Evidence map›Paper›PMID 41405686›Full record

Trial reportInternational urogynecology journal2026

Incontinence in Older Women: When to Expect Meaningful Leakage Reduction from Pelvic Floor Muscle Training.

Licia P Cacciari, Mélanie Morin, Marie-Hélène Mayrand, Chantale Dumoulin

Registry-linked trialAbstract readComparative StudyEquivalence TrialRandomized 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. It is linked to trial NCT02039830 (Group Physiotherapy Compared to Individual Physiotherapy to Treat Urinary Incontinence in Aging Women), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT02039830 naactive not recruitingnot on this map

Group Physiotherapy Compared to Individual Physiotherapy to Treat Urinary Incontinence in Aging Women: A Randomized Control Trial

TypeinterventionalSponsorCentre de Recherche de l'Institut Universitaire de Geriatrie de MontrealRan2012 to 2027Enrolled362ConditionsUrinary Incontinence, Urinary Stress IncontinenceArmsGroup physiotherapy, Individual one-on-one physiotherapy
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

4 authors.

Licia P CacciariResearch Center of the Institut Universitaire de Gériatrie de Montréal, Montréal, Canada.
Mélanie MorinSchool of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke and Research Center of the Centre Hospitalier de l'Université de Sherbrooke, Sherbrooke, Canada.
Marie-Hélène MayrandDepartments of Obstetrics and Gynecology and Social and Preventive Medicine, Université de Montréal and Research Center of the Centre Hospitalier de l'Université de Montréal, Montréal, Canada.
Chantale DumoulinSchool of Rehabilitation, Faculty of Medicine, Université de Montréal and Research Center of the Institut Universitaire de Gériatrie de Montréal, Montréal, Canada. chantal.dumoulin@umontreal.ca.ORCID http://orcid.org/0000-0002-4594-5775

Funding

CIHR MSH-258993Fonds de Recherche du Québec - Santé 275980
6 · The paper itself

Abstract

introduction and hypothesisPerceived benefits are crucial for maintaining adherence to pelvic floor muscle training (PFMT). However, the timeline for expected responses and the factors influencing PFMT effectiveness remain unclear. Our study aimed to (1) determine when older women with urinary incontinence (UI) can expect a clinically important reduction in leakage from PFMT, and (2) identify factors associated with the time needed to achieve this reduction.

methodsThis is a pooled analysis from a randomized controlled trial supporting the non-inferiority of group-based versus individual PFMT. Participants included 362 older women with stress or mixed UI following a structured 12-week PFMT program, delivered in group sessions or individually. Primary Outcomes: Time to achieve minimal (50%) and incremental (70%) clinically important differences in weekly incontinence episodes were assessed using Kaplan-Meier estimates. SECONDARY OUTCOMES: Factors that potentially influenced treatment response, including age, body mass index, parity, comorbidities, UI duration, severity and type, pelvic floor strength, and PFMT delivery mode were analysed using ordinal logistic regression.

resultsA total of 328 (91%) women provided usable leakage report data. Median minimal and incremental clinically important differences were achieved by the 4th and 6th weeks of treatment. Improvements continued until the last treatment session. Age, UI duration, severity, pelvic floor strength, and group-based intervention were related to later treatment response.

conclusionsIn older women with stress or mixed urinary incontinence, a clinically significant reduction in leakage can be achieved by the 4th week of PFMT. Early PFMT intervention and post-treatment exercise adherence favours optimal outcomes.

trial registrationNCT02039830.

Indexed as

Exercise TherapyPelvic FloorUrinary IncontinenceUrinary Incontinence, StressAgedFemaleHumansMiddle AgedTime FactorsTreatment OutcomeAgingPelvic floor musclePelvic floor muscle trainingUrinary incontinenceWomen

Identifiers

PMID41405686

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

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.