There is strong support for the effectiveness of pelvic floor muscle training in managing urinary incontinence through multiple evidence-based strategies. Many women with urgency incontinence experience poor sleep quality, and pelvic floor muscle training may serve as an appropriate intervention to address sleep dysfunction. Studies have also identified specific subregions of the rectum and urethra that are predictive of urinary incontinence. By strengthening these muscles, pelvic floor muscle training can effectively reduce the risk of incontinence. Postpartum women have also shown significant improvement in urinary incontinence with this training method.

Moreover, the relationship between back pain and urinary dysfunction is complex, but studies have acknowledged the role of pelvic floor muscles in spinal stability. This suggests that pelvic floor muscle training may help alleviate both back pain and urinary symptoms.

Not only does pelvic floor muscle training help manage urinary incontinence, but it also enhances overall quality of life. Urinary incontinence can have a profound impact on a woman’s well-being, and even minor cases can lead to a decline in quality of life. Additionally, pelvic floor muscle training has shown positive effects on sexual function after surgery for stress urinary incontinence, further contributing to an improved quality of life.

In conclusion, pelvic floor muscle training is an effective and evidence-based strategy for managing urinary incontinence. It promotes better sleep quality, and reduces the risk of incontinence in various populations. Moreover, it positively impacts quality of life and sexual function. Therefore, pelvic floor muscle training should be considered as a primary treatment option for urinary incontinence.

Jose Antonio Moral Muñoz

References:

1. Freitas, A., Mikkola, T., Rahkola-Soisalo, P., Tulokas, S., Mentula, M. (2020). Calidad de vida y función sexual después de la cirugía TVT versus inyección de bulkamid para la incontinencia urinaria de esfuerzo primaria: resultados de 1 año de un ensayo clínico aleatorizado. Int Urogynecol J, 3(32), 595-601. https://doi.org/10.1007/s00192-020-04618-5
2. Johannessen, H., Frøshaug, B., Lysåker, P., Salvesen, K., Lukasse, M., Mørkved, S., … y Stafne, S. (2020). El ejercicio prenatal regular, incluido el entrenamiento muscular del suelo pélvico, reduce la incontinencia urinaria 3 meses después del parto, seguimiento de un ensayo controlado aleatorio. Acta Obstet Gynecol Scand, 2(100), 294-301. https://doi.org/10.1111/aogs.14010
3. Welk, B., Baverstock, R. (2020). ¿Existe un vínculo entre el dolor de espalda y los síntomas urinarios?. Neurourología y Urodinámica, 2(39), 523-532. https://doi.org/10.1002/nau.24269
4. Winkelman, W., Warsi, A., Huang, A., Schembri, M., Rogers, R., Richter, H., … y Subak, L. (2018). Calidad del sueño y somnolencia diurna en mujeres con incontinencia urinaria predominante de urgencia. Medicina pélvica femenina y cirugía reconstructiva, 2(24), 76-81. https://doi.org/10.1097/spv.0000000000000547