Intensive supervised versus unsupervised pelvic floor muscle training for the treatment of stress urinary incontinence: a randomized comparative trial.

The aim of this study was to compare the effectiveness of intensive supervised Pelvic floor muscle training (PFMT) to unsupervised PFMT in the treatment of female SUI. Sixty-two women with SUI were randomized to either supervised or unsupervised PFMT after undergoing supervised training sessions. They were evaluated before and after the treatment with the Oxford grading system, pad test, quality of life questionnaire, subjective evaluation, and exercise compliance. After treatment, there were no differences between the two groups regarding PFM strength, International Consultation on Incontinence Questionnaire-Short Form score, pad test, weekly exercise compliance, and subjective evaluation of urinary loss.

Both intensive supervised PFMT and unsupervised PFMT are effective to treat female SUI if training session is provided.

Felicíssimo MF, Carneiro MM, Saleme CS, Pinto RZ, da Fonseca AM, da Silva-Filho AL. Intensive supervised versus unsupervised pelvic floor muscle training for the treatment of stress urinary incontinence: a randomized comparative trial. Int Urogynecol J Pelvic Floor Dysfunct. 2010 Feb 24; epub ahead of print

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