HTA Details

Pelvic Floor Muscle Training for Stress Urinary Incontinence, Fecal Incontinence, and Pelvic Organ Prolapse

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Publication date
2024-August-05
Status
Final
Topic Area
Bones, Joints and Muscles
Recommendation

Final Recommendation

  • Ontario Health, based on guidance from the Ontario Health Technology Advisory Committee, recommends publicly funding pelvic floor muscle training for stress urinary incontinence for women and men and pelvic organ prolapse in women.
Ministry Response
The Ministry of Health is currently reviewing this recommendation.

The pelvic floor is a funnel-shaped structure that has functions related to digestion, urination, and reproduction. The term pelvic floor dysfunction covers a variety of conditions, signs, and symptoms. The three most common conditions are stress urinary incontinence, fecal incontinence, and pelvic organ prolapse.

Conservative (nonmedication and nonsurgical) treatment for pelvic organ prolapse or stress urinary incontinence includes lifestyle and behavioural interventions, dietary modifications, and vaginal pessaries. For fecal incontinence, conservative treatment includes dietary modifications. Pelvic floor muscle training is another conservative treatment option.

This health technology assessment looked at how safe, effective, and cost-effective pelvic floor muscle training (supervised by a trained health care professional) is for adults with stress urinary incontinence, fecal incontinence, or pelvic organ prolapse. It also looked at the budget impact of publicly funding pelvic floor muscle training and at the experiences, preferences, and values of people with stress urinary incontinence, fecal incontinence, or pelvic organ prolapse.

Last Updated: February 24, 2026