A Randomized Controlled Pilot Trial to Assess the Effectiveness of a Specially Formulated Food Supplement and Pelvic Floor Muscle Training in Women with Stress-Predominant Urinary Incontinence - Beyond the Abstract

All major international societies agree that Pelvic floor muscle training (PFMT) is an effective and cost-effective first-line treatment approach for stress urinary incontinence (SUI).

We also know that adherence to an exercise program is crucial to its effectiveness and that poor adherence results in a decline in effect in the longer term. According to the literature, clinicians estimate that 64% of patients adhere to PFMT regimens in the short term but only 23% in the long term. Our results indicate that we may achieve meaningful clinical improvement in SUI symptoms earlier by adding a unique food supplement to PFMT. Increasing the initial sense of success may lead to more people continuing with PFMT in the longer term. This could increase the rate of successful conservative therapies and reduce the number of operations performed on incontinent patients. To offer women with incontinence a real choice between conservative and non-conservative therapies, clinicians must support conservative therapy in every possible way. Our study is a step in this support.

Written by: Bence Kozma, MD, PhD, University of Debrecen, Faculty of Medicine, Department of Obstetrics and Gynecology, Debrecen, Hungary

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