The purpose of this review is to provide an in-depth overview of the role of pelvic floor muscle (PFM) training in the management of stress urinary incontinence (SUI). The definition, epidemiology, and pathogenesis of SUI are described. We review the anatomy of the PFM and the importance of PFM strength in maintaining urinary continence and establishing normal voiding function. A brief description of the surgical options currently available for SUI and the existing data regarding the role of perioperative PFM training for SUI are included. Critical research questions to better evaluate and assess PFM training during the perioperative period are proposed. Promising novel approaches in the treatment of SUI are also presented. This review is useful for physiatrists, urogynecologists, female urologists, and nurse practitioners who specialize in the management and treatment of women with SUI.
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PM & R : the journal of injury, function, and rehabilitation. 2018 May 25 [Epub ahead of print]
Anna Maria Lasak, Marjorie Jean-Michel, Phuong Uyen Le, Roshni Durgam, Jessica Harroche
Department of Rehabilitation Medicine, Montefiore Medical Center, The University Hospital For Albert Einstein College of Medicine, Bronx, NY., Obstetrics & Gynecology, Bronx-Lebanon Hospital Center, Bronx, NY., Department of Rehabilitation Medicine, Montefiore Medical Center, The University Hospital For Albert Einstein College of Medicine, 150 East 210(th) Street, 2(nd) floor, Bronx, NY 10467. Electronic address: ., Montefiore Medical Center, The University Hospital For Albert Einstein College of Medicine, Bronx, NY.