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Cited by 159Pelvic floor disorders treatmentsUrinary Bladder and Prostate ResearchSexual function and dysfunction studies

The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.

Lower Urinary Tract Symptoms and Pelvic Floor Muscle Exercise Adherence After 15 Years

Bø, Kari, Kvarstein, Bernt, Nygaard, Ingrid·2005·Obstetrics & Gynecology
DOI 10.1097/01.aog.0000157207.95680.6d
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Abstract

OBJECTIVE: Pelvic floor muscle training effectively treats female stress urinary incontinence. However, data on long-term efficacy and adherence are sparse. Our aims were to assess current lower urinary tract symptoms and exercise adherence 15 years after ending organized training. METHODS: Originally, 52 women with urodynamic stress urinary incontinence were randomly assigned to home or intensive exercise. After 6 months, 60% in the intensive group were almost or completely continent, compared with 17% in the home group. Fifteen years later, all original study subjects were invited to complete a postal questionnaire assessing urinary symptoms (using validated outcome tools) and current pelvic floor muscle training. RESULTS: Response rate was 90.4%. There were no differences in any urinary outcomes or satisfaction between the 2 study groups as a whole or when restricted to those without intervening stress urinary incontinence surgery. One half of both groups had stress urinary incontinence surgery during the 15-year follow-up period. Twenty-eight percent performed pelvic floor muscle training at least weekly; this rate did not differ by original group assignment or operated status. More operated women reported severe incontinence (P = .03) and leakage that interfered with daily life (P = .04) than did nonoperated women. There were no other differences between operated and nonoperated women. CONCLUSION: The marked benefit of intensive pelvic floor muscle training seen short-term was not maintained 15 years later. Long-term adherence to training is low. Urinary symptoms were equally common in both operated and nonoperated women. Further studies are needed to understand factors associated with long-term effectiveness of stress urinary incontinence treatments.

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Research works printed but not linked: 3

  1. Henalla, 1990, Neurourol Urodyn, 9, 436
  2. Lagro-Janssen, 1998, Br J Gen Pract, 48, 1735
  3. Kiss, 2004, Neurourol Urodyn, 21, 319

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Metadata

Authors
Bø, K., Kvarstein, B., & Nygaard, I.
Affiliations
  • Akershus University Hospital (NO)
  • University of Iowa (US)
Corresponding author
Bø, Kari
ORCID
Bø, Kari
Venue
Obstetrics & Gynecology
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2005-05
Volume
105
Issue
5, Part 1
Pages
999-1005
ISSN
0029-7844 (ISSN-L)
DOI
10.1097/01.aog.0000157207.95680.6d
OpenAlex
W1971041887
Cited by
159
References
28
Citations by year
2026: 1 · 2025: 6 · 2024: 2 · 2023: 2 · 2022: 6 · 2021: 6 · 2020: 5 · 2019: 6 · 2018: 7 · 2017: 8 · 2016: 9 · 2015: 7 · 2014: 5 · 2013: 8 · 2012: 10
FWCI
8.73
Type
journal article
Language
en
Open access
closed
Locations
  • Obstetrics and Gynecology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Urology › 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
stress urinary incontinence, pelvic floor muscle training, exercise adherence, long-term follow-up, lower urinary tract symptoms, surgical treatment of incontinence, home-based exercise, intensive exercise, women
MeSH terms
Adult, Aged, Exercise Therapy, Female, Follow-Up Studies, Humans, Middle Aged, Muscle Contraction, Muscle, Smooth, Patient Compliance, Probability, Quality of Life, Surveys and Questionnaires, Severity of Illness Index, Time Factors, Urinary Incontinence, Stress, Urodynamics, Randomized Controlled Trials as Topic, Treatment Outcome, Pelvic Floor, Risk Assessment

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