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Systematic review
Pelvic floor muscle training may improve prolapse stage, muscle function and urinary symptoms compared to no training
  1. Cynthia M Sublett
  1. School of Nursing, Xavier University, Cincinnati, Ohio, USA
  1. Correspondence to: Dr Cynthia M Sublett
    School of Nursing, Xavier University, 3800 Victory Parkway, Cincinnati, OH 45207, USA; sublett{at}

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Commentary on: Hagen S, Stark D. Conservative prevention and management of pelvic organ prolapse in women. Cochrane Database Syst Rev 2011;12.

Implications for practice and research

  • Less invasive but effective methods of prevention and treatment by nurses, nurse practitioners and physicians for pelvic organ prolapse (POP) are needed.

  • Subsequent longitudinal research is needed to support the contention that pelvic floor muscle training (PFMT) can be used as a prevention and treatment for POP.


Two decades ago, POP was estimated to be present in over 50% of parous women.1 Shalom et al2 found that parity had less to do with POP than previously thought, stating it is a multifactorial problem. The development of the POP-Q in 19963 has assisted in standardising the language of POP. Randomised controlled trials (RCTs) have been conducted to address …

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  • Conflicting interests None.