The 12‐month effects of structured lifestyle advice and pelvic floor muscle training for pelvic organ prolapse
Abstract
Introduction: We evaluated the 12‐month effects of adding pelvic floor muscle training to a lifestyle advice program in women with symptomatic pelvic organ prolapse stage II – III and the number of women who had sought further treatment. Material and methods: This study was a 12‐month follow up of a randomized controlled trial comparing a structured lifestyle advice program alone (lifestyle group) or in combination with pelvic floor muscle training (training and lifestyle group). Both programs consisted of six separate group sessions within 12 weeks. Results: Data were available from 83 (76%) of the 109 originally included women. At the 12‐month follow up, 34/83 (41%) had not sought further treatment, 13/43 (30%) in the lifestyle group and 21/40 (52%) in the training and lifestyle group, and these could be included for analysis. The lifestyle group had significantly improved bladder symptoms compared with baseline on single‐item analysis ( p = 0.01). The training and lifestyle group had significantly improved pelvic organ prolapse symptoms on single‐item analysis ( p = 0.02) and of bowel‐related quality of life ( p = 0.04). No significant between‐group differences were found in the symptom and quality of life scores. All together 49 women (59%) had sought further treatment, 70% in the lifestyle group, and 48% in the training and lifestyle group ( p = 0.05). Twenty‐six in the lifestyle group, and 15 in the training and lifestyle group had sought conservative treatment. Four women in each group had received surgery. More severe anterior prolapse and more bladder symptoms at the 3‐month follow up were significantly associated with having sought further treatment in both groups. Conclusions: At 12‐month follow up, the effects of adding pelvic floor muscle training to a structured lifestyle advice program were limited.
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In Due et al.-16, there were significantly better results in global improvement scale and POP symptoms in PFMT, but no difference in POP-Q stage.
“Significantly better results in global improvement scale and POP symptoms in PFMT. No difference in POP-Q stage”
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 [50]
If there was no short-term effect of a PFMT program, long-term effects are unlikely.
“Furthermore, if there was no short-term effect of a PFMT program [49, 50, 62, 67, 71, 75], then long-term effects are unlikely.”
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 [50]
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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
“Furthermore, if there was no short-term effect of a PFMT program [49, 50, 62, 67, 71, 75], then long-term effects are unlikely.”
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“Two studies [21,23] demonstrated significant improvements in CRAIQ-7 in the PFMT group compared with the control group at 6 and 12 months after the intervention (p = 0.”
BackgroundMethodInfluentialThe effect of pelvic floor muscle training for women with pelvic organ prolapse: A meta-analysis
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- Authors
- Due, U., Brostrøm, S., & Lose, G.
- Affiliations
- Herlev Hospital (DK)
- National Board of Health (DK)
- University of Copenhagen (DK)
- Corresponding author
- Due, Ulla
- Venue
- Acta Obstetricia et Gynecologica Scandinavica
- Publisher
- Wiley
- Published
- 2016-03-24
- Volume
- 95
- Issue
- 7
- Pages
- 811-819
- ISSN
- 0001-6349 (ISSN-L)
- 1600-0412
- OpenAlex
- W2275269876
- Cited by
- 13
- References
- 27
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 4 · 2023: 3 · 2022: 3 · 2018: 1
- FWCI
- 0.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Obstetricia Et Gynecologica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Funders
- Danske Fysioterapeuter
- 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 organ prolapse, pelvic floor muscle training, lifestyle advice, bladder symptoms, conservative treatment, women's health
- MeSH terms
- Exercise Therapy, Humans, Life Style, Quality of Life, Pelvic Floor, Pelvic Organ Prolapse
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