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Cited by 37Pelvic floor disorders treatmentsSexual function and dysfunction studiesUrinary Bladder and Prostate Research

Sexual function and quality of life of women with stress urinary incontinence: A randomized controlled trial comparing the Paula method (circular muscle exercises) to pelvic floor muscle training (PFMT) exercises

Liebergall-Wischnitzer, Michal, Paltiel, Ora, Hochner Celnikier, Drorith, Lavy, Yuval, Manor, Orly, Woloski Wruble, Anna C.·2012·The Journal of Sexual Medicine
DOI 10.1111/j.1743-6109.2012.02721.x
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Abstract

AIM: To compare the effectiveness of the Paula method (circular muscle exercises) vs. pelvic floor muscle training (PFMT) exercises on sexual function (SF) and quality of life (QoL) of women with stress urinary incontinence (SUI). METHODS: A randomized controlled trial (RCT) was conducted in outpatient urban community clinics serving diverse socioeconomic populations between September 2004 and July 2005. The intervention included two exercise regimens: Paula method--12 weeks of private 45 minutes sessions; PFMT--12 weeks of group (up to 10 participants) sessions of 30 minutes in length once a week, for 4 weeks plus two additional sessions, 3 weeks apart. MAIN OUTCOME MEASURES: The Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire; the Incontinence Quality of Life Questionnaire; 1-hour clinic pad test; gynecological examination; demographic/health history. RESULTS: Sixty-six women in the Paula group and 60 women in the PFMT group. The mean SF scores post interventions were 38.72 (5.35) in the Paula group and 38.07 (5.80) in the PFMT group. SF score improvement was found to be significant in both groups (Paula, P = 0.01; PFMT, P = 0.05), as was in the QoL scores (Paula, P < 0.001; PFMT, P ≤ 0.001), with no significant difference between groups. There was a significant correlation between the mean SF score and the mean QoL score after the intervention (Paula: r = 0.4, P = 0.002; PFMT: r = 0.4, P = 0.009). A mild to moderate significant correlation was also found between the SF score and pad test results in both groups post intervention (r = -0.3, P = 0.02; r = -0.3, P = 0.04, respectively). CONCLUSION: This RCT study demonstrated the effectiveness of two exercise methods on SF and QoL in women suffering from SUI. The Paula method of exercise was presented for the first time in the literature as a conservative noninvasive treatment for SUI and SF.

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  • In a 12-week PFMT randomized trial including 126 women, high adherence, significant functional and quality-of-life improvements, and no clinically relevant complications attributable to PFMT were reported.

    “Similarly, in a 12-week PFMT randomized trial including 126 women, high adherence, significant functional and quality-of-life improvements, and no clinically relevant complications attributable to PFMT were reported [61].”

    From Pelvic Floor Muscle Training Following Surgery for Pelvic Organ Prolapse: Recommendation from Scientific Literature (2026) · cites this paper as [61]

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Authors
Liebergall-Wischnitzer, M., Paltiel, O., Hochner Celnikier, D., Lavy, Y., Manor, O., & Woloski Wruble, A. C.
Affiliations
Hebrew University of Jerusalem (IL)
ORCID
Venue
The Journal of Sexual Medicine
Publisher
Oxford University Press (OUP)
Published
2012-06
Volume
9
Issue
6
Pages
1613-1623
ISSN
1743-6095 (ISSN-L)
DOI
10.1111/j.1743-6109.2012.02721.x
OpenAlex
W1933957356
Cited by
37
References
43
Citations by year
2026: 1 · 2025: 2 · 2024: 3 · 2023: 1 · 2021: 4 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 2 · 2016: 2 · 2015: 8 · 2014: 5 · 2013: 2 · 2012: 3
FWCI
4.43
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • The Journal of Sexual Medicine (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
stress urinary incontinence, sexual function, quality of life, pelvic floor muscle training, women's health, exercise therapy, incontinence quality of life, pad test, urinary incontinence severity, pelvic organ prolapse, cost-effectiveness
MeSH terms
Adult, Aged, Exercise Therapy, Facial Muscles, Female, Humans, Middle Aged, Quality of Life, Sexual Dysfunction, Physiological, Urinary Incontinence, Stress, Linear Models, Pelvic Floor, Sexuality

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