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Systematic reviews of randomized trials consistently show that supervised pelvic-floor muscle training improves stress urinary incontinence and can reduce leakage episodes in women. The intervention is low risk and can be delivered before surgery, during pregnancy and postpartum, or as part of conservative urogynecologic care. For clinicians, technique and adherence matter: simply advising a patient to “do Kegels” may be less effective than structured instruction with follow-up. The evidence supports offering supervised pelvic-floor training to women with stress-predominant symptoms and considering escalation when improvement remains inadequate. It is also useful before and after continence surgery as part of comprehensive pelvic-floor rehabilitation.
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Systematic reviews of randomized trials consistently show that supervised pelvic-floor muscle training improves stress urinary incontinence and can reduce leakage episodes in women. The intervention is low risk and can be delivered before surgery, during pregnancy and postpartum, or as part of conservative urogynecologic care. For clinicians, technique and adherence matter: simply advising a patient to “do Kegels” may be less effective than structured instruction with follow-up. The evidence supports offering supervised pelvic-floor training to women with stress-predominant symptoms and considering escalation when improvement remains inadequate. It is also useful before and after continence surgery as part of comprehensive pelvic-floor rehabilitation.
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