{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:32:20Z","timestamp":1787751140440,"version":"build-2784847793"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,3,28]],"date-time":"2013-03-28T00:00:00Z","timestamp":1364428800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To estimate the long\u2010term effect of intensive, 6\u2010week physiotherapy programs, with and without deep abdominal muscle (TrA) training, on persistent postpartum stress urinary incontinence (SUI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study was a single\u2010blind randomized controlled trial. Fifty\u2010seven postnatal women with clinically demonstrated persistent SUI 3 months after delivery participated in 8 weeks of either pelvic floor muscle training (PFMT) (28) or PFMT with deep abdominal muscle training (PFMT\u2009+\u2009TrA) (29). Seven years post\u2010treatment, 35 (61.4%) participants agreed to the follow\u2010up; they were asked to complete a 20\u2010min pad test and three incontinence\u2010specific questionnaires with an assessor blinded to each participant's group assignment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>Of the 35 (61.4%) who agreed to the follow\u2010up: 26 (45.6%) took the 20\u2010min pad test (12 PFMT and 14 PFMT\u2009+\u2009TrA) and 35 (61.4%) completed the questionnaires (18 PFMT and 17 PFMT\u2009+\u2009TrA). The baseline clinical characteristics of the follow\u2010up and non\u2010follow\u2010up participants were not significantly different; nor did they differ between PFMT and PFMT\u2009+\u2009TrA participants enrolled in the follow\u2010up study. At 7 years, the pad test scores for the PFMT group did not differ statistically from those of the PFMT\u2009+\u2009TrA group. When combining both treatment groups, a total of 14\/26 (53%) follow\u2010up participants were still continent according to the pad test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The addition of deep abdominal training does not appear to further improve the outcome of PFM training in the long term. However, benefits of physiotherapy for postpartum SUI, although not as pronounced as immediately after the initial intervention, is still present 7 years post\u2010treatment. Neurourol. 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