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Systematic reviews of randomized trials show that supervised pelvic-floor muscle training improves stress urinary incontinence and reduces leakage episodes in women. The intervention is low risk and can be used during pregnancy, postpartum and before or after continence surgery. For urogynecologists, technique and adherence matter; structured instruction and follow-up are more useful than a generic recommendation to exercise the pelvic floor. Training should be offered before invasive treatment when clinically appropriate, while persistent symptoms warrant reassessment and consideration of surgical or other therapies.
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Systematic reviews of randomized trials show that supervised pelvic-floor muscle training improves stress urinary incontinence and reduces leakage episodes in women. The intervention is low risk and can be used during pregnancy, postpartum and before or after continence surgery. For urogynecologists, technique and adherence matter; structured instruction and follow-up are more useful than a generic recommendation to exercise the pelvic floor. Training should be offered before invasive treatment when clinically appropriate, while persistent symptoms warrant reassessment and consideration of surgical or other therapies.
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