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May 26, 2026European Journal of Obstetrics & Gynecology and Reproductive BiologyOpen Access

Pelvic muscle training and electrostimulation to treat weak pelvic floor: a multicentre-randomised parallel group trial

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Authors

GLGianfranco LambertiGCGianluca CiardiDGDonatella Giraudo

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Overview

Randomized trial evaluates pelvic floor muscle training and electrical stimulation effects on incontinence in women, highlighting significant improvements.

Key Points

  • The aim is to determine if sEMG-triggered electrical stimulation enhances pelvic floor muscle training effectiveness in women with stress urinary incontinence and weak pelvic floor muscles.
  • Multicentre, randomized, double-blind, parallel-group trial
  • 42 women with stress urinary incontinence assigned to PFMT + sEMG stimulation or PFMT + placebo stimulation
  • Assessment of pelvic floor muscle strength and incontinence outcomes at 10 weeks and 6/12 months follow-up.
  • Significant improvement in pelvic floor muscle strength at 10 weeks (0.48 Oxford points, p=0.033) and sustained at 12 months (0.59 Oxford points, p=0.009)
  • Experimental group had greater reductions in weekly leakage (−1.51 episodes/week, p=0.001) and ICIQ-SF score (−5.20 points, p<0.001) at 12 months
  • 65% of experimental participants reported clinically meaningful improvement on PGI-I compared to 18% of controls.

Cite This Study

Lamberti et al. (2026) studied this question.

synapsesocial.com/papers/6a153950b5d9c58d83e8cc01https://doi.org/10.1016/j.ejogrb.2026.115199
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