Evidence map›Paper›PMID 33580809›Full record

Trial reportInternational urogynecology journal2021

The effect of preoperative pelvic floor muscle training on urinary and colorectal-anal distress in women undergoing pelvic organ prolapse surgery-a randomized controlled trial.

Seema Mathew, Maria Øyasæter Nyhus, Øyvind Salvesen, Kjell Åsmund Salvesen, Signe Nilssen Stafne, Ingrid Volløyhaug

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International urogynecology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03064750 (Pelvic Floor Exercise Before Surgery in Women With Pelvic Organ Prolapse), which is not on this map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.3field-weighted citation impact, top 42% 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.

NCT03064750 nacompletednot on this map

Pelvic Floor Exercise Before Surgery in Women With Pelvic Organ Prolapse

TypeinterventionalSponsorSt. Olavs HospitalRan2017 to 2019Enrolled151ConditionsPelvic Organ Prolapse, Pelvic Floor DisordersArmspelvic floor exercises, Waiting list
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Perioperative interventions in pelvic organ prolapse surgery.The Cochrane database of systematic reviews · 2025
    Pooled it
  3. Review
  4. Review
  5. Review
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

6 authors at 1 institution in 1 country.

Seema MathewDepartment of Obstetrics and Gynecology, St. Olavs University Hospital, Trondheim, Norway. seemamathew.sm@gmail.com.ORCID http://orcid.org/0000-0002-5007-9322
Maria Øyasæter NyhusDepartment of Obstetrics and Gynecology, St. Olavs University Hospital, Trondheim, Norway.
Øyvind SalvesenDepartment of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.
Kjell Åsmund SalvesenDepartment of Obstetrics and Gynecology, St. Olavs University Hospital, Trondheim, Norway.
Signe Nilssen StafneDepartment of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.
Ingrid VolløyhaugDepartment of Obstetrics and Gynecology, St. Olavs University Hospital, Trondheim, Norway.
Norwegian University of Science and Technology · NO

Funding

The Liasion Committee for Education, Research and Innovation in Central Norway (Samarbeidsorganet Helse Midt-Norge) P-101830-1
6 · The paper itself

Abstract

introduction and hypothesisPelvic floor muscle training (PFMT) improves urinary incontinence and mild pelvic organ prolapse (POP). We aimed to investigate the effect of preoperative PFMT on urinary and colorectal-anal distress and related quality of life (QoL) in women with severe POP scheduled for surgery.

methodsRandomized controlled trial of 159 women scheduled for POP surgery (intervention = 81, controls = 78). Intervention consisted of daily PFMT from inclusion to the day of surgery. Symptoms and QoL were assessed at inclusion, day of surgery and 6 months postoperatively using the Urinary Distress Inventory (UDI-6), Colorectal-Anal Distress Inventory (CRADI-8), Urinary Impact Questionnaire (UIQ) and Colorectal-Anal Impact Questionnaire (CRAIQ) (range 0-100). Mixed model statistical analyses were used.

resultsOne hundred fifty-one (95%) women completed the study (intervention = 75, controls = 76). Mean waiting times until surgery and follow-up were 22 and 28 weeks. There was no difference in mean postoperative symptom and QoL scores (95% CI) between the intervention and control group: UDI-6 16 (12-21) vs. 17 (13-22), CRADI-8 15 (11-18) vs. 13 (10-16), UIQ 11 (7-15) vs. 10 (6-13) and CRAIQ 5 (2-7) vs. 6 (4-9), all p > 0.05. Overall mean scores were reduced from baseline to postoperative follow-up: UDI-6 37 (33-41) vs. 17 (14-20), CRADI-8 22 (19-25) vs. 14 (11-16); UIQ 28 (24-32) vs. 10 (7-13) and CRAIQ 16 (12-19) vs. 5 (3-7), all p < 0.01.

conclusionsWe found no added effect of preoperative PFMT on symptoms or QoL related to urinary and colorectal-anal distress in women scheduled for POP surgery. They achieved symptomatic improvement postoperatively regardless of PFMT. CLINICAL

trial registrationThe study was registered in clinicaltrials.gov: NCT 03,064,750.

Indexed as

Colorectal NeoplasmsPelvic Organ ProlapseFemaleHumansPelvic FloorQuality of LifeSurveys and QuestionnairesFecal incontinenceMuscle trainingPelvic floorPelvic organ prolapseRandomized clinical trialUrinary incontinence

Identifiers

PMID33580809
PMCPMC8455377
OpenAlexW3127170724

What OpenQuestion holds

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LicenceCC BY
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.