Does pelvic floor muscle training augment the effect of surgery in women with pelvic organ prolapse? A systematic review of randomized controlled trials

doi:10.1002/nau.22784

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	Does pelvic floor muscle training augment the effect of surgery in women with pelvic organ prolapse? A systematic review of randomized controlled trials
	Zhang, FW; Wei, F; Wang, HL; Pan, YQ; Zhen, JY; Zhang, JX; Yang, KH; Yang, KH (reprint author), Lanzhou Univ, Evidence Based Med Ctr, Sch Basic Med Sci, 199 Dong Gang West Rd, Lanzhou 730000, Gansu, Peoples R China.
刊名	NEUROUROLOGY AND URODYNAMICS
	2016-08
卷号	35 期号:6 页码:666-674
关键词	gynecological surgery pelvic floor exercise physiotherapy rehabilitation
ISSN号	0733-2467
DOI	10.1002/nau.22784
文献子类	Review
英文摘要	BackgroundPelvic floor muscle training (PFMT) is often used as a treatment for pelvic organ prolapse (POP) and can improve function. However, the effectiveness of this modality as an adjunct to prolapse surgery for women with POP is unknown. AimsTo evaluate whether the use of pelvic floor muscle training as an adjunct to prolapse surgery is superior to surgery alone for women with pelvic organ prolapse. MethodsWe searched PubMed, Embase, the Cochrane Library, and the Web of Science from their inception dates to June 30, 2014 for data describing randomized controlled trials (RCTs) that compare the efficacy of PFMT with or without lifestyle modification plus surgery versus surgery alone for women with POP. Additional relevant studies were identified by searching the references of retrieved articles and using Google Scholar. Two investigators independently reviewed and selected relevant studies that met the pre-specified inclusion criteria, extracted the data, and assessed the risk of bias in the included studies according to the Cochrane Handbook, version 5.1.0. Due to great heterogeneity in the choice and reporting of outcome measures and the different durations of follow-up among the studies, this analysis is confined to a qualitative systematic review. ResultsFive RCTs involving 591 women were reviewed (treatment group [TG], 292 cases; control group [CG], 299 cases). Generally, the five RCTs exhibited low risk of bias. This study indicated no significant improvement in prolapse symptoms, in quality of life, or in the degree of prolapse for women with POP in the TG compared to those in the CG. ConclusionsInsufficient evidence was found to support adding perioperative PFMT to surgery over the use of surgery alone in women undergoing surgery for POP. Adequately, powered RCTs with longer follow-up periods are required to evaluate the long-term effect of perioperative PFMT. Neurourol. Urodynam. 35:666-674, 2016. (c) 2015 Wiley Periodicals, Inc.
学科主题	Urology & Nephrology
出版地	HOBOKEN
语种	英语
WOS记录号	WOS:000380014200003
内容类型	期刊论文
源URL	[http://ir.lzu.edu.cn/handle/262010/178664]
专题	第一临床医学院_期刊论文
通讯作者	Yang, KH (reprint author), Lanzhou Univ, Evidence Based Med Ctr, Sch Basic Med Sci, 199 Dong Gang West Rd, Lanzhou 730000, Gansu, Peoples R China.
推荐引用方式 GB/T 7714	Zhang, FW,Wei, F,Wang, HL,et al. Does pelvic floor muscle training augment the effect of surgery in women with pelvic organ prolapse? A systematic review of randomized controlled trials[J]. NEUROUROLOGY AND URODYNAMICS,2016,35(6):666-674.
APA	Zhang, FW.,Wei, F.,Wang, HL.,Pan, YQ.,Zhen, JY.,...&Yang, KH .(2016).Does pelvic floor muscle training augment the effect of surgery in women with pelvic organ prolapse? A systematic review of randomized controlled trials.NEUROUROLOGY AND URODYNAMICS,35(6),666-674.
MLA	Zhang, FW,et al."Does pelvic floor muscle training augment the effect of surgery in women with pelvic organ prolapse? A systematic review of randomized controlled trials".NEUROUROLOGY AND URODYNAMICS 35.6(2016):666-674.