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Article
A randomised controlled trial of pelvic floor muscle training for stage I and II pelvic organ prolapse
International Urogynecology Journal (2009)
  • Suzanne Hagen, Glasgow Caledonian University
  • Diane Stark
  • Cathryn Glazener
  • Lesley Sinclair
  • Ian Ramsay
Abstract

Forty-seven women participated in a pilot study for a multi-centre randomized controlled trial of the effectiveness of pelvic floor muscle training (PFMT) for women with prolapse. Women with symptomatic stage I or II prolapse [measured by Pelvic Organ Prolapse Quantification (POP-Q)] were randomized to a 16-week physiotherapy intervention (PFMT and lifestyle advice; n = 23) or a control group receiving a lifestyle advice sheet (n  = 24). Symptom severity and quality of life were measured via postal questionnaires. Blinded POP-Q was performed at baseline and follow-up. Intervention women had significantly greater improvement than controls in prolapse symptoms (mean score decrease 3.5 versus 0.1, p = 0.021), were significantly more likely to have an improved prolapse stage (45% versus 0%, p = 0.038) and were significantly more likely to say their prolapse was better (63% versus 24%, p = 0.012). The data support the feasibility of a substantive trial of PFMT for prolapse. A multi-centre trial is underway.

Keywords
  • pelvic floor muscle training,
  • pelvic organ prolapse,
  • physiotherapy
Publication Date
January 1, 2009
Publisher Statement

Originally published in: International Urogynecology Journal (2009), 20, pp.45-51. Available online from publisher's website: http://dx.doi.org/10.1007/s00192-008-0726-4. Copyright Springer-Verlag.

Citation Information
Suzanne Hagen, Diane Stark, Cathryn Glazener, Lesley Sinclair, et al.. "A randomised controlled trial of pelvic floor muscle training for stage I and II pelvic organ prolapse" International Urogynecology Journal Vol. 20 (2009)
Available at: http://works.bepress.com/suzanne_hagen/8/