Effects of vaginal tampon training added to pelvic floor muscle training in women with stress urinary incontinence: randomized controlled trial
Introduction and hypothesis We evaluated whether vaginal tampon training (VTT) combined with pelvic floor muscle training (PFMT) results in better outcomes than PFMT alone for treating stress urinary incontinence (SUI). Methods This was a randomized, controlled study. Patients were allocated to eith...
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| Veröffentlicht in: | International Urogynecology Journal 2019-02, Vol.30 (2), p.219-229 |
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| creator | Orhan, Ceren Akbayrak, Türkan Özgül, Serap Baran, Emine Üzelpasaci, Esra Nakip, Gülbala Özgül, Nejat Beksaç, Mehmet Sinan |
| description | Introduction and hypothesis
We evaluated whether vaginal tampon training (VTT) combined with pelvic floor muscle training (PFMT) results in better outcomes than PFMT alone for treating stress urinary incontinence (SUI).
Methods
This was a randomized, controlled study. Patients were allocated to either the combined program, consisting of PFMT and VTT over 12 weeks [PFMT and VTT group (
n
= 24)] or to PFMT alone [PFMT group (
n
= 24)]. The primary outcome measure was self-reported improvement, while secondary outcome measures were severity of incontinence, quality of life (QoL), urinary parameters, and pelvic floor muscle strength (PFMS) and endurance (PFME). Values were analyzed with Friedman, Mann–Whitney
U
, Wilcoxon, and chi-square tests.
Results
Between-group analysis showed no statistically significant differences in self-reported improvement, severity of incontinence, symptom distress score, PFMS, PFME, urinary parameters, and all domains of QoL scores, except social limitations, at weeks 4, 8, and 12 (
p
> 0.05). However, the increase in PFMS and PFME between baseline and week 12 and earlier improvement was significantly greater in the PFMT and VTT than in the PFMT group (both
p
|
| doi_str_mv | 10.1007/s00192-018-3585-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2013784879</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2013784879</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-48ec33b6efd2bc3b1f559fb6705071a77c5f187e8843eb308a0a6a36d48043df3</originalsourceid><addsrcrecordid>eNp1kc-KFDEQh4Mo7rj6AF4k4MVLa6Wr00l7k2X9Awte9Nyk05UxSzoZk-4VfQlf2YyzuiB4SSD11VdUfow9FfBSAKhXBUAMbQNCNyi1bNQ9thMdYoPQ4n22gwFVg13fnrFHpVwDQAcSHrKzdpDYiw527Oelc2TXwpPjN2bvowl8NcshRb5m46OPe27mmWa-Jn6gcOMtdyGlzJet2EB3lI_8W1qonn79wsuaqRS-5WrM32vRprj6SNHSa55NnNPif1Tr8TmnEI4DsjfhMXvgTCj05PY-Z5_fXn66eN9cfXz34eLNVWNRtWvTabKIU09ubieLk3BSDm7qVd1PCaOUlU5oRVp3SBOCNmB6g_3caehwdnjOXpy8h5y-blTWcfHFUggmUtrK2IJApTuthoo-_we9TluuH_WbkrJHULJS4kTZnErJ5MZD9kvdfRQwHtMaT2mNNa3xmNaoas-zW_M2LTT_7fgTTwXaE1BqKe4p343-v_UXSHqiCg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2015563075</pqid></control><display><type>article</type><title>Effects of vaginal tampon training added to pelvic floor muscle training in women with stress urinary incontinence: randomized controlled trial</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Orhan, Ceren ; Akbayrak, Türkan ; Özgül, Serap ; Baran, Emine ; Üzelpasaci, Esra ; Nakip, Gülbala ; Özgül, Nejat ; Beksaç, Mehmet Sinan</creator><creatorcontrib>Orhan, Ceren ; Akbayrak, Türkan ; Özgül, Serap ; Baran, Emine ; Üzelpasaci, Esra ; Nakip, Gülbala ; Özgül, Nejat ; Beksaç, Mehmet Sinan</creatorcontrib><description>Introduction and hypothesis
We evaluated whether vaginal tampon training (VTT) combined with pelvic floor muscle training (PFMT) results in better outcomes than PFMT alone for treating stress urinary incontinence (SUI).
Methods
This was a randomized, controlled study. Patients were allocated to either the combined program, consisting of PFMT and VTT over 12 weeks [PFMT and VTT group (
n
= 24)] or to PFMT alone [PFMT group (
n
= 24)]. The primary outcome measure was self-reported improvement, while secondary outcome measures were severity of incontinence, quality of life (QoL), urinary parameters, and pelvic floor muscle strength (PFMS) and endurance (PFME). Values were analyzed with Friedman, Mann–Whitney
U
, Wilcoxon, and chi-square tests.
Results
Between-group analysis showed no statistically significant differences in self-reported improvement, severity of incontinence, symptom distress score, PFMS, PFME, urinary parameters, and all domains of QoL scores, except social limitations, at weeks 4, 8, and 12 (
p
> 0.05). However, the increase in PFMS and PFME between baseline and week 12 and earlier improvement was significantly greater in the PFMT and VTT than in the PFMT group (both
p
< 0.05)
Conclusion
Short-term results demonstrated that PFMT with and without VT exercises had similar effectiveness on the symptoms of SUI and QoL.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-018-3585-7</identifier><identifier>PMID: 29536140</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adult ; Clinical trials ; Combined Modality Therapy ; Endurance ; Exercise Therapy - methods ; Female ; Gynecology ; Humans ; Hypotheses ; Medicine ; Medicine & Public Health ; Menstrual Hygiene Products ; Middle Aged ; Original Article ; Ostomy ; Pelvic Floor - physiopathology ; Quality of Life ; Severity of Illness Index ; Society ; Sports training ; Strength training ; Studies ; Treatment Outcome ; Urinary incontinence ; Urinary Incontinence, Stress - physiopathology ; Urinary Incontinence, Stress - therapy ; Urology</subject><ispartof>International Urogynecology Journal, 2019-02, Vol.30 (2), p.219-229</ispartof><rights>The International Urogynecological Association 2018</rights><rights>International Urogynecology Journal is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-48ec33b6efd2bc3b1f559fb6705071a77c5f187e8843eb308a0a6a36d48043df3</citedby><cites>FETCH-LOGICAL-c372t-48ec33b6efd2bc3b1f559fb6705071a77c5f187e8843eb308a0a6a36d48043df3</cites><orcidid>0000-0002-9204-8364</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00192-018-3585-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00192-018-3585-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,782,786,27931,27932,41495,42564,51326</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29536140$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Orhan, Ceren</creatorcontrib><creatorcontrib>Akbayrak, Türkan</creatorcontrib><creatorcontrib>Özgül, Serap</creatorcontrib><creatorcontrib>Baran, Emine</creatorcontrib><creatorcontrib>Üzelpasaci, Esra</creatorcontrib><creatorcontrib>Nakip, Gülbala</creatorcontrib><creatorcontrib>Özgül, Nejat</creatorcontrib><creatorcontrib>Beksaç, Mehmet Sinan</creatorcontrib><title>Effects of vaginal tampon training added to pelvic floor muscle training in women with stress urinary incontinence: randomized controlled trial</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J</addtitle><addtitle>Int Urogynecol J</addtitle><description>Introduction and hypothesis
We evaluated whether vaginal tampon training (VTT) combined with pelvic floor muscle training (PFMT) results in better outcomes than PFMT alone for treating stress urinary incontinence (SUI).
Methods
This was a randomized, controlled study. Patients were allocated to either the combined program, consisting of PFMT and VTT over 12 weeks [PFMT and VTT group (
n
= 24)] or to PFMT alone [PFMT group (
n
= 24)]. The primary outcome measure was self-reported improvement, while secondary outcome measures were severity of incontinence, quality of life (QoL), urinary parameters, and pelvic floor muscle strength (PFMS) and endurance (PFME). Values were analyzed with Friedman, Mann–Whitney
U
, Wilcoxon, and chi-square tests.
Results
Between-group analysis showed no statistically significant differences in self-reported improvement, severity of incontinence, symptom distress score, PFMS, PFME, urinary parameters, and all domains of QoL scores, except social limitations, at weeks 4, 8, and 12 (
p
> 0.05). However, the increase in PFMS and PFME between baseline and week 12 and earlier improvement was significantly greater in the PFMT and VTT than in the PFMT group (both
p
< 0.05)
Conclusion
Short-term results demonstrated that PFMT with and without VT exercises had similar effectiveness on the symptoms of SUI and QoL.</description><subject>Adult</subject><subject>Clinical trials</subject><subject>Combined Modality Therapy</subject><subject>Endurance</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Menstrual Hygiene Products</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Ostomy</subject><subject>Pelvic Floor - physiopathology</subject><subject>Quality of Life</subject><subject>Severity of Illness Index</subject><subject>Society</subject><subject>Sports training</subject><subject>Strength training</subject><subject>Studies</subject><subject>Treatment Outcome</subject><subject>Urinary incontinence</subject><subject>Urinary Incontinence, Stress - physiopathology</subject><subject>Urinary Incontinence, Stress - therapy</subject><subject>Urology</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kc-KFDEQh4Mo7rj6AF4k4MVLa6Wr00l7k2X9Awte9Nyk05UxSzoZk-4VfQlf2YyzuiB4SSD11VdUfow9FfBSAKhXBUAMbQNCNyi1bNQ9thMdYoPQ4n22gwFVg13fnrFHpVwDQAcSHrKzdpDYiw527Oelc2TXwpPjN2bvowl8NcshRb5m46OPe27mmWa-Jn6gcOMtdyGlzJet2EB3lI_8W1qonn79wsuaqRS-5WrM32vRprj6SNHSa55NnNPif1Tr8TmnEI4DsjfhMXvgTCj05PY-Z5_fXn66eN9cfXz34eLNVWNRtWvTabKIU09ubieLk3BSDm7qVd1PCaOUlU5oRVp3SBOCNmB6g_3caehwdnjOXpy8h5y-blTWcfHFUggmUtrK2IJApTuthoo-_we9TluuH_WbkrJHULJS4kTZnErJ5MZD9kvdfRQwHtMaT2mNNa3xmNaoas-zW_M2LTT_7fgTTwXaE1BqKe4p343-v_UXSHqiCg</recordid><startdate>20190201</startdate><enddate>20190201</enddate><creator>Orhan, Ceren</creator><creator>Akbayrak, Türkan</creator><creator>Özgül, Serap</creator><creator>Baran, Emine</creator><creator>Üzelpasaci, Esra</creator><creator>Nakip, Gülbala</creator><creator>Özgül, Nejat</creator><creator>Beksaç, Mehmet Sinan</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9204-8364</orcidid></search><sort><creationdate>20190201</creationdate><title>Effects of vaginal tampon training added to pelvic floor muscle training in women with stress urinary incontinence: randomized controlled trial</title><author>Orhan, Ceren ; Akbayrak, Türkan ; Özgül, Serap ; Baran, Emine ; Üzelpasaci, Esra ; Nakip, Gülbala ; Özgül, Nejat ; Beksaç, Mehmet Sinan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-48ec33b6efd2bc3b1f559fb6705071a77c5f187e8843eb308a0a6a36d48043df3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Clinical trials</topic><topic>Combined Modality Therapy</topic><topic>Endurance</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Gynecology</topic><topic>Humans</topic><topic>Hypotheses</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Menstrual Hygiene Products</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Ostomy</topic><topic>Pelvic Floor - physiopathology</topic><topic>Quality of Life</topic><topic>Severity of Illness Index</topic><topic>Society</topic><topic>Sports training</topic><topic>Strength training</topic><topic>Studies</topic><topic>Treatment Outcome</topic><topic>Urinary incontinence</topic><topic>Urinary Incontinence, Stress - physiopathology</topic><topic>Urinary Incontinence, Stress - therapy</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Orhan, Ceren</creatorcontrib><creatorcontrib>Akbayrak, Türkan</creatorcontrib><creatorcontrib>Özgül, Serap</creatorcontrib><creatorcontrib>Baran, Emine</creatorcontrib><creatorcontrib>Üzelpasaci, Esra</creatorcontrib><creatorcontrib>Nakip, Gülbala</creatorcontrib><creatorcontrib>Özgül, Nejat</creatorcontrib><creatorcontrib>Beksaç, Mehmet Sinan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Orhan, Ceren</au><au>Akbayrak, Türkan</au><au>Özgül, Serap</au><au>Baran, Emine</au><au>Üzelpasaci, Esra</au><au>Nakip, Gülbala</au><au>Özgül, Nejat</au><au>Beksaç, Mehmet Sinan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of vaginal tampon training added to pelvic floor muscle training in women with stress urinary incontinence: randomized controlled trial</atitle><jtitle>International Urogynecology Journal</jtitle><stitle>Int Urogynecol J</stitle><addtitle>Int Urogynecol J</addtitle><date>2019-02-01</date><risdate>2019</risdate><volume>30</volume><issue>2</issue><spage>219</spage><epage>229</epage><pages>219-229</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><abstract>Introduction and hypothesis
We evaluated whether vaginal tampon training (VTT) combined with pelvic floor muscle training (PFMT) results in better outcomes than PFMT alone for treating stress urinary incontinence (SUI).
Methods
This was a randomized, controlled study. Patients were allocated to either the combined program, consisting of PFMT and VTT over 12 weeks [PFMT and VTT group (
n
= 24)] or to PFMT alone [PFMT group (
n
= 24)]. The primary outcome measure was self-reported improvement, while secondary outcome measures were severity of incontinence, quality of life (QoL), urinary parameters, and pelvic floor muscle strength (PFMS) and endurance (PFME). Values were analyzed with Friedman, Mann–Whitney
U
, Wilcoxon, and chi-square tests.
Results
Between-group analysis showed no statistically significant differences in self-reported improvement, severity of incontinence, symptom distress score, PFMS, PFME, urinary parameters, and all domains of QoL scores, except social limitations, at weeks 4, 8, and 12 (
p
> 0.05). However, the increase in PFMS and PFME between baseline and week 12 and earlier improvement was significantly greater in the PFMT and VTT than in the PFMT group (both
p
< 0.05)
Conclusion
Short-term results demonstrated that PFMT with and without VT exercises had similar effectiveness on the symptoms of SUI and QoL.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>29536140</pmid><doi>10.1007/s00192-018-3585-7</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-9204-8364</orcidid></addata></record> |
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| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Adult Clinical trials Combined Modality Therapy Endurance Exercise Therapy - methods Female Gynecology Humans Hypotheses Medicine Medicine & Public Health Menstrual Hygiene Products Middle Aged Original Article Ostomy Pelvic Floor - physiopathology Quality of Life Severity of Illness Index Society Sports training Strength training Studies Treatment Outcome Urinary incontinence Urinary Incontinence, Stress - physiopathology Urinary Incontinence, Stress - therapy Urology |
| title | Effects of vaginal tampon training added to pelvic floor muscle training in women with stress urinary incontinence: randomized controlled trial |
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