A randomised controlled trial of pelvic floor muscle training for stage I and II pelvic organ prolapse

Suzanne Hagen, Diane Stark, Cathryn Glazener, Lesley Sinclair, Ian Ramsay

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Abstract

Forty-seven women participated in a pilot study for a multi-centre randomized controlled trial of the effectiveness of pelvic floor muscle training (PFMT) for women with prolapse. Women with symptomatic stage I or II prolapse [measured by Pelvic Organ Prolapse Quantification (POP-Q)] were randomized to a 16-week physiotherapy intervention (PFMT and lifestyle advice; n¿=¿23) or a control group receiving a lifestyle advice sheet (n¿ =¿24). Symptom severity and quality of life were measured via postal questionnaires. Blinded POP-Q was performed at baseline and follow-up. Intervention women had significantly greater improvement than controls in prolapse symptoms (mean score decrease 3.5 versus 0.1, p¿=¿0.021), were significantly more likely to have an improved prolapse stage (45% versus 0%, p¿=¿0.038) and were significantly more likely to say their prolapse was better (63% versus 24%, p¿=¿0.012). The data support the feasibility of a substantive trial of PFMT for prolapse. A multi-centre trial is underway.

Original languageEnglish
Pages (from-to)45-51
Number of pages7
JournalInternational Urogynecology Journal
Volume20
Issue number1
DOIs
Publication statusPublished - Jan 2009

Keywords

  • pelvic organ prolapse
  • pelvic floor muscle training
  • physiotherapy

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