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Therapeutics
Randomised controlled trial
Individualised pelvic floor muscle training is an effective conservative treatment in women with pelvic organ prolapse
  1. S Abbas Shobeiri,
  2. Andrea C Santiago
  1. Department of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA
  1. Correspondence to : Dr S Abbas Shobeiri, Department of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, 920 Stanton L. Young Boulevard, PO Box 26901, WP 2410, Oklahoma City, OK 73190, USA; abbas-shobeiri{at}ouhsc.edu

https://doi.org/10.1136/ebmed-2014-110020

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    Commentary on: Hagen S, Stark D, Glazener C, et al. Individualised pelvic floor muscle training in women with pelvic organ prolapse (POPPY): a multicentre randomised controlled trial. Lancet 2014;383:796–806.OpenUrlCrossRefPubMedWeb of Science

    Context

    In the USA alone the number of pelvic organ prolapse (POP) cases is expected to increase substantially, from 3.3 m in 2010 to 4.9 m in 2050.1 At least 200 000 operations are performed annually in the USA with surgical failures reportedly occurring in up to 58% of cases, with about one-third of women undergoing more than one surgery for prolapse recurrence.2 ,3 A few studies have, with mixed results, investigated the role of pelvic floor muscle training (PFMT) in addressing POP.4 This study aimed to assess whether one-to-one PFMT would reduce symptoms and further treatment need in women with stages I-III POP, and …

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    Footnotes

    • Contributors ACS and SAS contributed in writing and editing.

    • Competing interests None.

    • Provenance and peer review Not commissioned; internally peer reviewed.