A commentary on “Microablative radiofrequency versus pelvic floor muscle training for stress urinary incontinence: a randomized controlled trial”

Excerpt

This prospective three-arm randomized clinical trial aimed to compare the effect of fractional microablative radiofrequency (RF) and pelvic floor muscle training (PFMT) against the combination of both therapies (RF + PFMT) for treating stress urinary incontinence (SUI) and genitourinary syndrome (GSM). One hundred seventeen post-menopausal women with stress dominant urinary incontinence in the absence of stage III or IV vaginal prolapse were recruited and allocated into three intervention groups (n = 39 in each group): group 1: 3 monthly sessions of RF; group 2: 12 PFMT weekly sessions; group 3: RF + PFMT simultaneously. Assessments at baseline and 30 days after the end of therapy were conducted using validated questionnaires and scales for urinary, vaginal and sexual functions and cytology for vaginal atrophy. …