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Posted by on Jun 6, 2021 in Urinary incontinence | 0 comments

In a nutshell

This study investigated the effects of app-based pelvic muscle floor training (PMFT) in women with urinary incontinence (UI). Researchers suggested that this treatment is easily available to women and improves UI.

Some background

UI consists of the leakage of urine from the bladder. It is present in 25 to 45% of women worldwide. The standard first-line treatment for this disorder is PMFT and lifestyle change. Prior studies reported that PMFT is associated with improvements of urinary symptoms. However, not all women can have supervised PMFT session.

One study suggested the initiation of PMFT using an app that helps with adherence. Tät® is a mobile app that provides PMFT safely. It includes information, lifestyle advice, and PMFT exercises.

Some studies suggested that age and educational level can affect the outcomes of PMFT. Other studies suggested that patients with mild urine leakage at the start of treatment had better outcomes. Treatment adherence is essential for treatment effectiveness. However, who benefits from PMFT (conventional or app-based) and the level of adherence necessary are still not clear.

Methods & findings

This study included information about 2153 women with UI. All participants downloaded the app Tät® and were assessed through a questionnaire. After 3 months, participants filled up a questionnaire about symptoms and app usage.

Of all participants, 65.6% reported improvement of urinary symptoms. Any improvement was associated with age younger than 50 years, at least weekly PMFT frequency, and at least weekly app use.

Patients who used the app and performed PMFT several times a day had great improvements in urinary symptoms. 

The bottom line

This study concluded that the app-based PFMT is easily available and improves UI symptoms in women.

The fine print

This study was based on self-reported outcomes which are associated with recall bias. Moreover, self-reported data could not be validated because of data security issues. This might affect the results. Further studies are necessary.

Published By :

International urogynecology journal

Date :

Apr 07, 2021

Original Title :

Self-management of incontinence using a free mobile app: factors associated with improvement.

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