Impact of preoperative pelvic floor muscle training (pretraining) on urinary storage and emptying symptoms in women undergoing sling surgery.
Midurethral sling
Mixed urinary incontinence
Outcomes
Pelvic floor muscle training
Journal
International urogynecology journal
ISSN: 1433-3023
Titre abrégé: Int Urogynecol J
Pays: England
ID NLM: 101567041
Informations de publication
Date de publication:
Mar 2022
Mar 2022
Historique:
received:
24
02
2021
accepted:
19
05
2021
pubmed:
10
6
2021
medline:
1
4
2022
entrez:
9
6
2021
Statut:
ppublish
Résumé
Although pelvic floor muscle training (PFMT) is an option for female mixed incontinence (MUI), the role of PFMT prior to midurethral sling (MUS) surgery is not well defined. We hypothesize that preoperative PFMT (pretraining) positively impacts urinary storage and voiding symptoms prior to retropubic MUS. We carried out an institutional review board-approved, retrospective chart review of women with stress-predominant MUI undergoing a retropubic MUS. Seventy-two women elected for initial PFMT before MUS (group 1). These were age-matched with 72 women who underwent MUS only (group 2). The primary outcome was the change in urinary voiding and storage symptoms (Emptying [E] and Inhibition [I; UUI] subsets of the SEAPI classification). Additional outcomes were stress urinary incontinence (SUI) resolution and change in quality of life (QoL) indices. Mean age and follow-up were 49 ± 12 years and 33 ± 12 months respectively. After MUS, SUI resolved in 79.2% and 69.4% in groups 1 and 2 respectively (p > 0.05). In group 1, 18% and 20.8% had improvement/resolution in the E and I subsets prior to MUS. Postoperatively, similar rates of improvement/resolution in the E (25% for both) and I (68% vs 63.9%) subsets were observed in groups 1 and 2 respectively. Postoperative QoL indices were statistically improved in both groups, with no significant difference between groups. Pretraining with PFMT before MUS was associated with preoperative improvement in emptying symptoms and UUI. Although not statistically significant, pretraining was associated with a higher chance of SUI resolution in the long term. If pretraining is beneficial before MUS, the effect appears to be small.
Identifiants
pubmed: 34106321
doi: 10.1007/s00192-021-04870-3
pii: 10.1007/s00192-021-04870-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
673-679Informations de copyright
© 2021. The International Urogynecological Association.
Références
Melville JL, Katon W, Delaney K, Newton K. Urinary incontinence in US women: a population-based study. Arch Intern Med. 2005;165:537–42. https://doi.org/10.1001/archinte.165.5.537 .
doi: 10.1001/archinte.165.5.537
pubmed: 15767530
Daugirdas SP, Markossian T, Mueller ER, Durazo-Arvizu R, Caol G, Kramer H (2020) Urinary incontinence and chronic conditions in the US population age 50 years and older. Int Urogynecol J 31:1013–1020. doi: https://doi.org/10.1007/s00192-019-04137-y
doi: 10.1007/s00192-019-04137-y
pubmed: 31900549
Coyne KS, Sexton CC, Irwin DE, Kopp ZS, Kelleher CJ, Milsom I. The impact of overactive bladder, incontinence and other lower urinary tract symptoms on quality of life, work productivity, sexuality and emotional well-being in men and women: results from the EPIC study. BJU Int. 2008;101:1388–95. https://doi.org/10.1111/j.1464-410X.2008.07601.x .
doi: 10.1111/j.1464-410X.2008.07601.x
pubmed: 18454794
pmcid: 18454794
Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2010;21:5–26. https://doi.org/10.1007/s00192-009-0976-9 .
doi: 10.1007/s00192-009-0976-9
pubmed: 19937315
Kobashi KC, Albo ME, Dmochowski RR, Ginsberg DA, Goldman HB, Gomelsky A, et al. Surgical treatment of female stress urinary incontinence: AUA/SUFU guideline. J Urol. 2017;198:875–83. https://doi.org/10.1016/j.juro.2017.06.061 .
doi: 10.1016/j.juro.2017.06.061
pubmed: 28625508
Gormley EA, Lightner DJ, Burgio KL, Chai TC, Clemens JQ, Culkin DJ, et al. Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline. J Urol. 2012;188:2455–63. https://doi.org/10.1016/j.juro.2012.09.079 .
doi: 10.1016/j.juro.2012.09.079
pubmed: 23098785
Labrie J, Berghmans BL, Fischer K, Milani AL, van der Wijk I, Smalbraak DJ, et al. Surgery versus physiotherapy for stress urinary incontinence. N Engl J Med. 2013;369:1124–33. https://doi.org/10.1056/NEJMoa1210627 .
doi: 10.1056/NEJMoa1210627
pubmed: 24047061
Ayeleke RO, Hay-Smith EJ, Omar MI (2015) Pelvic floor muscle training added to another active treatment versus the same active treatment alone for urinary incontinence in women. Cochrane Database Syst Rev 11:CD010551. doi: https://doi.org/10.1002/14651858.CD010551.pub3
doi: 10.1002/14651858.CD010551.pub3
Raz S, Erickson DR. SEAPI QMM incontinence classification system. Neurourol Urodyn. 1992;11:187–99.
doi: 10.1002/nau.1930110302
Shumaker SA, Wyman JF, Uebersax JS, McClish D, Fantl JA. Health-related quality of life measures for women with urinary incontinence: the incontinence impact questionnaire and the urogenital distress inventory. Continence program in women (CPW) research group. Qual Life Res. 1994;3:291–306. https://doi.org/10.1007/BF00451721 .
doi: 10.1007/BF00451721
pubmed: 7841963
Rosier PF, Schaefer W, Lose G, Goldman HB, Guralnick M, Eustice S, Dickinson T, Hashim H. International Continence Society Standard Good Urodynamic Practices and Terms: urodynamics, uroflowmetry, cystometry and pressure-flow study. Neurourol Urodyn. 2016;36:1243–60. https://doi.org/10.1002/nau.23124 .
doi: 10.1002/nau.23124
pubmed: 27917521
Staskin DR, Tyagi R. The SPARC sling system. Atlas Urol Clinic. 2004;12:185.
doi: 10.1016/j.auc.2004.08.001
Dumoulin C, Hay-Smith EJ, Mac Habee-Seguin G. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev. 2014;5:CD005654. https://doi.org/10.1002/14651858.CD005654.pub3 .
doi: 10.1002/14651858.CD005654.pub3
Kulaksizoğlu H, Akand M, Çakmakçi E, Gül M, Seçkin B. Effectiveness of pelvic floor muscle training on symptoms and uroflowmetry parameters in female patients with overactive bladder. Turk J Med Sci. 2015;45:449–53. https://doi.org/10.3906/sag-1310-95 .
doi: 10.3906/sag-1310-95
pubmed: 26084140
Sung VW, Borello-France D, Newman DK, Richter HE, Lukacz ES, Moalli P, et al. Effect of behavioral and pelvic floor muscle therapy combined with surgery vs surgery alone on incontinence symptoms among women with mixed urinary incontinence: the ESTEEM randomized clinical trial. JAMA. 2019;322:1066–76. https://doi.org/10.1001/jama.2019.12467 .
doi: 10.1001/jama.2019.12467
pubmed: 31529007
pmcid: 6749544
Weidner AC, Barber MD, Markland A, Rahn DD, Hsu Y, Mueller ER, et al. Perioperative behavioral therapy and pelvic muscle strengthening do not enhance quality of life after pelvic surgery: secondary report of a randomized controlled trial. Phys Ther. 2017;97:1075–83. https://doi.org/10.1093/ptj/pzx077 .
doi: 10.1093/ptj/pzx077
pubmed: 29077924
pmcid: 6075557
Jarvis SK, Hallam TK, Lujic S, Abbott JA, Vancaillie TG. Peri-operative physiotherapy improves outcomes for women undergoing incontinence and or prolapse surgery: results of a randomised controlled trial. Aust N Z J Obstet Gynaecol. 2005;45:300–3. https://doi.org/10.1111/j.1479-828X.2005.00415.x .
doi: 10.1111/j.1479-828X.2005.00415.x
pubmed: 16029296
Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, et al. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Int J Surg. 2014;12:1495–9. https://doi.org/10.1016/S0140-6736(07)61602-X .
doi: 10.1016/S0140-6736(07)61602-X