ReviewInternational urogynecology journal2026
The Effectiveness of PFMT in Treating Postpartum Urinary 1 Incontinence: A Systematic Review and Meta-analysis.
Review 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.
What it found
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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.
The trial behind it
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Authors and funding
2 authors.
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Abstract
introductionThe efficacy of pelvic floor muscle training (PFMT) in preventing and treating postpartum urinary incontinence remains inconclusive. This systematic review aims to evaluate the efficacy of pelvic floor muscle training (PFMT) in treating postpartum urinary incontinence (PPUI).
methodWe systematically searched Embase, PubMed, and Cochrane Library for randomized controlled trials (RCT) investigating PFMT for PPUI. Studies published before October 2024 were included. Two reviewers independently screened studies, extracted data, and assessed methodological quality using the Cochrane Risk of Bias Tool (ROB 2.0). Meta-analyses were performed using random-effects models, with effect sizes reported as risk ratios (RR) or standardized mean differences (SMD) with 95% confidence intervals (CI).
resultsA total of 19 RCTs were included in the analysis. Statistically significant improvements were observed in pelvic floor muscle strength (SMD 0.61, 95% CI [0.10, 1.12], P = 0.02) and endurance (SMD 0.68, 95% CI [0.06, 1.30], P = 0.03). However, no significant differences were found in quality of life (SMD -0.46, 95% CI [-1.18, 0.27], P = 0.22) or urinary incontinence incidence (RR 0.87, 95% CI [0.73, 1.04], P = 0.12). The subgroup analysis demonstrated that supervised PFMT interventions lasting more than 8 weeks were the most effective approach for improving pelvic floor muscle strength.
conclusionPelvic floor muscle training (PFMT) demonstrates significant efficacy in improving pelvic floor muscle function (strength and endurance) in postpartum women with urinary incontinence (UI), supporting its physiological mechanism of action. However, owing to limitations in the available data and substantial heterogeneity across studies, the direct impact of PFMT on symptom resolution-specifically UI incidence and quality of life-remains less certain and should be interpreted with caution.
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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.