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Study Title and Description

Pelvic floor muscle training in women with stress urinary incontinence causes hypertrophy of the urethral sphincters and reduces bladder neck mobility during coughing.



Key Questions Addressed
1 KQ 1: What are the benefits and harms of nonpharmacological treatments of UI in women, and how do they compare with each other? KQ 2: What are the benefits and harms of pharmacological treatments of UI in women, and how do they compare with each other? KQ 3: What are the comparative benefits and harms of nonpharmacological versus pharmacological treatments of UI in women? KQ 4: What are the benefits and harms of combined nonpharmacological and pharmacological treatment of UI in women?
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Primary Publication Information
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TitleData
Title Pelvic floor muscle training in women with stress urinary incontinence causes hypertrophy of the urethral sphincters and reduces bladder neck mobility during coughing.
Author McLean L., Varette K., Gentilcore-Saulnier E., Harvey MA., Baker K., Sauerbrei E.
Country School of Rehabilitation Therapy, Faculty of Health Sciences, Queen's University, Kingston, Ontario, Canada.
Year 2013
Numbers Pubmed ID: 23861324

Secondary Publication Information
There are currently no secondary publications defined for this study.


Extraction Form: All studies
Arms
Number Title Description Comments
1 PFMT + home exercise
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2 Control
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Design Details
Question... Follow Up Answer Follow-up Answer
Study type RCT
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Country/countries Canada
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Funding source Not reported
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Inclusion criteria Age > 18 years old; symptoms of SUI with or without urge incontinence, nocturia or anterior compartment prolapse
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Exclusion criteria Fecal incontinence; on medications known to increase or alleviate incontinence; known neurological impairments involving the central nervous system or the sacral nerves or known connective tissue disorder
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UI type
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100
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Age 51.7
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mean
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8.6
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Men included 0
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Special populations 35
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100
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Race 35
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100
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Notes
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Did participants fail previous treatment? Not reported/unclear
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Study years nd
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Trial name (if given)
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Does this paper cite a previous paper from the same study?
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Baseline Characteristics
Question PFMT + home exercise Control Total Comments
AnswerFollow-up AnswerFollow-up AnswerFollow-up
Participant flow 20 20 40
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18 17 35
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2 3 5
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D/c due to time commitment D/c due to time commitment D/c due to time commitment
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Notes ultrasound data analyzed n=15 (error in file saving lost data for n=3)
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Results & Comparisons

No Results found.

Quality Dimensions
Dimension Value Notes Comments
RCT:.....Adequate generation of a randomized sequence Low RoB
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RCT:.....Allocation concealment High RoB No data
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RCT:.....Blinding of PATIENTS High RoB No data
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RCT.....Intention-to-treat-analysis High RoB Dropouts due to time commitment of intervention
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ALL.....Blinding of OUTCOME ASSESSORS (or "DOUBLE BLIND") High RoB No data
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ALL.....Incomplete results data (attrition bias) Low RoB
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ALL....Group similarity at baseline (selection bias) Low RoB
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ALL.....Compliance with interventions Low RoB
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NRCS.....Patients in different intervention groups selected in an equivalent manner
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NRCS....Baseline differences between groups accounted for (Adjusted analysis)?
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ALL.....Other issues No
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ALL....Were interventions adequately described? No Unclear details for home exercise program
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Quality Rating
No quality rating data was found.