A scoping review of the evidence for supervised pelvic floor muscle training for improving signs or symptoms of pelvic organ prolapse in post-menopausal women
Abstract
Background Menopause is considered a risk factor for pelvic organ prolapse (POP). Although level 1 evidence exists for pelvic floor muscle training (PFMT) for reducing POP symptoms in the adult population, it is less clear whether it is as effective in post-menopausal women.Objectives This scoping review investigates supervised PFMT for improving POP signs or symptoms in this population.Methods Seven databases were searched in December 2023. Five articles were included in the literature review (four RCTs and one SR). Included articles were assessed for quality and risk of bias using the Physiotherapy Evidence Database (PEDro) scale.Major Findings The included studies found small but statistically significant results in favour of PFMT compared to controls to improve either POP symptoms or signs in post-menopausal women, with no adverse events from PFMT. Further robust studies are needed.Conclusion Clinicians can offer PFMT to post-menopausal patients presenting with POP based on evidence, sound underlying physiological principles, and a lack of adverse events. A sample pelvic floor muscle training program is described, along with recommendations for multi-disciplinary input.
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Pessaries are useful adjuncts to lifestyle management, especially for symptomatic post-menopausal women.
“Similarly, pessaries are useful adjuncts to lifestyle management, especially for symptomatic post‐menopausal women [40].”
From How Can We Improve the Assessment and Indifferent Outcomes From Pelvic Organ Prolapse Management From Conservative and Surgical Therapies? ICI‐RS 2025 (2026) · cites this paper as [40]
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Kearney, R., Wagg, A., Bower, W., Chapple, C., Khullar, V., Robinson, D., Taithongchai, A., Hobson, P. T., Wein, A., & Abrams, P. (2026) · Neurourology and Urodynamics · doi:10.1002/nau.70272 · Cited by 1 · see citing works
- Authors
- Crowley, H., & Brennen, R.
- Affiliations
- The University of Melbourne (AU)
- Corresponding author
- Crowley, Hayley
- ORCID
- Brennen, Robyn
- Venue
- Physical Therapy Reviews
- Publisher
- Informa UK Limited
- Published
- 2024-11
- Volume
- 29
- Issue
- 5-6
- Pages
- 283-292
- ISSN
- 1083-3196 (ISSN-L)
- 1743-288X
- OpenAlex
- W4405194001
- Cited by
- 1
- References
- 29
- Citations by year
- 2026: 1
- FWCI
- 0.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Physical Therapy Reviews (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Keywords
- pelvic floor muscle training, pelvic organ prolapse, postmenopausal women, menopause, supervised exercise, pelvic floor physiotherapy, prolapse symptoms, adverse events
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