Université de Montréal 

Research Spotlight


Publication Highlight
Chantale Dumoulin, Mélanie Morin, Coraline Danieli, Licia Cacciari, Marie-Hélène Mayrand, Michel Tousignant, Michal Abrahamowicz, Urinary Incontinence and Ageing Study Group. Group-Based vs Individual Pelvic Floor Muscle Training to Treat Urinary Incontinence in Older Women: A Randomized Clinical Trial. JAMA Intern Med. 2020;180(10):1284-1293. doi:10.1001/jamainternmed.2020.2993

The objective of the study was to assess the efficacy of group-based Pelvic Floor Muscle Training (PFMT) relative to individual PFMT for urinary incontinence in older women, using a single-blind, randomized, noninferiority trial conducted in 2 Canadian research centers. 362 community-dwelling women aged 60 years or older with symptoms of stress or mixed urinary incontinence were enrolled. The primary outcome measure was the percentage reduction in urinary incontinence episodes at 1 year, as reported in a 7-day bladder diary and relative to pre-treatment baseline. Individual PFMT and group-based PFMT had similar effectiveness for all secondary outcomes at 1 year. Adverse events were minor and uncommon suggesting that group-based PFMT is not inferior to the recommended individual PFMT for the treatment of stress and mixed urinary incontinence in older women. Widespread use in clinical practice may help increase continence-care affordability and treatment availability.


2020-2023 Publication List

Mercier J, Morin M, Tang A, Reichetzer B, Lemieux MC, Samir K, Zaki D, Gougeon F, Dumoulin C. Pelvic floor muscle training: mechanisms of action for the improvement of genitourinary syndrome of menopause. Climacteric. 2020 Oct;23(5):468-473. doi: 10.1080/13697137.2020.1724942. Epub 2020 Feb 27.

Dumoulin C, Morin M, Danieli C, Cacciari L, Mayrand MH, Tousignant M, Abrahamowicz M, Urinary Incontinence and Aging Study Group. Group-Based vs Individual Pelvic Floor Muscle Training to Treat Urinary Incontinence in Older Women: A Randomized Clinical Trial. JAMA Intern Med. 2020 Oct 1;180(10):1284-1293. doi: 10.1001/jamainternmed.2020.2993.

El-Sayegh B, Dumoulin C, Ali M, Assaf H, Sawan M. A Dynamometer-based Wireless Pelvic Floor Muscle Force Monitoring. Annu Int Conf IEEE Eng Med Biol Soc. 2020 Jul;2020:6127-6130. doi: 10.1109/EMBC44109.2020.9176660.

Le Berre M, Presse N, Morin M, Larouche M, Campeau L, Hu YX, Reid I, Dumoulin C. What do we really know about the role of caffeine on urinary tract symptoms? A scoping review on caffeine consumption and lower urinary tract symptoms in adults. Neurourol Urodyn. 2020 Jun;39(5):1217-1233. doi: 10.1002/nau.24344. Epub 2020 Apr 9.

Cacciari LP, Kruger J, Goodman J, Budgett D, Dumoulin C. Reliability and validity of intravaginal pressure measurements with a new intravaginal pressure device: The FemFit®. Neurourol Urodyn. 2020 Jan; 39(1):253-260. doi: 10.1002/nau.24179. Epub 2019 Oct 6.

Morin M, Dumoulin C, Bergeron S, Mayrand MH, Khalifé S, Waddell G, Dubois MF; PVD Study Group. Multimodal physical therapy versus topical lidocaine for provoked vestibulodynia: a multicenter, randomized trial. Am J Obstet Gynecol. 2021 Feb;224(2):189.e1-189.e12.

doi: 10.1016/j.ajog.2020.08.038. Epub 2020 Aug 18.

Fehlmann A, Reichetzer B, Ouellet S, Tremblay C, Clermont ME. Establishing a peripartum perineal trauma clinic: a narrative review.Int Urogynecol J. 2021 Jul;32(7):1653-1662. doi: 10.1007/s00192-020-04631-8. Epub 2021 Jan 5.

Pedofsky L, Nielsen PMF, Budgett D, Nemec K, Dumoulin C, Kruger J. Using codesign to develop a mobile application for pelvic floor muscle training with an intravaginal device (femfit®). Neurourol Urodyn. 2021 Nov;40(8):1900-1907. doi: 10.1002/nau.24775. Epub 2021 Aug 31.

Dumoulin C, Cacciari L, Mayrand MH. Implementing Group-Based Pelvic Floor Muscle Training in Clinical Practice-Reply. JAMA Intern Med. 2021 Mar 1;181(3):406-407. doi: 10.1001/jamainternmed.2020.7110.

Cacciari LP, Morin M, Mayrand MH, Tousignant M, Abrahamowicz M, Dumoulin C. Pelvic floor morphometrical and functional changes immediately after pelvic floor muscle training and at 1-year follow-up, in older incontinent women. Neurourol Urodyn. 2021 Jan;40(1):245-255. doi: 10.1002/nau.24542. Epub 2020 Oct 19.

Harvey MA, Lemieux MC, Robert M, Schulz JA. Guideline No. 411: Vaginal Pessary Use.J Obstet Gynaecol Can. 2021 Feb;43(2):255-266.e1. doi: 10.1016/j.jogc.2020.11.013. Epub 2020 Nov 26.

Bø K, Anglès-Acedo S, Batra A, Brækken IH, Chan YL, Jorge CH, Kruger J, Yadav M, Dumoulin C. International Urogynecology Consultation Chapter 3 Committee 2: Conservative treatment of patient with pelvic organ prolapse: Pelvic floor muscle training. Int Urogynecol J. 2022 Oct;33(10):2633-2667. doi: 10.1007/s00192-022-05324-0. Epub 2022 Aug 18.

Cacciari LP, Morin M, Mayrand MH, Dumoulin C. Never Too Late to Train: The Effects of Pelvic Floor Muscle Training on the Shape of the Levator Hiatus in Incontinent Older Women. Int J Environ Res Public Health. 2022 Sep 4;19(17):11078. doi: 10.3390/ijerph191711078.

Parker-Autry C, Neiberg R, Leng XI, Matthews CA, Dumoulin C, Kuchel G, Kritchevsky SB. Examining the Role of Nonsurgical Therapy in the Treatment of Geriatric Urinary Incontinence. Obstet Gynecol. 2022 Aug 1;140(2):243-251. doi: 10.1097/AOG.0000000000004852. Epub 2022 Jul 6.

Cacciari LP, Kouakou CR, Poder TG, Vale L, Morin M, Mayrand MH, Tousignant M, Dumoulin C. Group-based pelvic floor muscle training is a more cost-effective approach to treat urinary incontinence in older women: economic analysis of a randomised trial. J Physiother. 2022 Jul;68(3):191-196. doi: 10.1016/j.jphys.2022.06.001. Epub 2022 Jun 23.

El-Sayegh B, Dumoulin C, Ali M, Assaf H, De Jong J, Sawan M, Leduc-Primeau F. Portable Dynamometer-Based Measurement of Pelvic Floor Muscle Force. IEEE J Transl Eng Health Med. 2022 Nov 18;11:44-53. doi: 10.1109/JTEHM.2022.3223258. eCollection 2023.

Le Berre M, Filiatrault J, Reichetzer B, Dumoulin C. Feasibility, acceptability and effects of a group pelvic floor muscle telerehabilitation program to treat urinary incontinence in older women. Digit Health. 2022 Oct 26;8:20552076221123720. doi: 10.1177/20552076221123720. eCollection 2022 Jan-Dec.

Robinson D, Prodigalidad LT, Chan S, Serati M, Lozo S, Lowder J, Ghetti C, Hullfish K, Hagen S, Dumoulin C. International Urogynaecology Consultation chapter 1 committee 4: patients' perception of disease burden of pelvic organ prolapse. Int Urogynecol J. 2022 Feb;33(2):189-210. doi: 10.1007/s00192-021-04997-3. Epub 2022 Jan 3.

Le Berre M, Filiatrault J, Reichetzer B, Dumoulin C. Group-Based Pelvic Floor Telerehabilitation to Treat Urinary Incontinence in Older Women: A Feasibility Study. Int J Environ Res Public Health. 2023 May 11;20(10):5791. doi: 10.3390/ijerph20105791.

Mercier J, Dumoulin C, Carrier-Noreau G. Pelvic floor muscle rehabilitation for genitourinary syndrome of menopause: why, how and when? Climacteric. 2023 Aug;26(4):302-308.

doi: 10.1080/13697137.2023.2194527. Epub 2023 Apr 5.

Bø K, Anglès-Acedo S, Batra A, Brækken IH, Chan YL, Jorge CH, Kruger J, Yadav M, Dumoulin C. Strenuous physical activity, exercise, and pelvic organ prolapse: a narrative scoping review. Int Urogynecol J. 2023 Jun;34(6):1153-1164. doi: 10.1007/s00192-023-05450-3. Epub 2023 Jan 24.

Cyr MP, Dostie R, Camden C, Dumoulin C, Bessette P, Pina A, Gotlieb WH, Lapointe-Milot K, Mayrand MH, Morin M. Acceptability of multimodal pelvic floor physical therapy to treat dyspareunia after gynecological malignancies: a qualitative study of women's views and experiences. Int Urogynecol J. 2023 May;34(5):1061-1073. doi: 10.1007/s00192-022-05304-4. Epub 2022 Aug 10.

El-Sayegh B, Cacciari LP, Primeau FL, Sawan M, Dumoulin C. The state of pelvic floor muscle dynamometry: A scoping review. Neurourol Urodyn. 2023 Feb;42(2):478-499. doi: 10.1002/nau.25101. Epub 2022 Dec 7.

Sanses TVD, Zillioux J, High RA, Dengler KL, Ackenbom MF, DuBeau CE, Alperin M, Wagg A, Birder LA, Dumoulin C, Bavendam T. Evidence-Informed, Interdisciplinary, Multidimensional Action Plan to Advance Overactive Bladder Research and Treatment Initiatives: Directives From State-of-the-Science Conference on Overactive Bladder and Cognitive Impairment. Urogynecology (Phila). 2023 Jan 1;29(1S Suppl 1):S20-S39. doi: 10.1097/SPV.0000000000001274. Epub 2022 Oct 21.

Dengler KL, High RA, Moga DC, Zillioux J, Wagg A, DuBeau CE, Ackenbom MF, Alperin M, Dumoulin C, Birder LA, Mazloomdoost D, Lai HH, Sung VW, Gray SL, Sanses TVD. Overactive Bladder and Cognitive Impairment: The American Urogynecologic Society and Pelvic Floor Disorders Research Foundation State-of-the-Science Conference Summary Report. Urogynecology (Phila). 2023 Jan 1;29(1S Suppl 1):S1-S19. doi: 10.1097/SPV. 0000000000001272. Epub 2022 Oct 22.

Bø K, Anglès-Acedo S, Batra A, Brækken IH, Chan YL, Jorge CH, Kruger J, Yadav M, Dumoulin C. Are hypopressive and other exercise programs effective for the treatment of pelvic organ prolapse? Int Urogynecol J. 2023 Jan;34(1):43-52. doi: 10.1007/s00192-022-05407-y. Epub 2022 Nov 23.

Marie-Eve Clermont, Audrey Carrier-Leclerc. Les prolapsus du plancher pelvien, une question de qualité de vie. Le Médecin du Québec, vol. 58, no. 5, May 2023.