Gynecological Pelvic Floor Muscle Training

The Efficacy of Pelvic Floor Muscle Training in Gynecological Cancer Survivors: A Pilot Study

A randomized controlled trial pilot study to test the efficacy of a pelvic muscular training intervention led by a physiotherapist on urinary incontinence, quality of life and sexual health in women who report urinary urgency and incontinence following surgery and radiation treatment for gynecological cancer vs. usual care (a 1-page sheet on Kegel exercises).

Inclusion Criteria:

- treated with surgery and adjuvant treatment, including radiation, for gynecological cancer within the last 3 years

Exclusion Criteria:

• stage IV cancer or stage III and IV cervical cancer
• radiation not part of treatment
• known spinal or long bone metastases diagnosis with a neuromuscular disorder that may impact pelvic floor muscle function
• urinary incontinence issues prior to cancer diagnosis
• scheduled or previous surgical treatment of incontinence
• fecal incontinence
• body mass index (BMI) > 35
• use of medications to improve bladder function
• unable to complete questionnaires in English or unable to actively participate in physiotherapy treatment provided in English.