AB078. Disease correlation and effects of pelvic floor muscle training on tolterodine based treatment for female primary overactive bladder syndrome

Summary Introduction: Pelvic floor muscle training (PFMT) involves the contraction of the puborectal, anal sphincter and external urethral muscles, inhibiting the detrusor contraction, what justify its use in the treatment of overactive bladder (OAB) symptoms. Objective: To verify the effects of isolated PFMT on the symptoms of OAB. Method: Prospective clinical trial with 27 women with mixed urinary incontinence (MUI), with predominance of OAB symptoms and loss ≥ 2 g in the pad test. It was evaluated: pelvic floor muscles (PFMs) function (digital palpation and manometry); urinary symptoms (nocturia, frequency and urinary loss); degree of discomfort of OAB symptoms; and quality of life (Incontinence Quality-of-Life Questionnaire [I-QoL]). The PFMT program consisted of 24 outpatient sessions (2x/week + home PFMT). The Mann-Whitney and Wilcoxon tests (with a significance level of 5%) were used to analyse the data. Results: There was a significant improvement of the urinary symptoms to the pad test (5.8±9.7, p<0.001), urinary loss (0.7±1.1, p=0.005) and nocturia (0.8±0.9, p=0.011). Reduction in the degree of discomfort of urinary symptoms was observed according to OAB-V8 questionnaire (10.0±7.7, p=0.001). There were also significant results in PFMs function: Oxford (3.6±0.9, p=0.001), endurance (5.2±1.8, p<0.001), fast (8.9±1.5, p<0.001) and manometry (26.6±15.8, p=0.003). In addition, quality of life had a significant improvement in the three domains evaluated by I-QoL. Conclusion: The PFMT without any additional guidelines improves the symptomatology, the function of PFMs and the quality of life of women with OAB symptoms.

Download Full-text

Effectiveness of pelvic floor muscle training on symptoms and uroflowmetryparameters in female patients with overactive bladder

TURKISH JOURNAL OF MEDICAL SCIENCES ◽

10.3906/sag-1310-95 ◽

2015 ◽

Vol 45 ◽

pp. 449-453 ◽

Cited By ~ 2

Author(s):

Haluk KULAKSIZOĞLU ◽

Murat AKAND ◽

Evrim ÇAKMAKÇI ◽

Murat GÜL ◽

Bedreddin SEÇKİN

Keyword(s):

Overactive Bladder ◽

Pelvic Floor ◽

Pelvic Floor Muscle Training ◽

Pelvic Floor Muscle ◽

Muscle Training ◽

Female Patients

Download Full-text

Is pelvic floor muscle training effective for symptoms of overactive bladder in women? A systematic review

Physiotherapy ◽

10.1016/j.physio.2019.08.011 ◽

2020 ◽

Vol 106 ◽

pp. 65-76 ◽

Cited By ~ 4

Author(s):

K. Bo ◽

A.C.N.L. Fernandes ◽

T.B. Duarte ◽

L.G.O. Brito ◽

C.H.J. Ferreira

Keyword(s):

Systematic Review ◽

Overactive Bladder ◽

Pelvic Floor ◽

Pelvic Floor Muscle Training ◽

Pelvic Floor Muscle ◽

Muscle Training

Download Full-text

Discussion: bladder and pelvic floor muscle training for overactive bladder

Urology ◽

10.1016/s0090-4295(99)00486-0 ◽

2000 ◽

Vol 55 (5) ◽

pp. 12-13 ◽

Cited By ~ 3

Author(s):

Anders Mattiasson

Keyword(s):

Overactive Bladder ◽

Pelvic Floor ◽

Pelvic Floor Muscle Training ◽

Pelvic Floor Muscle ◽

Muscle Training

Download Full-text

Effectiveness of the transcutaneous tibial nerve stimulation and pelvic floor muscle training with biofeedback in women with multiple sclerosis for the management of overactive bladder

Multiple Sclerosis Journal ◽

10.1177/1352458520926666 ◽

2020 ◽

pp. 135245852092666

Author(s):

Cansu Polat Dunya ◽

Zeliha Tulek ◽

Murat Kürtüncü ◽

Jalesh N Panicker ◽

Mefkure Eraksoy

Keyword(s):

Multiple Sclerosis ◽

Overactive Bladder ◽

Pelvic Floor ◽

Nerve Stimulation ◽

Pelvic Floor Muscle Training ◽

Tibial Nerve ◽

Pelvic Floor Muscle ◽

Treatment Options ◽

Muscle Training ◽

Tibial Nerve Stimulation

Background: Overactive bladder (OAB) is common in patients with multiple sclerosis (MS) with a limited number of treatment options. Objective: To investigate the effect of transcutaneous tibial nerve stimulation (TTNS) and pelvic floor muscle training (PFMT) with biofeedback on OAB symptoms in female MS patients. Methods: This study was conducted at the outpatient MS clinic in Istanbul. At baseline bladder diary, post-voiding residue (PVR), OAB, and Qualiveen Scales (QoL: Quality of Life; Siup: Specific Impact of Urinary Problems on QoL) were assessed. Patients were allocated to receive TTNS or PFMT daily for 6 weeks and reevaluated using the same tests. Results: Fifty-five patients (TTNS = 28, PFMT = 27) were included. Compared with baseline, both TTNS and PFMT groups improved in terms of OAB ( p = 0.0001, p = 0.0001), Qualiveen-siup ( p = 0.0001, p = 0.0001), Qualiveen-QoL ( p = 0.002, p = 0.006), PVR ( p = 0.0001, p = 0.21), frequency ( p = 0.0001, p = 0.69), nocturia ( p = 0.0001, p = 0.19), urgency ( p = 0.0001, p = 0.0001), and urge incontinence ( p = 0.0001, p = 0.0001). Between-group comparisons showed significant differences in 24-hour frequency ( p = 0.002) in favor of TTNS. Conclusion: Our study demonstrates the efficacy of both TTNS and PFMT for managing OAB symptoms in MS, associated with a significant impact on QoL, but did not show superiority of the methods. Further studies are needed to explore differences between these two non-invasive treatments.

Download Full-text