Comparative effect of 2 packages of pelvic floor muscle training on the clinical course of stage I–III pelvic organ prolapse
Abstract
Objective: To compare the effect of 2 packages of pelvic floor muscle training (PFMT) on the clinical course of pelvic organ prolapse (POP) among women attending a gynecology outpatient department in Chandigarh, India. Methods: A randomized controlled trial was conducted between August 8, 2010, and October 31, 2011. Overall, 140 women with stage I–III POP were allocated to a 24‐week behavioral therapy intervention. Group A (n = 70) received 1‐to‐1 PFMT and a self‐instruction manual (SIM), whereas Group B (n = 70) received SIM alone. Symptoms were assessed using the POP symptom scale (POP‐ss), visual analog scale (VAS), and pelvic floor impact questionnaire‐7 (PFIQ‐7) scores. Results: Marked improvements in mean POP‐ss, VAS, PFIQ‐7 scores were observed in both groups from baseline to week 24. However, significant between‐group changes in mean POP‐ss scores were observed from baseline to 6 weeks ( P < 0.001), 18 weeks ( P = 0.001), and 24 weeks ( P = 0.002). Significant between‐group changes in mean VAS scores were observed at 18 and 24 weeks ( P = 0.009 and P = 0.005). Significant between‐group changes in mean PFIQ‐7 scores were observed at 6 ( P = 0.001), 18 ( P < 0.001), and 24 weeks ( P < 0.001). Conclusion: Provision of both 1‐to‐1 PFMT and SIM led to greater improvements in POP symptoms than provision of SIM alone. ctri.nic.in: CTRI/2010/091/001190 .
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For short-term effect, RCTs showed PFMT to be effective in treating POP, demonstrating statistically significant improvement in POP symptoms and/or anatomical POP assessed by POP-Q stage compared to the comparison group.
“For short-term effect of PFMT, the RCTs showed PFMT to be effective in treating POP, demonstrating statistically significant improvement in POP symptoms [41–46, 48, 49] and/or anatomical POP, assessed by POP-Q stage [40, 42–44, 46, 48] compared to the comparison group.”
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 [46]
In Kashyap et al.-13, there was significant improvement in POP-Q stage I and II and bulging at week 6, 18 and 24 in favor of PFMT.
“Significant improvement in POP-Q stage I and II and bulging at week 6, 18 and 24 in favor of PFMT.”
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 [46]
The effect of PFMT in the general female population with POP showed overall positive short-term results on POP symptoms, and in most of the studies measuring anatomical POP, the prolapse improved one stage.
“The effect of PFMT in the general female population with POP showed overall positive short-term results on POP symptoms, and in most of the studies measuring anatomical POP, the prolapse improved one stage [40, 42–44, 46, 48].”
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 [46]
Pelvic-floor muscle training may be more effective when performed under supervision than when performed at home.
“Given that significant differences were found in favor of group B in the mean POP-SS and PFIQ-7 scores at 6, 18, and 24 weeks of follow-up, it can be assumed that PFMT could be more effective when performed under supervision than when performed at home.”
From Effects of Pelvic-Floor Muscle Training in Patients with Pelvic Organ Prolapse Approached with Surgery vs. Conservative Treatment: A Systematic Review (2022) · cites this paper as Kashyap, et al. [37]
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- Authors
- Kashyap, R., Jain, V., & Singh, A.
- Affiliations
- Post Graduate Institute of Medical Education and Research (IN)
- Corresponding author
- Kashyap, Rashmi
- Venue
- International Journal of Gynecology & Obstetrics
- Publisher
- Wiley
- Published
- 2013-01-17
- Volume
- 121
- Issue
- 1
- Pages
- 69-73
- ISSN
- 0020-6695 (ISSN-L)
- 0020-7292
- 1879-3479
- OpenAlex
- W2027326853
- Cited by
- 53
- References
- 26
- Citations by year
- 2026: 2 · 2024: 5 · 2023: 3 · 2022: 5 · 2021: 4 · 2020: 4 · 2019: 2 · 2018: 4 · 2017: 3 · 2016: 8 · 2015: 4 · 2014: 5 · 2013: 3 · 2012: 1
- FWCI
- 5.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Gynecology & Obstetrics (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 › Urology › Urinary Bladder and Prostate Research
- Keywords
- pelvic floor muscle training, pelvic organ prolapse, behavior therapy, Pelvic Floor Impact Questionnaire, prolapse symptoms, women's health
- MeSH terms
- Adult, Aged, Ambulatory Care, Behavior Therapy, Exercise Therapy, Female, Follow-Up Studies, Humans, India, Middle Aged, Surveys and Questionnaires, Time Factors, Treatment Outcome, Pelvic Floor, Young Adult, Pelvic Organ Prolapse
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