Evidence map›Paper›PMID 41148319›Full record

Trial reportInternational urogynecology journal2026

Pelvic Floor Muscle Training by Telehealth to Treat Female Stress Urinary Incontinence: A Randomized Clinical Trial.

Talita Vasco Oliveira Lima, Ana Paula Borges Moura, Ébe Monteiro Carbone, Márcia Maria Gimenez, Maria Augusta Tezelli Bortolini, Rodrigo Aquino Castro, Fátima Faní Fitz

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Talita Vasco Oliveira LimaCentro Universitário São Camilo, São Paulo, SP, Brazil.
Ana Paula Borges MouraCentro Universitário São Camilo, São Paulo, SP, Brazil.
Ébe Monteiro CarboneDepartment of Gynecology, Universidade Federal de São Paulo (UNIFESP), Rua Napoleão de Barros, 608 - Vila Clementino, CEP 04024-002, São Paulo, SP, Brazil.
Márcia Maria GimenezDepartment of Gynecology, Universidade Federal de São Paulo (UNIFESP), Rua Napoleão de Barros, 608 - Vila Clementino, CEP 04024-002, São Paulo, SP, Brazil.
Maria Augusta Tezelli BortoliniDepartment of Gynecology, Universidade Federal de São Paulo (UNIFESP), Rua Napoleão de Barros, 608 - Vila Clementino, CEP 04024-002, São Paulo, SP, Brazil.
Rodrigo Aquino CastroDepartment of Gynecology, Universidade Federal de São Paulo (UNIFESP), Rua Napoleão de Barros, 608 - Vila Clementino, CEP 04024-002, São Paulo, SP, Brazil.
Fátima Faní FitzDepartment of Gynecology, Universidade Federal de São Paulo (UNIFESP), Rua Napoleão de Barros, 608 - Vila Clementino, CEP 04024-002, São Paulo, SP, Brazil. fitz.fatima@unifesp.br.ORCID 0000-0002-6371-3193

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisProviding pelvic floor muscle training (PFMT) via telehealth is challenging as it depends on patients learning how to contract their pelvic floor muscles (PFMs) without in-person assessments. Our hypothesis is that PFMT performed via telemedicine is effective at treating stress urinary incontinence (SUI) in patients who were considered capable of performing PFM contraction through instructions and self-palpation.

methodsA single-center, randomized, and controlled clinical trial, involving 50 women with SUI who received either PFMT (n = 26) or educational approach (n = 24) by teleconsultation, and were evaluated at baseline and after 12-week therapy. Primary outcome was the severity of SUI (International Consultation on Incontinence Questionnaire Short Form [ICIQ-SF]). Secondary outcomes were urinary symptoms, quality of life, patient satisfaction, frequency of online sessions, and adherence to home exercise sets. Student's t, Mann-Whitney U, and Chi-squared tests were used, with a 5% cut-off for significance.

resultsSignificant reduction in the severity of SUI was observed in the PFMT compared with the educational group (mean ICIQ-SF score 6.2 ± 2.7 and 12.5 ± 3.2 respectively, p < 0.001]. We observed differences among the groups in favor of the PFMT group regarding the number of episodes of urine leakage (p = 0.024), number of pads (p = 0.001), satisfaction with the treatment (p < 0.001), self-efficacy (p < 0.001), and quality of life (social embarrassment[ n = 0.048). Attendance at online sessions was similar in the two groups; and the home adherence was a mean 18 sets per month.

conclusionsPelvic floor muscle training performed via telehealth showed improvement in the urinary symptoms, patients' satisfaction, and quality of life, and is an option for SUI management in women.

Indexed as

Exercise TherapyPelvic FloorUrinary Incontinence, StressAdultAgedFemaleHumansMiddle AgedPatient Education as TopicPatient SatisfactionQuality of LifeTelemedicineTreatment OutcomePelvic FloorStress urinary incontinenceTelehealthTelemedicineTelemonitoringWomen’s health

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.