In a recent study, researchers evaluated the effect of combining pelvic floor muscle training with urgency suppression techniques (PFMT-st) and silodosin compared to silodosin alone in men with benign prostatic hyperplasia (BPH) and overactive bladder (OAB). A total of 158 patients were randomized into two groups: the control group received only silodosin, while the experimental group received both silodosin and PFMT-st. Treatment effects were assessed using a micturition diary, the International Prostate Symptom Score (IPSS), the Overactive Bladder Questionnaire, and the patient global impression of improvement.

Results from 142 patients showed that the experimental group experienced significantly greater improvements compared to the control group. Specifically, the combined PFMT-st and silodosin treatment led to greater reductions in the number of daily voids, OAB symptoms, urgency intensity, and IPSS scores, along with improved patient satisfaction. The findings suggest that PFMT-st, when added to silodosin, significantly improves outcomes for men with BPH and OAB. They also support PFMT-st as a first-choice treatment for managing OAB in this population.

Reference: Hagovska M, Svihra J Sr, Macko L, et al. The effect of pelvic floor muscle training in men with benign prostatic hyperplasia and overactive bladder. World J Urol. 2024;42(1):287. doi: 10.1007/s00345-024-04974-7.