Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

43 questions · 43 findings · 4 reviews

No studies found 18 · 41.9%GRADE not reported 0 · 0%Very low 17 · 39.5%Low 6 · 14%Moderate 2 · 4.7%High 0 · 0%

PFMT prior to surgical intervention vs surgical intervention alone

Number of women requiring further treatment such as surgery, drugs, mechanical devices (relapse) ‐ not reported · women with urinary incontinence

The review found no eligible studies for this question.

1 finding from 1 review

PFMT added to continence pessary vs pelvic floor muscle training (PFMT)

Patients perceived improvement in symptoms of prolapse assessed using validated symptom questionnaire at 1 year ‐ not reported · pelvic organ prolapse in women

Pessary plus PFMT probably leads to higher perceived improvement of prolapse symptoms compared with pelvic floor muscle training (PFMT) alone (moderate certainty).

1 finding from 1 review

PFMT added to continence pessary vs pelvic floor muscle training (PFMT)

Abnormal Vaginal Bleeding or Spotting · pelvic organ prolapse in women

Pessary plus PFMT showed no clear difference in number of women with adverse events ‐ abnormal vaginal bleeding compared with pelvic floor muscle training (PFMT) alone (low certainty).

1 finding from 1 review

PFMT added to continence pessary vs pelvic floor muscle training (PFMT)

Number of women with adverse events ‐ de novo voiding difficulty · pelvic organ prolapse in women

Pessary plus PFMT showed no clear difference in number of women with adverse events ‐ de novo voiding difficulty compared with pelvic floor muscle training (PFMT) alone (low certainty).

1 finding from 1 review