Cochrane · systematic review · CD005654

Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women

Dumoulin, C, Cacciari, LP, Hay‐Smith, EJC · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

Incontinence2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
18
current version
GRADE rated
13
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 5 · 27.8%Very low 0 · 0%Low 3 · 16.7%Moderate 9 · 50%High 1 · 5.6%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 2 versions

Pelvic floor muscle training compared to control for stress urinary incontinence in women

Population: women with SUI
6 questions
OutcomeEffectEvidenceStatus / GRADE
Participant‐perceived cure after treatment Treatment duration: 3–6 months
Pelvic floor muscle training vs control
RR 8.38 [3.68, 19.07]4 studies · 165 participantsHigh
Participant‐perceived cure or improvement after treatment Treatment duration: 3–6 months
Pelvic floor muscle training vs control
RR 6.33 [3.88, 10.33]3 studies · 242 participantsModerate
Downgraded: risk of bias, inconsistency
Number of leakage episodes in 24 hours
Pelvic floor muscle training vs control
no estimate extracted7 studies · 432 participantsModerate
Downgraded: risk of bias, inconsistency
Short (up to 1 hour) pad test measured as grams of urine Treatment duration: 6 weeks to 6 months
Pelvic floor muscle training vs control
no estimate extracted4 studies · 185 participantsModerate
Downgraded: risk of bias, inconsistency
GRADE A UI‐specific symptom measures Treatment duration: 4–12 weeks
Pelvic floor muscle training vs control
no estimate extracted7 studies · 7 participantsModerate
Downgraded: risk of bias, inconsistency
GRADE A UI‐specific QoL measures Treatment duration: 6 weeks to 6 months
Pelvic floor muscle training vs control
no estimate extracted6 studies · 6 participantsLow
Downgraded: risk of bias, inconsistency

Pelvic floor muscle training compared to control for urinary incontinence (all types) in women

Population: women with UI (all types)
6 questions
OutcomeEffectEvidenceStatus / GRADE
Participant‐perceived cure after treatment Treatment duration: 8–12 weeks
Pelvic floor muscle training vs control
RR 5.34 [2.78, 10.26]3 studies · 290 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Participant‐perceived cure or improvement after treatment Treatment duration: 6–8 weeks
Pelvic floor muscle training vs control
RR 2.39 [1.64, 3.47]2 studies · 166 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Number of leakage episodes in 24 hours
Pelvic floor muscle training vs control
no estimate extracted4 studies · 349 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Short (up to 1 hour) pad test measured as grams of urine Treatment duration: 6 weeks to 6 months
Pelvic floor muscle training vs control
no estimate extracted2 studies · 146 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
GRADE A UI‐specific symptom measures Treatment duration: 12 weeks
Pelvic floor muscle training vs control
no estimate extracted1 study · 1 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
GRADE A UI‐specific QoL measures Treatment duration: 6–12 weeks
Pelvic floor muscle training vs control
no estimate extracted4 studies · 4 participantsLow
Downgraded: risk of bias, imprecision, inconsistency

Pelvic floor muscle training compared to control for urgency urinary incontinence in women

Population: UUI in women
6 questions
OutcomeEffectEvidenceStatus / GRADE
Participant‐perceived cure after treatment
Pelvic floor muscle training vs control
no estimate extracted0 studies · 0 participantsUngraded
Participant‐perceived cure or improvement after treatment
Pelvic floor muscle training vs control
no estimate extracted0 studies · 0 participantsUngraded
Number of leakage episodes in 24 hours
Pelvic floor muscle training vs control
no estimate extracted1 study · 12 participantsLow
Downgraded: risk of bias
Short (up to 1 hour) pad test measured as grams of urine
Pelvic floor muscle training vs control
no estimate extracted0 studies · 0 participantsUngraded
GRADE A UI‐specific symptom measures
Pelvic floor muscle training vs control
no estimate extracted0 studies · 0 participantsUngraded
GRADE A UI‐specific QoL measures
Pelvic floor muscle training vs control
no estimate extracted0 studies · 0 participantsUngraded