No additional benefit of pelvic floor muscle training over bladder training among women with overactive bladder

Randomized controlled clinical trial including women with OAB symptoms, randomized into two groups: BT versus BT + PFMT. For 12 consecutive weeks, the women received home BT. The BT + PFMT performed supervised PFMT, once/week, associated at home PFMT protocol. Primary outcomes were urinary urgency, daytime voiding frequency, nocturia and urgency urinary incontinence assisted by both 3-day bladder diary and International Consultation on Incontinence OAB (ICIQ-OAB) questionnaire. Secondary outcomes were 24-h pad test and Patient Global Impression of Improvement. T-test, analysis of variance, Mann–Whitney (SPSS 20.0) and power/effect size (G-power) were applied in data analyses.

Results

Sixty-three women were included (B = 31; BT + PFMT = 32). There was no significant statistical difference between groups in terms of urinary symptoms: daytime frequency (BT: pre: 11.59 [±5.80], post: 9.10 [±4.05]; BT + PFMT: pre: 10.67 [±3.73], post: 8.08 [±3.38]) p = 0.75; nocturia: (BT: pre: 1.46 [±0.91], post: 0.82 [±0.82]; BT + PFMT: pre: 1.80 [±2.26], post: 0.82 [±1.15]) p = 0.70; urinary urgency (BT: pre: 3.22 [±4.70], post: 4.49 [±4.32]; BT + PFMT: pre: 6.87 [±5.60], post: 6.15 [±4.52]) p = 0.10; ICIQ-OAB total score: (BT: pre: 9.16 [±2.55], post: 6.32 [±3.77]; (BT + PFMT: pre: 9.75 [±2.06], post: 5.06 [±3.44] p = 0.30.

Supervised PFMT added to BT did not provide further improvements than isolated BT in women with OAB symptoms.

Reference:

Monteiro, S, Rocha, AK, Valim, L, Silva, SLAd, Riccetto, C, Botelho, S. Bladder training compared to bladder training associated with pelvic floor muscle training for overactive bladder symptoms in women: a randomized clinical trial. Neurourol Urodyn. 2023; 1-10. doi:10.1002/nau.25285

Keywords:

No, additional, benefit, pelvic, floor, muscle, training, over, bladder, training, among, women, overactive bladder,Monteiro, S, Rocha, AK, Valim, L, Silva, SLAd, Riccetto, C, Botelho, S.