Trial reportInternational urogynecology journal2026
Constipation as a Hidden Barrier to Pelvic Floor Tele-Rehabilitation: A Randomized Controlled Trial in Women with Stress Urinary Incontinence.
Trial report in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Comment on "Constipation as a Hidden Barrier to Pelvic Floor Tele-Rehabilitation: A Randomized Controlled Trial in Women with Stress Urinary Incontinence".International urogynecology journal · 2026Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisTo investigate whether integrating constipation management into tele-supervised pelvic floor muscle training (PFMT) improves continence outcomes compared with PFMT alone, and to determine whether constipation, pelvic floor self-efficacy, body awareness, and adherence predict treatment response.
methodsIn this randomized controlled trial, 200 women aged 18-60 years with stress urinary incontinence (SUI) were randomized to group A (tele-supervised PFMT only) or group B (PFMT plus constipation management). All participants completed a 12-week live Zoom®-based PFMT program. In addition, group B received dietary fiber regulation, hydration guidance, bowel habit training, optimal defecation posture instruction, and osmotic laxatives when clinically indicated according to Rome IV and Wexner criteria. Outcomes-ICIQ-UI SF, 1-h pad test, Oxford pelvic floor strength, self-efficacy, body awareness, constipation severity (Wexner), bowel frequency, and quality of life (ICIQ-LUTSqol)-were assessed at baseline, week 12 and 3-month follow-up. Analyses were performed under an intention-to-treat framework with multiple imputation; longitudinal changes were examined using repeated-measures ANOVA (or Friedman tests for non-normal variables), and baseline-adjusted between-group comparisons were evaluated using ANCOVA.
resultsBoth groups improved significantly in urinary symptoms, leakage, muscle strength, self-efficacy, and body awareness (p < 0.001). However, group B showed greater improvement in ICIQ-UI SF scores (-7.9 ± 2.6 vs -6.4 ± 2.8; p = 0.021), pad-test leakage (-6.6 g vs -5.4 g; p = 0.034) and quality of life (-12.0 vs -9.3; p = 0.026). Constipation severity decreased only in group B (p < 0.001).
conclusionsFunctional constipation reduces responsiveness to PFMT-based tele-rehabilitation in women with SUI. Integrating bowel management, self-efficacy strengthening, and body awareness into PFMT supports a multidisciplinary, gut-informed continence rehabilitation approach.
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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.