Effects of vaginal tampon training added to pelvic floor muscle training in women with stress urinary incontinence: randomized controlled trial
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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).
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.
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)
Short-term results demonstrated that PFMT with and without VT exercises had similar effectiveness on the symptoms of SUI and QoL.
KeywordsStress urinary incontinence Pelvic floor Exercise Randomized controlled trial
Body mass index
International Continence Society
King’s Health Questionnaire
Medical, Epidemiologic, and Social Aspects of Aging
Pelvic floor muscle endurance
Pelvic floor muscle strength
Pelvic floor muscle training
Randomized controlled trial
Stress urinary incontinence
Value at the end of 10 s
Visual analog scale
Vaginal tampon training
We express our sincere thanks to Deniz Yüce, MD for his assistance with the statistical analyses.
The first author received a scholarship from The Scientific and Technological Research Council of Turkey during her PhD education.
Compliance with ethical standards
Conflicts of interest
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