Scolaris Content Display Scolaris Content Display

Cochrane Database of Systematic Reviews

Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women

Esta versión no es la más reciente

Información

DOI:
https://doi.org/10.1002/14651858.CD005654.pub3Copiar DOI
Base de datos:
  1. Cochrane Database of Systematic Reviews
Versión publicada:
  1. 14 mayo 2014see what's new
Tipo:
  1. Intervention
Etapa:
  1. Review
Grupo Editorial Cochrane:
  1. Grupo Cochrane de Incontinencia

Copyright:
  1. Copyright © 2014 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

Cifras del artículo

Altmetric:

Citado por:

Citado 0 veces por enlace Crossref Cited-by

Contraer

Autores

  • Chantale Dumoulin

    Correspondencia a: School of Rehabilitation, Faculty of Medicine, University of Montreal, Montreal, Canada

    [email protected]

  • E. Jean C Hay‐Smith

    Rehabilitation Teaching and Research Unit, Department of Medicine, University of Otago, Wellington, New Zealand

  • Gabrielle Mac Habée‐Séguin

    Centre de recherche de l'Institut, Universitaire de gériatrie de Montréal, Montreal, Canada

Contributions of authors

All three review authors were involved in all stages of the review. Chantale Dumoulin wrote the first draft of the review update.

Sources of support

Internal sources

  • University of Montreal, Canada.

External sources

  • National Institute for Health Research (NIHR), UK.

    The National Institute for Health Research (NIHR) is the largest single funder of the Cochrane Incontinence Group.

  • Chantale Dumoulin was funded by the International Continence Society Research Fellowship, UK.

  • Gabrielle Mac Habée‐Séguin was funded by the University of Montreal COPSE grant, Other.

Declarations of interest

Two of the three authors (CD, JHS) have published trials investigating the effects of PFMT; both trials were excluded from this review based on the participants (antenatal and postnatal women) or the comparison interventions (one type of PFMT versus another).

Acknowledgements

The authors of this review would like to acknowledge the following.

The considerable contribution made by Kari Bø, Bary Berghmans, Erik Hendriks, Rob de Bie and Ernst van Waalwijk van Doorn, co‐authors of one of the previous versions of the PFMT review (Hay‐Smith 2002b).

The assistance of Michael Albert and Peter Dietz in translating papers from German to English.

The considerable contribution made by Cathryn Glazener, Muhammad Imran Omar, Suzanne MacDonald and Sheila Wallace to the update of the present version of the PFMT review.

The support of the International Continence Society research fellowship.

Version history

Published

Title

Stage

Authors

Version

2018 Oct 04

Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women

Review

Chantale Dumoulin, Licia P Cacciari, E Jean C Hay‐Smith

https://doi.org/10.1002/14651858.CD005654.pub4

2014 May 14

Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women

Review

Chantale Dumoulin, E. Jean C Hay‐Smith, Gabrielle Mac Habée‐Séguin

https://doi.org/10.1002/14651858.CD005654.pub3

2010 Jan 20

Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women

Review

Chantale Dumoulin, Jean Hay‐Smith

https://doi.org/10.1002/14651858.CD005654.pub2

2006 Jan 25

Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women

Review

Jean Hay‐Smith, Chantale Dumoulin

https://doi.org/10.1002/14651858.CD005654

Keywords

MeSH

PICO

Population
Intervention
Comparison
Outcome

El uso y la enseñanza del modelo PICO están muy extendidos en el ámbito de la atención sanitaria basada en la evidencia para formular preguntas y estrategias de búsqueda y para caracterizar estudios o metanálisis clínicos. PICO son las siglas en inglés de cuatro posibles componentes de una pregunta de investigación: paciente, población o problema; intervención; comparación; desenlace (outcome).

Para saber más sobre el uso del modelo PICO, puede consultar el Manual Cochrane.

PRISMA study flow diagram.
Figuras y tablas -
Figure 1

PRISMA study flow diagram.

original image
Figuras y tablas -
Figure 2

original image
Figuras y tablas -
Figure 3

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 1 Participant perceived cure.
Figuras y tablas -
Analysis 1.1

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 1 Participant perceived cure.

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 2 Participant perceived cure or improvement after treatment.
Figuras y tablas -
Analysis 1.2

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 2 Participant perceived cure or improvement after treatment.

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 3 Quality of life (King's Health Questionnaire/Severity measure after treatment).
Figuras y tablas -
Analysis 1.3

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 3 Quality of life (King's Health Questionnaire/Severity measure after treatment).

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 4 Quality of life (King's Health Questionnaire/Incontinence impact after treatment).
Figuras y tablas -
Analysis 1.4

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 4 Quality of life (King's Health Questionnaire/Incontinence impact after treatment).

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 5 Quality of life (King's Health Questionnaire/Physical limitation).
Figuras y tablas -
Analysis 1.5

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 5 Quality of life (King's Health Questionnaire/Physical limitation).

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 6 Number of women with interference with life due to UI.
Figuras y tablas -
Analysis 1.6

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 6 Number of women with interference with life due to UI.

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 7 I‐QOL.
Figuras y tablas -
Analysis 1.7

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 7 I‐QOL.

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 8 Quality of life (King's Health Questionnaire/General health score).
Figuras y tablas -
Analysis 1.8

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 8 Quality of life (King's Health Questionnaire/General health score).

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 9 Cure at up to one year.
Figuras y tablas -
Analysis 1.9

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 9 Cure at up to one year.

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 10 Cure or improvement at up to one year.
Figuras y tablas -
Analysis 1.10

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 10 Cure or improvement at up to one year.

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 11 Patient perceived satisfaction.
Figuras y tablas -
Analysis 1.11

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 11 Patient perceived satisfaction.

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 12 Number of women needing further treatment.
Figuras y tablas -
Analysis 1.12

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 12 Number of women needing further treatment.

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 13 Number of leakage episodes in 24 hours.
Figuras y tablas -
Analysis 1.13

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 13 Number of leakage episodes in 24 hours.

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 14 Number of voids per day (frequency).
Figuras y tablas -
Analysis 1.14

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 14 Number of voids per day (frequency).

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 15 Number of voids per night (nocturia).
Figuras y tablas -
Analysis 1.15

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 15 Number of voids per night (nocturia).

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 16 Short (up to one hour) pad test measured as grams of urine.
Figuras y tablas -
Analysis 1.16

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 16 Short (up to one hour) pad test measured as grams of urine.

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 17 24 hour pad test (grams).
Figuras y tablas -
Analysis 1.17

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 17 24 hour pad test (grams).

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 18 Number cured on short pad test (objective) after treatment.
Figuras y tablas -
Analysis 1.18

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 18 Number cured on short pad test (objective) after treatment.

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 19 Number cured or improved on short pad test (objective) after treatment.
Figuras y tablas -
Analysis 1.19

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 19 Number cured or improved on short pad test (objective) after treatment.

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 20 Number of women with sex life spoilt by UI.
Figuras y tablas -
Analysis 1.20

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 20 Number of women with sex life spoilt by UI.

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 21 Number of women with UI during intercourse.
Figuras y tablas -
Analysis 1.21

Comparison 1 PFMT versus no treatment, placebo or control, Outcome 21 Number of women with UI during intercourse.

Summary of findings for the main comparison. PFMT versus no treatment, placebo or control for urinary incontinence in women (SUI)

PFMT versus no treatment, placebo or control for urinary incontinence in women

Patient or population: patients with urinary incontinence in women
Settings:
Intervention: PFMT versus no treatment, placebo or control

Outcomes

Illustrative comparative risks* (95% CI)

Relative effect
(95% CI)

No of Participants
(studies)

Quality of the evidence
(GRADE)

Comments

Assumed risk

Corresponding risk

Control

PFMT versus no treatment, placebo or control

Participant perceived cure ‐ stress urinary incontinence

Study population

RR 8.38
(3.68 to 19.07)

165
(4 studies)

⊕⊕⊕⊕
high1

60 per 1000

505 per 1000
(222 to 1000)

Moderate

62 per 1000

520 per 1000
(228 to 1000)

Participant perceived cure or improvement after treatment ‐ stress urinary incontinence

Study population

RR 17
(4.25 to 67.95)

121
(2 studies)

⊕⊕⊕⊝
moderate1,2

32 per 1000

540 per 1000
(135 to 1000)

Moderate

32 per 1000

544 per 1000
(136 to 1000)

Quality of life (King's Health Questionnaire/Incontinence impact after treatment) ‐ stress urinary incontinence

The mean quality of life (King's health questionnaire/incontinence impact after treatment) ‐ stress urinary incontinence in the intervention groups was
11.76 lower
(20.83 to 2.69 lower)

145
(3 studies)

⊕⊝⊝⊝
very low1,3,4

Number of leakage episodes in 24 hours ‐ stress urinary incontinence

The mean number of leakage episodes in 24 hours ‐ stress urinary incontinence in the intervention groups was
1.21 lower
(1.52 to 0.89 lower)

253
(4 studies)

⊕⊕⊕⊝
moderate1,5

Short (up to one hour) pad test measured as grams of urine ‐ stress urinary incontinence

The mean short (up to one hour) pad test measured as grams of urine ‐ stress urinary incontinence in the intervention groups was
13.22 lower
(26.36 to 0.09 lower)

150
(3 studies)

⊕⊕⊕⊝
moderate1,6

Treatment adherence ‐ not reported

See comment

See comment

Not estimable

See comment

Formal economic analysis ‐ not reported

See comment

See comment

Not estimable

See comment

*The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
CI: Confidence interval; RR: Risk ratio

GRADE Working Group grades of evidence
High quality: Further research is very unlikely to change our confidence in the estimate of effect.
Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
Very low quality: We are very uncertain about the estimate.

1 Not applicable. Fewer than 10 trials.
2 Random sequence generation and allocation concealment judge to be high risk in1/2 trials (Lagro‐Janssen 1991).
3 Random sequence generation and allocation concealment is unclear in all trials taking part in meta‐analysis.
4 Results are inconsistent.
5 Random sequence generation and allocation concealment judge to be high risk in1 trial (Lagro‐Janssen 1991).
6 Random sequence generation and allocation concealment is unclear in 1/3 trials (Periera 2011).

Figuras y tablas -
Summary of findings for the main comparison. PFMT versus no treatment, placebo or control for urinary incontinence in women (SUI)
Summary of findings 2. PFMT versus no treatment, placebo or control for urinary incontinence in women (all types)

PFMT versus no treatment, placebo or control for urinary incontinence in women

Patient or population: patients with urinary incontinence in women
Settings:
Intervention: PFMT versus no treatment, placebo or control

Outcomes

Illustrative comparative risks* (95% CI)

Relative effect
(95% CI)

No of Participants
(studies)

Quality of the evidence
(GRADE)

Comments

Assumed risk

Corresponding risk

Control

PFMT versus no treatment, placebo or control

Participant perceived cure ‐ urinary incontinence (all types)

Study population

RR 5.5
(2.87 to 10.52)

301
(3 studies)

⊕⊕⊕⊝
moderate1,2

57 per 1000

315 per 1000
(165 to 603)

Moderate

16 per 1000

88 per 1000
(46 to 168)

Participant perceived cure or improvement after treatment ‐ urinary incontinence (all types)

Study population

RR 2.35
(1.62 to 3.39)

166
(2 studies)

⊕⊕⊕⊝
moderate2,3

288 per 1000

676 per 1000
(466 to 975)

Moderate

245 per 1000

576 per 1000
(397 to 831)

Quality of life (King's Health Questionnaire/Incontinence impact after treatment) ‐ urinary Incontinence (all types) ‐ not reported

See comment

See comment

Not estimable

See comment

Number of leakage episodes in 24 hours ‐ urinary incontinence (all types)

The mean number of leakage episodes in 24 hours ‐ urinary incontinence (all types) in the intervention groups was
0.8 lower
(1.26 to 0.34 lower)

125
(1 study)

⊕⊕⊕⊝
moderate2,4,5

Short (up to one hour) pad test measured as grams of urine ‐ urinary incontinence (all types)

The mean short (up to one hour) pad test measured as grams of urine ‐ urinary incontinence (all types) in the intervention groups was
5.1 lower
(11.16 lower to 0.96 higher)

25
(1 study)

⊕⊕⊝⊝
low2,5,6,7

Treatment adherence ‐ not reported

See comment

See comment

Not estimable

See comment

Formal economic analysis ‐ not reported

See comment

See comment

Not estimable

See comment

*The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
CI: Confidence interval; RR: Risk ratio

GRADE Working Group grades of evidence
High quality: Further research is very unlikely to change our confidence in the estimate of effect.
Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
Very low quality: We are very uncertain about the estimate.

1 Allocation concealment is unclear in Burgio 1998 which is the biggest trial.
2 Not applicable. Fewer than 10 trials.
3 Allocation concealment is unclear in both the trials.
4 Allocation concealment is unclear in Burgio1998.
5 Not applicable as there is only one trial.
6 Random sequence generation and allocation concealment judge to be unclear in1 trial which reported this outcome.
7 Results are imprecise.

Figuras y tablas -
Summary of findings 2. PFMT versus no treatment, placebo or control for urinary incontinence in women (all types)
Comparison 1. PFMT versus no treatment, placebo or control

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Participant perceived cure Show forest plot

6

Risk Ratio (M‐H, Fixed, 95% CI)

Subtotals only

1.1 stress urinary incontinence

4

165

Risk Ratio (M‐H, Fixed, 95% CI)

8.38 [3.68, 19.07]

1.2 urge urinary incontinence

0

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

1.3 mixed urinary incontinence

0

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

1.4 urinary incontinence (all types)

3

290

Risk Ratio (M‐H, Fixed, 95% CI)

5.34 [2.78, 10.26]

2 Participant perceived cure or improvement after treatment Show forest plot

4

Risk Ratio (M‐H, Fixed, 95% CI)

Subtotals only

2.1 stress urinary incontinence

2

121

Risk Ratio (M‐H, Fixed, 95% CI)

17.33 [4.31, 69.64]

2.2 urge urinary incontinence

0

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

2.3 mixed urinary incontinence

0

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

2.4 urinary incontinence (all types)

2

166

Risk Ratio (M‐H, Fixed, 95% CI)

2.39 [1.64, 3.47]

3 Quality of life (King's Health Questionnaire/Severity measure after treatment) Show forest plot

3

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

3.1 Stress Urinary incontinence

3

145

Mean Difference (IV, Fixed, 95% CI)

‐13.14 [‐21.10, ‐5.18]

3.2 Urge urinary incontinence

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.3 Mixed urinary incontinence

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.4 Urinary Incontinence (all types)

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

4 Quality of life (King's Health Questionnaire/Incontinence impact after treatment) Show forest plot

3

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

4.1 Stress Urinary incontinence

3

145

Mean Difference (IV, Fixed, 95% CI)

‐11.76 [‐20.83, ‐2.69]

4.2 Urge urinary incontinence

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.3 Mixed urinary incontinence

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.4 Urinary Incontinence (all types)

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

5 Quality of life (King's Health Questionnaire/Physical limitation) Show forest plot

3

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

5.1 Stress Urinary incontinence

3

145

Mean Difference (IV, Fixed, 95% CI)

‐11.89 [‐20.55, ‐3.23]

5.2 Urge urinary incontinence

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

5.3 Mixed urinary incontinence

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

5.4 Urinary Incontinence (all types)

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

6 Number of women with interference with life due to UI Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

6.1 stress urinary incontinence

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

6.2 urge urinary incontinence

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

6.3 mixed urinary incontinence

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

6.4 urinary incontinence (all types)

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

7 I‐QOL Show forest plot

2

Mean Difference (IV, Fixed, 95% CI)

Totals not selected

7.1 Stress urinary incontinence

1

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

7.2 Urge urinary incontinence

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

7.3 Mixed urinary incontinence

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

7.4 Urinary incontinence (all types)

1

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

8 Quality of life (King's Health Questionnaire/General health score) Show forest plot

3

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

8.1 Stress Urinary incontinence

3

145

Mean Difference (IV, Fixed, 95% CI)

1.81 [‐3.40, 7.03]

8.2 Urge urinary incontinence

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

8.3 Mixed urinary incontinence

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

8.4 Urinary Incontinence (all types)

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

9 Cure at up to one year Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

9.1 stress urinary incontinence

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

9.2 urge urinary incontinence

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

9.3 mixed urinary incontinence

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

9.4 urinary incontinence (all types)

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10 Cure or improvement at up to one year Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

10.1 stress urinary incontinence

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10.2 urge urinary incontinence

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10.3 mixed urinary incontinence

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10.4 urinary incontinence (all types)

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

11 Patient perceived satisfaction Show forest plot

3

Risk Ratio (M‐H, Fixed, 95% CI)

Subtotals only

11.1 stress urinary incontinence

2

105

Risk Ratio (M‐H, Fixed, 95% CI)

5.32 [2.63, 10.74]

11.2 urge urinary incontinence

0

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

11.3 mixed urinary incontinence

0

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

11.4 urinary incontinence (all types)

1

108

Risk Ratio (M‐H, Fixed, 95% CI)

2.77 [1.74, 4.41]

12 Number of women needing further treatment Show forest plot

2

Risk Ratio (M‐H, Fixed, 95% CI)

Subtotals only

12.1 stress urinary incontinence

1

55

Risk Ratio (M‐H, Fixed, 95% CI)

0.17 [0.07, 0.42]

12.2 urge urinary incontinence

0

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

12.3 mixed urinary incontinence

0

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

12.4 urinary incontinence (all types)

1

106

Risk Ratio (M‐H, Fixed, 95% CI)

0.19 [0.10, 0.36]

13 Number of leakage episodes in 24 hours Show forest plot

5

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

13.1 stress urinary incontinence

4

253

Mean Difference (IV, Fixed, 95% CI)

‐1.21 [‐1.52, ‐0.89]

13.2 urge urinary incontinence

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

13.3 mixed urinary incontinence

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

13.4 urinary incontinence (all types)

1

125

Mean Difference (IV, Fixed, 95% CI)

‐0.80 [‐1.26, ‐0.34]

14 Number of voids per day (frequency) Show forest plot

2

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

14.1 stress urinary incontinence

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

14.2 urge urinary incontinence

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

14.3 mixed urinary incontinence

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

14.4 urinary incontinence (all types)

2

66

Mean Difference (IV, Fixed, 95% CI)

‐2.56 [‐3.65, ‐1.48]

15 Number of voids per night (nocturia) Show forest plot

2

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

15.1 stress urinary incontinence

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

15.2 urge urinary incontinence

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

15.3 mixed urinary incontinence

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

15.4 urinary incontinence (all types)

2

66

Mean Difference (IV, Fixed, 95% CI)

0.04 [‐0.40, 0.48]

16 Short (up to one hour) pad test measured as grams of urine Show forest plot

4

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

16.1 Stress urinary incontinence

3

150

Mean Difference (IV, Fixed, 95% CI)

‐4.36 [‐6.77, ‐1.96]

16.2 Urge urinary incontinence

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

16.3 mixed urinary incontinence

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

16.4 urinary incontinence (all types)

1

25

Mean Difference (IV, Fixed, 95% CI)

‐5.10 [‐11.16, 0.96]

17 24 hour pad test (grams) Show forest plot

2

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

17.1 Stress urinary incontinence

1

55

Mean Difference (IV, Fixed, 95% CI)

‐27.5 [‐61.24, 6.24]

17.2 Urge urinary incontinence

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

17.3 Mixed urinary incontinence

0

0

Mean Difference (IV, Fixed, 95% CI)

0.0 [0.0, 0.0]

17.4 Urinary incontinence (all types)

1

41

Mean Difference (IV, Fixed, 95% CI)

‐1.20 [‐15.24, 12.84]

18 Number cured on short pad test (objective) after treatment Show forest plot

3

Risk Ratio (M‐H, Fixed, 95% CI)

Subtotals only

18.1 stress urinary incontinence

3

135

Risk Ratio (M‐H, Fixed, 95% CI)

7.50 [2.89, 19.47]

18.2 urge urinary incontinence

0

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

18.3 mixed urinary incontinence

0

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

18.4 urinary incontinence (all types)

0

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

19 Number cured or improved on short pad test (objective) after treatment Show forest plot

3

Risk Ratio (M‐H, Fixed, 95% CI)

Subtotals only

19.1 stress urinary incontinence

3

96

Risk Ratio (M‐H, Fixed, 95% CI)

8.22 [3.17, 21.28]

19.2 urge urinary incontinence

0

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

19.3 mixed urinary incontinence

0

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

19.4 urinary incontinence (all types)

0

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

20 Number of women with sex life spoilt by UI Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

20.1 stress urinary incontinence

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

20.2 urge urinary incontinence

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

20.3 mixed urinary incontinence

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

20.4 urinary incontinence (all types)

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

21 Number of women with UI during intercourse Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

21.1 stress urinary incontinence

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

21.2 urge urinary incontinence

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

21.3 mixed urinary incontinence

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

21.4 urinary incontinence (all types)

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Figuras y tablas -
Comparison 1. PFMT versus no treatment, placebo or control