Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women: a Cochrane systematic review abridged republication

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Review written by Dr Sarah Haag

Key Points

  1. Urinary incontinence is a very common diagnosis.
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BACKGROUND & OBJECTIVE

Urinary incontinence is a very common issue amongst adults living in the community and has a negative effect on quality of life. The prevalence of urinary incontinence in women is between 25% and 45% in most studies, impacting women across the lifespan. The purpose of this review is to update the Cochrane Systematic Review from 2018, with the addition of more studies assessing the effects of Pelvic Floor Muscle Training (PFMT) for women with urinary incontinence compared to no treatment, placebo or sham treatments. A secondary objective of the review was to summarize the cost effectiveness and availability of PFMT treatments.

The prevalence of urinary incontinence in women is between 25% and 45%.
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Pelvic floor muscle training should be the first line treatment for urinary incontinence.

METHODS

This review was based on the search strategy developed by the Cochrane Incontinence Group. Randomized and quasi-randomized controlled trials of PFMT for the treatment of urinary incontinence were included, with the last search date occurring on February 12, 2018 for

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