Evidence map›Paper›PMID 26883864›Full record

SynthesisRevista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia2016

Conservative Treatment of Stress Urinary Incontinence: A Systematic Review with Meta-analysis of Randomized Controlled Trials.

Rafael Mendes Moroni, Pedro Sergio Magnani, Jorge Milhem Haddad, Rodrigo de Aquino Castro, Luiz Gustavo Oliveira Brito

3 registry-linked trialsOpen access · diamondAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 30 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 6 pooled it
6.3field-weighted citation impact, top 4% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT04687748 nacompletednot on this mapstarted 2021, after this paper: background citation

Effects of Surface EMG-biofeedback on Pelvic Floor Muscle Training Among Women With Post-partum Urinary Incontinence.

TypeinterventionalSponsorRiphah International UniversityRan2021 to 2021Enrolled30ConditionsUrinary IncontinenceArmsElectromographic Biofeedback, PFM exercises
NCT05624645 nacompletednot on this mapstarted 2021, after this paper: background citation

Efficacy of a Non-invasive Pelvic Floor Muscle Trainer for Treatment of Stress Urinary Incontinence

TypeinterventionalSponsorPelexRan2021 to 2022Enrolled5ConditionsStress Urinary Incontinence, Urinary Incontinence, Pelvic Floor DisordersArmsPelex Upp
NCT06097234 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Comparison of Virtual Pelvic Floor Physical Therapy With a Pelvic Floor Trainer in the Treatment of Stress Urinary Incontinence.

TypeinterventionalSponsorPelexRan2024 to 2024Enrolled45ConditionsStress Urinary Incontinence, Pelvic Floor DisordersArmsPelex Upp, Pelvic Floor Physical Therapy
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 6 syntheses or guidelines pooled it, 70 citations in OpenAlex.

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  6. The Effectiveness of Anticholinergic Therapy for Overactive Bladders: Systematic Review and Meta-Analysis.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Rafael Mendes MoroniDepartment of Gynecology and Obstetrics, Ribeirão Preto School of Medicine, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil.
Pedro Sergio MagnaniDepartment of Gynecology and Obstetrics, Ribeirão Preto School of Medicine, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil.
Jorge Milhem HaddadDepartment of Gynecology, School of Medicine, Universidade de São Paulo, São Paulo, São Paulo, Brazil.
Rodrigo de Aquino CastroDepartment of Gynecology, Universidade Federal de São Paulo, São Paulo, São Paulo, Brazil.
Luiz Gustavo Oliveira BritoDepartment of Gynecology and Obstetrics, Ribeirão Preto School of Medicine, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil.
Universidade de São Paulo · BRUniversidade Federal de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We performed a systematic review and meta-analysis of randomized controlled trials that studied the conservative management of stress urinary incontinence (SUI). There were 1058 results after the initial searches, from which 37 studies were eligible according to previously determined inclusion criteria. For the primary outcomes, pelvic floor muscle training (PFMT) was more efficacious than no treatment in improving incontinence-specific quality of life (QoL) scales (SMD = -1.24SDs; CI 95% = -1.77 to -0.71SDs). However, its effect on pad tests was imprecise. Combining biofeedback with PFMT had an uncertain effect on QoL (MD = -4.4 points; CI 95% = -16.69 to 7.89 points), but better results on the pad test, although with elevated heterogeneity (MD = 0.9g; 95%CI = 0.71 to 1,10g); group PFMT was not less efficacious than individual treatment, and home PFMT was not consistently worse than supervised PFMT. Both intravaginal and superficial electrical stimulation (IES and SES) were better than no treatment for QoL and pad test. Vaginal cones had mixed results. The association of IES with PFMT may improve the efficacy of the latter for QoL and pad test, but the results of individual studies were not consistent. Thus, there is evidence of the use of PFMT on the treatment of SUI, with and without biofeedback.

Indexed as

Conservative TreatmentExercise TherapyFemaleHumansPelvic FloorQuality of LifeRandomized Controlled Trials as TopicUrinary Incontinence, Stress

Identifiers

PMID26883864
PMCPMC10309479
OpenAlexW2278194250

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.