinary incontinence in women
Herderschee, R., Hay-Smith, J. E., Herbison, P., Roovers, J., & Heineman, M. J. (2011) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009252 · Cited by 202 · see citing works
Hoff Brækken, I., Majida, M., Engh, M. E., & Bø, K. (2010) · Obstetrics & Gynecology · doi:10.1097/aog.0b013e3181cbd35f · Cited by 168 · see citing works
Effect of adding biofeedback to pelvic floor muscle training to treat urodynamic stress incontinence
Mørkved, S. (2002) · Obstetrics and Gynecology · doi:10.1016/s0029-7844(02)02160-9 · Cited by 162 · see citing works
Dumoulin, C. L., & Hay-Smith, J. E. (2008) · PubMed · Cited by 120 · see citing works
Hagen, S., Stark, D., Glazener, C., Sinclair, L., & Ramsay, I. (2009) · International Urogynecology Journal · doi:10.1007/s00192-008-0726-4 · Cited by 116 · see citing works
Inoue‐Hirakawa, T., Suzuki, S., Kato, K., Gotoh, M., & Yoshikawa, Y. (2013) · International Urogynecology Journal · doi:10.1007/s00192-012-2012-8 · Cited by 86 · see citing works
Stüpp, L., Resende, A. P. M., Oliveira, E., Castro, R. A., Girão, M. J. B. C., & Sartori, M. G. F. (2011) · International Urogynecology Journal · doi:10.1007/s00192-011-1428-x · Cited by 85 · see citing works
Huebner, M., Riegel, K. S., Hinninghofen, H., Wallwiener, D. R., Tunn, R., & Reisenauer, C. (2010) · Physiotherapy Research International · doi:10.1002/pri.489 · Cited by 59 · see citing works
Ghroubi, S., Kharrat, O., Chaari, M., Ben Ayed, B., Guermazi, M., & Elleuch, M. H. (2008) · Annales de Réadaptation et de Médecine Physique · doi:10.1016/j.annrmp.2007.11.002 · Cited by 46 · see citing works
Effect of adding biofeedback to pelvic floor muscle training to treat urodynamic stress incontinence
Mørkved, S. (2003) · Obstetrics and Gynecology · doi:10.1016/s0029-7844(03)00155-8 · Cited by 26 · see citing works
Ibrahim, I. K., Hameed, M. M. A., Taher, E., Shaheen, E. M., & Elsawy, M. S. (2014) · Alexandria Journal of Medicine · doi:10.1016/j.ajme.2014.06.001 · Cited by 23 · see citing works
Validation of Persian version of the Prolapse Quality-of-Life questionnaire (P-QOL)
Nojomi, M., Digesu, G. A., Khullar, V., Morovatdar, N., Haghighi, L., Alirezaei, M., & Swift, S. (2011) · International Urogynecology Journal · doi:10.1007/s00192-011-1529-6 · Cited by 16 · see citing works
Şahin, M., Doğan, İ., Cengiz, M., & Ünal, S. (2015) · The Turkish Journal of Gastroenterology · doi:10.5152/tjg.2015.4689 · Cited by 13 · see citing works
Padilla-Fernández, B. Y., Gomez-Garcia, A., Ms. Rajalakshmi., N., Cenador, M. B. G., Jaroshevskyi Alexander, A., Geanini-Yagüez, A., Silva-Abuín, J. M., & Maroufi, S. F. (2013) · InTech eBooks · doi:10.5772/56237 · Cited by 7 · see citing works
Pelvic floor exercises - a clinical study
Pal, M. (2014) · Asian Journal of Medical Sciences · doi:10.3126/ajms.v5i3.9113 · Cited by 4 · see citing works
Effect of Adding Biofeedback to Pelvic Floor Muscle Training to Treat Urodynamic Stress Incontinence
Schiøtz, H. A. (2003) · Obstetrics and Gynecology · doi:10.1097/00006250-200305000-00047 · Cited by 4 · see citing works
Effects of Pelvic Floor Muscle Training with Biofeedback in Women with Stress Urinary Incontinence
Araújo, N. D. S., Nunes, R. F. C., de Oliveira, E. M., Cmara, C., & Janah, L. T. D. A. (2012) · InTech eBooks · doi:10.5772/35208 · Cited by 1 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Bø, K., Anglès-Acedo, S., Batra, A., Brækken, I. H., Chan, Y. L., Jorge, C. H., Kruger, J., Yadav, M., & Dumoulin, C. (2022) · International Urogynecology Journal · doi:10.1007/s00192-022-05324-0 · Cited by 64 · see citing works
“(2017) [51] claimed to compare PFMT with or without biofeedback but added 4 weeks of PFMT with biofeedback to home exercise.”
BackgroundResultHagen, S., Bugge, C., Dean, S. G., Elders, A., Hay‐Smith, J., Kilonzo, M. M., McClurg, D., Abdel‐Fattah, M., Agur, W., Andreis, F., et al. (2020) · Health Technology Assessment · doi:10.3310/hta24700 · Cited by 58 · see citing works
Giagio, S., Innocenti, T., Salvioli, S., Lami, A., Meriggiola, M. C., Pillastrini, P., & Gava, G. (2021) · Neurourology and Urodynamics · doi:10.1002/nau.24712 · Cited by 19 · see citing works
Touza, K. K., Rand, K. L., Carpenter, J. S., Chen, C. X., & HEIT, M. H. (2018) · Urogynecology · doi:10.1097/spv.0000000000000578 · Cited by 10 · see citing works
Systematic Review of Evidence for Conservative Management of Pelvic Organ Prolapse in Younger Women
Brown, C. A., Toong, P. J., Kearney, R., Hagen, S., & McPeake, J. (2025) · International Urogynecology Journal · doi:10.1007/s00192-024-05995-x · Cited by 7 · see citing works
Wei, D., Zheng, Z., Liu, X., Zhong, L., Zhang, Q., Xu, H., Wang, L., Shen, C. E., Li, H., Xu, T., et al. (2023) · Preprints.org · doi:10.20944/preprints202311.1545.v1 · Cited by 3 · see citing works
QUALIDADE DE VIDA: DEFINIÇÃO E MENSURAÇÃO
César, F. C. R., Marcos, M. S. D. S., de Deus, B. S., SIRIANO, I. R., Pessoa, G. C. D. C., Cintra, M. P. C., Rodrigues, D. B., Machado, P. V. M., Alves, Â. G., & Oliveira, L. M. D. A. C. (2022) · doi:10.22533/at.ed.55622220910 · Cited by 1 · see citing works
Davies, N., & Burdett, T. M. (2020) · Journal of Integrated Care · doi:10.1108/jica-07-2019-0032 · Cited by 1 · see citing works
VIOLÊNCIA SEXUAL CONTRA A MULHER E O PAPEL DA ENFERMAGEM NESSE DESAFIO: UMA REVISÃO INTEGRATIVA
do Nascimento, L. S., Vieira, G. C., da Cruz, R. N. G., Borges, R. C. D. S., Morbach, D. F., Bastos, M. L. C., Silva, K. C., de Souza, J. R. B., Figueiró, D. V., Souza, M. C. S., et al. (2022) · doi:10.22533/at.ed.55622220914
RELAÇÕES INTERPESSOAIS NA ESTRATÉGIA SAÚDE DA FAMÍLIA: RELATO DE EXPERIÊNCIA
Carneiro, M. C., Viana, M. B. L., da Silva, S. C. M., Pinheiro, T. W. N., Neto, L. S. D. C., & de Moraes, T. M. (2022) · doi:10.22533/at.ed.55622220912
O METÓDO PILATES EM PACIENTES COM LOMBALGIAS CRÔNICAS: UM RELATO DE EXPERIÊNCIA
Ferreira, I. D. S., da Silva, A. R., de Oliveira, A. D. F. R. F., Marques, D. F., de Lima, M. S., Brito, H. H. S., Arrais, J. F. D. A., dos Santos, M. D. R., Nascimento, D. D. S., Torres, F. B. S., et al. (2022) · doi:10.22533/at.ed.5562222093
Noro, A., Tigre, A., Reyes, V. B., Trevisan, B. F., Mesquita, N. F., da Silva, P. S., Fernandes, A. P. W., Borges, C. T., Garcia, Y. E., de Cezaro, P., et al. (2022) · doi:10.22533/at.ed.5562222097
Management of full thickness rectal prolapse
Rajasingh, C. M., & Gurland, B. (2022) · Seminars in Colon and Rectal Surgery · doi:10.1016/j.scrs.2022.100938
Fisioterapia Pelvica no prolapso uterino: revisao
de Moraes, B. R. M. (2023) · Revista Brasileira de Fisioterapia Pelvica · doi:10.62115/rbfp.2023.3(3)86-93
Prolapse Management in Patients in Childbearing Age
Zein, M., Mansour, M., Trump, T., & Roberts, L. H. (2026) · Current Bladder Dysfunction Reports · doi:10.1007/s11884-025-00803-8
Conservative and Nonsurgical Management of Pelvic Organ Prolapse
Hong, C. X., & LaCross, J. A. (2026) · Clinical Obstetrics & Gynecology · doi:10.1097/grf.0000000000001061
Lin, K.-Y., Wang, L., Wu, P.-C., Chen, C.-Y., & Huang, M.-H. (2026) · Taiwanese Journal of Obstetrics and Gynecology · doi:10.1016/j.tjog.2026.01.024
- Authors
- Ahadi, T., Taghvadoost, N., Aminimoghaddam, S., Forogh, B., Bazazbehbahani, R., & Raissi, G. R.
- Affiliations
- Iran University of Medical Sciences (IR)
- Corresponding author
- Raissi, Gholam Reza
- Venue
- European Journal of Obstetrics & Gynecology and Reproductive Biology
- Publisher
- Elsevier BV
- Published
- 2017-08
- Volume
- 215
- Pages
- 241-246
- ISSN
- 0028-2243 (ISSN-L)
- 0301-2115
- OpenAlex
- W2624821406
- Cited by
- 17
- References
- 20
- Citations by year
- 2026: 3 · 2024: 1 · 2023: 2 · 2022: 7 · 2021: 1 · 2020: 2 · 2018: 1
- FWCI
- 0.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Obstetrics & Gynecology and Reproductive Biology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Keywords
- pelvic organ prolapse, biofeedback, quality of life, pelvic floor muscle strength, pelvic floor muscle training, lifestyle advice, non-invasive treatment, women's health
- MeSH terms
- Adult, Biofeedback, Psychology, Female, Humans, Middle Aged, Pilot Projects, Quality of Life, Surveys and Questionnaires, Single-Blind Method, Treatment Outcome, Pelvic Floor, Muscle Strength, Pelvic Organ Prolapse
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
