Category: Pelvic Floor & Prolapse
| Intervention | Condition | Outcome / Effect | Source | ||
|---|---|---|---|---|---|
| 📊 |
Behavioral therapy (pelvic floor muscle
vs Continence pessary (ring or di |
Stress urinary incontinence
Postmenopausal Women |
At 3 months, significantly more women in the behavioral therapy group had no bothersome stress incon
49% vs 33% |
↑ |
PMC2914312
3 months |
| 📊 |
Behavioral therapy (pelvic floor muscle
vs Continence pessary |
Stress urinary incontinence |
By 12 months, there were no statistically significant differences between behavioral therapy and pes
32% PGI-I success, 36% PFDI success, 35% |
— |
PMC2914312
12 months |
| 📊 |
Combined pessary
vs Both pessary alone and behavio |
Stress urinary incontinence |
Combination therapy (pessary + behavioral) was not superior to single-modality therapy because, alth
53% PGI-I, 44% PFDI for combined group |
— |
PMC2914312
3 months |
| 📊 |
Continence pessary for stress urinary in
vs Behavioral therapy (15% dropou |
Stress urinary incontinence
Postmenopausal Women |
The pessary group had significantly higher attrition (26% at 3 months) compared to behavioral therap
26% dropout at 3 months for pessary vs 1 Side effects: vaginal discharge 16%, vaginal yeast infection 7% |
↓ |
PMC2914312
12 months |
| 💬 | Consistently using squeezy for pelvic fl | Stress urinary incontinence | Seeking timely help for pelvic floor issues is crucial, especially after experiencing stress urinary | ||
| 📊 |
Combined pessary
vs Both pessary alone and behavio |
stress-predominant mixed urinary in |
Combination therapy (pessary + behavioral) was not superior to single-modality therapy because, alth
53% PGI-I, 44% PFDI for combined group |
— |
PMC2914312
3 months |
| 📊 |
Pessary
vs Surgery group and pessary cont |
symptomatic pelvic organ prolapse
Postmenopausal Women |
31 of 80 pessary patients (39%) discontinued pessary use or crossed over to surgery, with reasons in
31 of 80 pessary patients discontinued o Side effects: discomfort with pessary 47%, persistent bulge symp |
↓ | PMC5086295 |
| 💬 | Participating in Vagercise, an online co | Stress incontinence | Building a strong pelvic floor and core is essential before returning to high-impact exercises like |
At 3 months, pelvic floor muscle training resulted in a higher rate of women reporting no bothersome stress incontinence symptoms compared to pessary use (49% vs 33%). (PMC2914312) By 12 months, there were no statistically significant differences in success rates between behavioral therapy and pessary, with overall success rates around 32-36% across all groups. (PMC2914312) The pessary group experienced a higher attrition rate at 3 months (26%) compared to behavioral therapy (15%) and combined therapy (12%), with vaginal discomfort being a common reason for discontinuation. (PMC2914312) Anecdotal evidence from Reddit suggests that timely pelvic floor strengthening exercises are considered important, especially after childbirth, for managing stress urinary incontinence. (Reddit)