Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

200 questions · 201 findings · 11 reviews

No studies found 90 · 44.8%GRADE not reported 25 · 12.4%Very low 26 · 12.9%Low 33 · 16.4%Moderate 25 · 12.4%High 2 · 1%

PFMT added to bladder training vs bladder training alone

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

It is very uncertain whether PFMT added to bladder training changes number of women requiring further treatment such as surgery, drugs,… compared with bladder training alone (very low certainty).

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