Trial reportInternational urogynecology journal2026
Effectiveness of Intensive Preoperative Pelvic Floor Muscle Training in Women with Stress Urinary Incontinence Awaiting Surgery: A Randomized Controlled Trial.
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. Not yet cited in PubMed.
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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.
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Authors and funding
6 authors.
Funding
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Abstract
introduction and hypothesisWe aimed to investigate the effectiveness of intensive preoperative pelvic floor muscle training (I-PPFMT) in women with stress urinary incontinence (SUI) awaiting mid-urethral sling surgery.
methodsNinety women with SUI scheduled for surgery were randomly assigned to an I-PPFMT group (n = 46) or a control group (CG) receiving only education (n = 44). The intervention group completed 6-week I-PPFMT emphasizing both endurance and strength, whereas the CG received only education about the pelvic floor. All assessments were conducted before and after the intervention. Pelvic floor muscle (PFM) function was evaluated using the Modified Oxford System (MOS) of grading and perineometric measurements, whereas pelvic floor health knowledge was assessed using the Pelvic Floor Health Knowledge Quiz. In addition, pelvic floor symptoms were evaluated using the Global Pelvic Floor Bother Questionnaire and the Incontinence Severity Index (ISI).
resultsThe I-PPFMT group showed significant improvements in MOS (p = 0.001, d = 0.85) and ISI (p = 0.001, d = 0.90) compared with the control group. Pelvic floor health knowledge also increased significantly in the I-PPFMT group (p = 0.038). GPFBQ scores improved in both groups. Importantly, in 43% of participants, the planned surgical procedure was postponed following completion of I-PFMT.
conclusionsI-PPFMT significantly enhanced PFM strength and symptom severity. Nearly half of the participants postponed their planned surgical procedure, supporting the integration of structured preoperative PFMT into standard clinical practice as a potentially effective, low-risk, and cost-efficient strategy to optimize continence outcomes and reduce immediate surgical demand.
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