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Related Experiment Video

Updated: Jun 22, 2026

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System

Published on: September 20, 2018

Real-World Evidence From a Digital Health Treatment Program for Female Urinary Incontinence: Observational Study of

Evelyn Hall¹, Laura Keyser^2,3, Jessica McKinney^3,4

¹Tufts University Medical Center, Tufts University School of Medicine, Boston, MA, United States.

JMIR Formative Research

|June 27, 2024

Summary

A digital pelvic floor muscle training (PFMT) program effectively treats urinary incontinence (UI) in women. Real-world data show significant symptom improvement and high adherence with this accessible digital health solution.

Keywords:

digital health evidence mobile phone pelvic floor muscle training real-world urinary incontinence user-centered design

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Area of Science:

Digital health interventions in women's health.
Pelvic floor muscle training (PFMT) for urinary incontinence (UI).

Background:

Urinary incontinence (UI) significantly impacts millions of women's health and quality of life.
Supervised PFMT is the recommended first-line treatment, but access barriers exist.
Digital health solutions show promise for delivering UI treatment effectively.

Purpose of the Study:

To assess the effectiveness and safety of a digital health program for PFMT in treating UI.
To evaluate patient engagement with the digital platform.
To identify factors predicting successful UI symptom improvement.

Main Methods:

Retrospective cohort study of 947 women (≥18 years) with UI using a digital PFMT program.
Users followed a 2.5-minute, twice-daily training program guided by an intravaginal motion-based device and smartphone app.
Assessed symptom improvement via Urogenital Distress Inventory Short Form (UDI-6) score changes and analyzed adherence and performance data.

Main Results:

Significant mean UDI-6 score reduction (11.3 points; P<.001), with 74% reporting improvement.
High adherence (89%) and engagement observed, with 92.9% adhering to the regimen.
Using the device ≥10 times/week predicted symptom improvement; baseline severity and contraction angle change were key factors.

Conclusions:

The digital PFMT program is effective and safe for treating female UI in real-world settings.
Significant symptom improvements are achieved with ≥10 sessions/week over 12 weeks.
This digital approach offers a scalable, accessible first-line treatment with high user adherence.