The efficacy of pelvic floor muscle training for XXXX : a systematic review and meta-analysis.

@entity1 @entity23 @entity3577
INTRODUCTION AND HYPOTHESIS: Our objective was to assess the effectiveness of pelvic floor muscle training (PFMT) as a treatment for @entity1 with @entity3577 ( @entity3577 ) or as an adjunct to prolapse surgery. METHODS: Relevant literature sources were searched using databases including PubMed, Ovid, Web of Science, Scopus, ClinicalTrials.gov, EBSCO, CINAHL, the Cochrane Central Register of Controlled Trials, CNKI, VIP, Wanfang, and CBM until 5 July 2015. Eligible studies were restricted to @entity23 ( @entity23 ). The available data were pooled using Review Manager version 5.2. For data deemed not appropriate for synthesis, a narrative overview was conducted. RESULTS: In total, 13 studies with 2,340 @entity1 were included. Our results indicated @entity1 receiving PFMT gained a greater improvement than controls in prolapse symptom score [mean difference (MD) -3.07, 95  % confidence interval (CI) -3.91 to -2.23] and @entity3577 stages [risk ratio (RR) 1.70, 95  % CI 1.19-2.44]. The number of @entity1 who said their prolapse was getting better was higher (RR 5.48, 95  % CI 2.19-13.72) and other discomfort syndromes, such as vaginal, bladder, and rectum, were lower in the PFMT groups than in controls. Meanwhile, @entity1 after PFMT had greater improvement in muscle strength and endurance but did not show a significant difference for further treatment needs. In addition, the results evaluating PFMT as an adjunct to prolapse surgery were inconclusive because of the variability in methods of measuring outcome. CONCLUSIONS: Our meta-analysis demonstrated @entity1 who received PFMT showed a greater subjective improvement in prolapse symptoms and an objective improvement in @entity3577 severity.
