SynthesisBMC urology2026
Pelvic floor muscle training for pelvic organ prolapse: A systematic review and meta-analysis of randomized controlled trials.
Synthesis in BMC urology, 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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5 authors.
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Abstract
backgroundPelvic organ prolapse (POP) substantially affects women's health and quality of life. Pelvic floor muscle training (PFMT) is a promising conservative treatment for POP, but evidence from randomized controlled trials (RCTs) remains diversity. This systematic review and meta-analysis aimed to evaluate the effectiveness of PFMT for POP.
methodsWe conducted a systematic review by using the PICOS framework, including RCTs that aimed to compare PFMT with other conservative treatments for POP. Outcomes included POP Symptom Score (POP-SS), POP Quantification (POP-Q), self-reported symptom improvement, and pelvic floor muscle function (sEMG-MVC, endurance, Modified Oxford Grading).
resultsA total of 16 studies were included in this meta-analysis. Compared with the control group, PFMT group was associated with lower POP-SS, higher sEMG-MVC, and greater pelvic floor muscle endurance. PFMT also improved self-reported symptom improvement, overall POP-Q stage, and anterior vaginal wall prolapse. No clear benefit was seen for posterior vaginal wall prolapse or Oxford grade. Short-term PFMT (≤ 6 months) showed beneficial effects, whereas long-term efficacy (> 6 months) and effects in individuals aged ≥ 55 years were not statistically significant.
conclusionsPFMT may improve short-term symptoms and pelvic floor muscle function in women with POP. However, long-term efficacy and effects in older women remain uncertain and require further investigation.
trial registrationNot applicable.
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