Editor’s note: This post has been left available to view, as an example of our experiments with sharing evidence in creative ways, but please note that, unlike our normal blogs, it has not been updated and so may not represent the latest Cochrane evidence.
What do these women have in common?
No cheating – don’t read on until you’ve had a guess!
You can have two guesses if you like.
Or try asking the person next to you.
The answer, of course (what? you didn’t get it?), is that they’re all doing their pelvic floor exercises. What wise women they are. Perhaps they’ve read the Cochrane evidence.
Women with stress urinary incontinence who did pelvic floor exercises reported benefits, compared with women in other groups (who either had no treatment, or a dummy pill, fake electrical stimulation or another inactive treatment). For starters, they were 8 times more likely to report they they were cured and 17 times more likely to report cure or improvement. They leaked less often and smaller amounts and needed to empty their bladders less often. One trial found they had better sex too! You can read more about this review in my blog and don’t miss this blog from Elaine Miller, physiotherapist, comedian and recovered incontinent, in which she tells us about other Cochrane evidence on why incontinence matters, what we know from research and what women can do about it.
Dumoulin C, Hay-Smith EJC, Mac Habée-Séguin G. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database of Systematic Reviews 2014, Issue 5. Art. No.: CD005654. DOI: 10.1002/14651858.CD005654.pub3.
Hay-Smith EJC, Herderschee R, Dumoulin C, Herbison GP. Comparisons of approaches to pelvic floor muscle training for urinary incontinence in women. Cochrane Database of Systematic Reviews 2011, Issue 12. Art. No.: CD009508. DOI: 10.1002/14651858.CD009508.
Herderschee R, Hay-Smith EJC, Herbison GP, Roovers JP, Heineman MJ. Feedback or biofeedback to augment pelvic floor muscle training for urinary incontinence in women. Cochrane Database of Systematic Reviews 2011, Issue 7. Art. No.: CD009252. DOI: 10.1002/14651858.CD009252.
Ayeleke RO, Hay-Smith EJC, Omar MI. Pelvic floor muscle training added to another active treatment versus the same active treatment alone for urinary incontinence in women. Cochrane Database of Systematic Reviews 2015, Issue 11. Art. No.: CD010551. DOI: 10.1002/14651858.CD010551.pub3.
Herbison GP, Dean N. Weighted vaginal cones for urinary incontinence. Cochrane Database of Systematic Reviews 2013, Issue 7. Art. No.: CD002114. DOI: 10.1002/14651858.CD002114.pub2.
Boyle R, Hay-Smith EJC, Cody JD, Mørkved S. Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database of Systematic Reviews 2012, Issue 10. Art. No.: CD007471. DOI: 10.1002/14651858.CD007471.pub2
Page last updated on 30 December 2015