Trial reportBMJ (Clinical research ed.)2005
Randomised controlled trial of conservative management of postnatal urinary and faecal incontinence: six year follow up.
Trial report in BMJ (Clinical research ed.), 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02270008 (Reducing Perinatal Anal Incontinence Through Early Pelvic Floor Muscle Training), which is not on this map. Cited by 20 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Reducing Perinatal Anal Incontinence Through Early Pelvic Floor Muscle Training: a Prospective Pilot Study
Who cites it
20 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women.The Cochrane database of systematic reviews · 2020Pooled it
- Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women.The Cochrane database of systematic reviews · 2017Pooled it
- Lifestyle interventions for the treatment of urinary incontinence in adults.The Cochrane database of systematic reviews · 2015Pooled it
- Biofeedback and/or sphincter exercises for the treatment of faecal incontinence in adults.The Cochrane database of systematic reviews · 2012Pooled it
- Bladder training for urinary incontinence in adults.The Cochrane database of systematic reviews · 2004Pooled it
- Long term follow-up of a randomised controlled trial of services for urinary symptoms.BMC health services research · 2011Trial
- Adherence to behavioral interventions for urge incontinence when combined with drug therapy: adherence rates, barriers, and predictors.Physical therapy · 2010Trial
- A randomized clinical trial comparing pelvic floor muscle training to a Pilates exercise program for improving pelvic muscle strength.International urogynecology journal · 2010Trial
- Pelvic floor muscle training is not effective in women with UI in pregnancy: a randomised controlled trial.International urogynecology journal and pelvic floor dysfunction · 2007Trial
- The Effectiveness of PFMT in Treating Postpartum Urinary 1 Incontinence: A Systematic Review and Meta-analysis.International urogynecology journal · 2026Review
- Functional Exercise Versus Specific Pelvic Floor Exercise: Observational Pilot Study in Female University Students.Healthcare (Basel, Switzerland) · 2023Article
- Age-related alterations in female obturator internus muscle.International urogynecology journal · 2017Article
- Pelvic Floor Muscle Training: Underutilization in the USA.Current urology reports · 2016Review
- The transitioning from trials to extended follow-up studies.Clinical trials (London, England) · 2014Article
- Prevalence of major levator abnormalities in symptomatic patients with an underactive pelvic floor contraction.International urogynecology journal · 2010Article
- Cell-based therapy for urinary incontinence.Korean journal of urology · 2010Article
- Natural progression of anal incontinence after childbirth.International urogynecology journal and pelvic floor dysfunction · 2009Article
- Design of a questionnaire for evaluating the quality of life of postpartum women (PQOL) in China.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2009Article
- Ten-year follow-up after conservative treatment of stress urinary incontinence.International urogynecology journal and pelvic floor dysfunction · 2008Article
- Pregnancy and delivery after mid-urethral sling procedures for stress urinary incontinence: case reports and a review of literature.International urogynecology journal and pelvic floor dysfunction · 2008Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the long term effects of a conservative nurse-led intervention for postnatal urinary incontinence.
designRandomised controlled trial.
settingCommunity based intervention in three centres in the United Kingdom and New Zealand.
participants747 women with urinary incontinence at three months after childbirth, of whom 516 were followed up again at 6 years (69%).
interventionActive conservative treatment (pelvic floor muscle training and bladder training) at five, seven, and nine months after delivery or standard care.
main outcome measuresUrinary and faecal incontinence, performance of pelvic floor muscle training.
resultsOf 2632 women with urinary incontinence, 747 participated in the original trial. The significant improvements relative to controls in urinary (60% v 69%) and faecal (4% v 11%) incontinence at one year were not found at six year follow up (76% v 79% (95% confidence interval for difference in means -10.2% to 4.1%) for urinary incontinence, 12% v 13% (-6.4% to 5.1%) for faecal incontinence) irrespective of subsequent obstetric events. In the short term the intervention had motivated more women to perform pelvic floor muscle training (83% v 55%) but this fell to 50% in both groups in the long term. Both urinary and faecal incontinence increased in prevalence in both groups during the study period.
conclusionsThe moderate short term benefits of a brief nurse-led conservative treatment of postnatal urinary incontinence may not persist, even among women with no further deliveries. About three quarters of women with urinary incontinence three months after childbirth still have this six years later.
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