Table C-1Design and baselines for the new comparative studies

Author Year PMID Trial name (if given)Country/countries Study years Study typeFunding sourceInclusion criteriaExclusion criteriaDid participants fail to improve with previous treatment?UI Type (%)Age, mean (SD) [range]Special populationsRaceenrolledanalyzeddropouts
Abdelbary 2015 26135813Egypt, 2010–2014, RCTExplicitly not industry funded> = 40 y/o without UTI, SUI, prior anti-incontinence or pelvic surgery, anti-incontinence meds (for at least 3 months), or malignancynone listed, opposite of inclusionNot reported/unclearUrge: 100 (The primary outcome was improvement in urgency incontinence)48.5 (6) [40–70]3153150
Abdulaziz 2012Saudi Arabia, 2010–2011, RCTNot reportedperimenopausal (Age 40–50years), multiparous (3–6 children), obese women (BMI > 32/Kg/M2) with complaints of pelvic floor dysfunction and stress urinary incontinence.history of genetourinary pathology, neurological disorders, chest infection, chronic cough, diabetes or having participated at aerobic training programs within recent three monthsNo (explicitly treatment naive)Stress: 10043.8 (4.4) [40, 50]56560
Ahlund 2013 23672520Sweden, nd, RCTNot reportedNormal term singleton vaginal delivery and having problem with SUINeurological bladder dysfunction or tumors in the genital areaNot reported/unclearStress: 10033 (3.6)988216
Alves 2011 21860988Brazil, nd, RCTNot reportedAll patients had a clinical diagnosis of SUI and urinary loss for at least three monthsurogenital prolapse grade III or higher18, urinary tract infection, instability of the detrusor muscle, cardiac pacemakers, devices implanted in the pelvis, vaginal inflammation/infections, pregnancy, intrinsic sphincter deficiency, use of hormone replacement therapy, pelvic or abdominal surgery within the last six months, cognitive impairment and non-attendance of the number of sessions providedNot reported/unclearStress: 10055.6 (6.5) [42]20200
Amundsen 2016 27701661U.S., 2012–2015, RCTExplicitly not industry fundedRefractory urgency UI; a minimum of 6 urgency incontinence episodes on a baseline 3-day diaryRelevant neurologic diseases; history of using either of the study interventions; or a postvoid residual of more than 150 mLSome supervised behavioral or physical therapy intervention; a minimum of 2 anticholinergics (or inability to tolerate or contraindications to the medication)Urge: 10063 (11.6)38636417
Aziminekoo 2014 24971138Iran, 2011, 2012, RCTExplicitly not industry fundedFemale outpatients with documented over active bladder syndrome [urinary frequency (>or = 8 micturations /24 hours) plus urge incontinence (>or = 5 episodes/week)] who show idiopathic detrussor overactivity (IDO) in the filling cystometry.ndNot reported/unclearUrge: 10053 (12)100ndnd
Baker 2014 24763155U.S., 2011–2012, RCTExplicitly not industry fundedwomen >18yo, 5 or more UUI on 3 day bladder diaryanticholinergic medication with the past 2 weeks, prior nonpharmacologic treatment of UUI such as supervised behavioral therapy, supervised or unsupervised physical therapy, supervised biofeedback transvaginal electrical stimulation, PTNS, Interstim, bladder botox, IC, neurological disorder.Some had tried prior anticholinergics (~25% in each arm), ~10% had a prior midurethral slingUrge: 100median 58 [22, 79]30219
Beer 2017 27501593U.S., 2012–2014, RCTNot reportedWomen who were eligible for neuromodulation surgery, over 21 years old, not currently pregnant or planning on becoming pregnantYes (48% with prior UI procedures)Unclassified: 10066.5 (12)white 35%, black 12%, Hispanic 43%23230
Berlotto 2017 28508398Brazil 2014 RCTNot reportedPostmenopausal status, age 50–65 years, a complaint of loss of urine on exertion, and provision of written informed consent.Presence of a urinary tract infection, failure to understand pelvic floor muscle contraction, cognitive alterations, collagen- or muscle-related diseases, or neurological abnormalities.No (explicitly treatment naive)Stress: 10058.3 (5.8)Older women49454
Bray 2017 28407338UK, 2004, 2006, RCTIndustry funded/industry provided materialsAge ≥18 years, had OAB symptoms for at least 6 months prior to entering the study, and had a BWT of at least 5 mm and post-micturition volume of less than 50 mL at screening.Subjects could not be taking any anticholinergic drug or receiving any treatment for OAB. Women with significant SUI and women experiencing or with a history of urinary tract infection were also excluded from the study.Not reported/unclearUrge: 10047 (11.4)white 81%, black 11%, Asian 3%796514
But 2012 23390832Slovenia, 2007–2008, RCTNot reportedfemale, urgency intensity and urgency urinary incontinence of ≥3 on the Urgency Perception Scale (UPS), and frequency ≥1 urgency episodes per day, no anticholinergic drugs for at least 6 months prior to study inclusionpregnant, angular glaucoma, urinary infection, urinary tract stones, bladder disease (stones or tumors), dementia, neurogenic OAB with sever orthopedic difficultiesNot reported/unclearUnclassified: 101median 54 (IQR 11.5)776116
Butt 2016Pakistan, nd, RCTNot reportedPatients having complaint of urinary incontinence, complaints of nocturia, and/or complaints of frequency (the number of times a women voids during her waking hours. Normally it is between 4–7 voids per day)Patients with urinary tract infection (on urine complete examination), fistula (history of continuous dribbling of urine), pregnancy, uterovaginal prolapspe, and/or diabetes (BSF >126 mg/dl and BSR>200 mg/dl).Not reported/unclearUnclassified: 10057.34 (11.54)8308300
Capobianco 2012 21706345Sardinia, 2005–2010, RCTExplicitly not industry fundedurinary stress incontinence, vaginal atrophy, and histories of recurrent urinary tract infections. None received estrogen treatment prior to the study.pathologies or anatomical lesions of the urogenital tract such as uterovaginal prolapse, cystocele, and rectocele of grade II or III, severe systemic disorders, thromboembolic diseases, biliary lithiasis, previous breast or uterine cancer, abnormal uterine bleeding, and body mass index (BMI) > = 25 kg/m2Not reported/unclearStress: 100 (direct visualization of loss of urine from the urethra during the standard stress test and by urodynamic investigation)57.8 (4.5)white 98.5%20620620
Castellani 2015 26043913Italy, 2010–2014, RCTNot reportedpostmenopausal women with SUIprevious surgical treatment for SUI or prolapse, urge incontinence < = POP-Q, severe hepatic disease, breast or uterine cancer, thromboembolic diseases, abnormal uterine bleeding, BMI > = 30 kg/m3Not reported/unclearStress: 10055 (5.7)72693
Chughtai 2016 26883688U.S., nd, RCTIndustry funded/industry provided materialspostmenopausal women with a history of overactive bladder symptoms for at least 3 months and at least one urgency incontinence episode per 24 hevidence of chronic urologic inflammation, uncontrolled narrow angle glaucoma, recurrent urinary tract infection, significant stress incontinence, a partner with sexual dysfunction, an anatomic disorder of sexual function, a recent major gynaecological surgery, abnormal cervical smear results, history of gynaecological malignancy, and/or uncontrolled hypertensionNot reported/unclearUnclassified: 10055.4 [40.7, 66.6]23185
Chughtai 2016 26883688 NDU.S., ND, RCTIndustry funded/industry provided materialspostmenopausal women with a history of over-active bladder symptoms for at least 3 months, including an average of 8 or more micturitions per 24 h and at least one urgency incontinence episode per 24 h recorded in 3 day bladder diaries at baselinechronic urologic inflammation, uncontrolled narrow angle glaucoma, recurrent urinary tract infection, significant stress incontinence, partner with sexual dysfunction, an anatomic disorder of sexual function, a recent major gynaecological surgery, abnormal cervical smear results, history of gynaecological malignancy, and/or uncontrolled hypertensionNot reported/unclearUnclassified: 10355.4 [40.7–66.6]23185
Cornu 2012 22588140France, 2006–2008, RCTIndustry funded/industry provided materialsAge > = 18; SUI with at least 4 episodes/week or Mixed urinary incontinence with predominant SUI component; Postmenopausal or under contraceptionVaginal delivery in the past 2 months, bladder or vaginal active disease, acute or recurrent urinary infection; pelvic organ prolapse; surgical intervention for SUI in the past 6 months; drug treatment for urinary incontinence in the last month; pelvic floor muscle training under waySome (14.5% previous UI surgery)Stress: 100 (stress or mixed with primary stress component)58.6 (13.6) [29, 88]554114
Correia 2014 24382548Brazil, 2012–2013, RCTExplicitly not industry fundedwomen over age 50 who complained of urinary leakage on stress and who had not undergone PT for UI.Patients with UUI or MUI. Latex allergies, vaginal or urinary infections, POP > grade 2, inability to contract pelvic muscles, cognitive or neurological disorder, uncontrolled HTN, hormone therapy, pacemaker, metal rod implant, inability to complete evaluation and treatment.Not reported/unclearStress: 10060.13 (9.35)48453
de Souza Abreu 2017 28346721 NDBrazil, 2013–2014, RCTExplicitly not industry fundedwomen 18 years and older with self reported urinary Underwent a cough-provocation testabsence of losses during the cough provocation test; musculoskeletal and/or neurological dysfunction that compromised the performance or understanding of the exercises; genital prolapse beyond the vaginal opening; use of anti-cholinergic drugs or hormone replacement therapy; ongoing urinary or vaginal infection. Pregnant or breastfeeding women and women undergoing treatment for SUI of effort, for pelvic floor dysfunction and for changes in spine alignmentNot reported/unclearStress: 10064 (11.9)40337
Dede 2013 23086134Germany, 2007–2008, RCTExplicitly not industry fundedurge incontinence, mixed incontinence (motor component dominant with at least 1 unstable detrusor contraction with simultaneous urge or urge incontinence)stress incontinence primary diagnosis, urological or gynecological surgeries < 3 months before study start, untreated tachy-arrythmia, closed angle glaucoma, outflow obstruction of any etiology, myasthenia gravis, pregnancy and lactation, acute allergies or drug intolerance towards atropine, oxy-butynin, TCI, or any adjuvant contained in the tablets, other anticholinergics, tri-tetracyclic antidepressants, calcium antagonists (unless started at least 3 months before administration of the first dose of study medication) and b-sympathomimetics in the last 7 days before the first urodynamic assessment were not eligible. Disallowed concomitant medications were antihistamines, amantadine, quinidine, disopyramide.Not reported/unclearUrge: 56 (detrussor instability), mixed: 44 (motor component dominant)51.83 (10.52)90900
Delgado 2013 23640005UK, nd, RCTExplicitly not industry fundedwomen > 18 with sure SUI or stress-predominant mixed UI, no previous UI surgerypregnancy, <12 weels post-partum, taking duloxeting, recent or current UTI, neurological disease, post-void residual ≥ 100 ml, organ prolapseNot reported/unclearUnclassified: 10049.6 [36–68]524012
Dmochowski 2014 24666884Australia, New Zealand, South Korea, ND, RCTIndustry funded/industry provided materialsWomen 18–75 years of age with a history of OAB (urge or mixed urinary incontinence with predominant urge incontinence) for at least 6 monthspredominant stress incontinence or mixed incontinence post void residual urine volume > 100 ml or polyuria (> 3 l/day) underlying neurological disease responsible for OAB active urinary tract infection clinically relevant cardiac arrhythmias Pelvic or urologic abnormalities Bladder urinary tract surgery Patients taking medications with antimuscarinic or antihistaminic activityNot reported/unclearUrge or mixed: 10056 (12.2) [18–75]white 57.7%, Asian 40.8%1381308
Ferreira 2012Portugal, nd, RCTNot reporteda clinical history of SUI with mild to moderate severity, a pad test of more than 1 g, the ability to contract the PFM, and a 50% attendance at the training programmesprevious surgeries for SUI, neurological or psychiatric diseases, and other diseases or medication that would interfere with the outcomes of the studyNot reported/unclearStress: 10052.3 (9.1)38344
Fitz 2017 28169458Brazil, 2011–2014, RCTExplicitly not industry fundedPredominance of SUI symptoms and≥2 g leakage measured by pad test and with capability to contract the PFM properly.Younger than 18 years old, had chronic degenerative diseases, pelvic organ prolapse greater than stage I by POP-Q, neurologic or psychiatric diseases, inability to contract PFMs, had previous pelvic floor re-education programs and/or pelvic floor surgeriesNo (explicitly treatment naive)Stress: 10056.4 (11.3)724923
Fürst 2014 25003921Brazil, 2000–2002, RCTNot reportedclinical and urodynamic SUInone listedYes (patients with a history of surgical treatment for SUI, pelvic reconstruction and hysterectomy were included)Urge: 63, stress: 100, mixed: 6349.6 (10.6)483513
Galea 2013Australia, nd, RCTExplicitly not industry fundedHealthy women living in the community, aged between 60 and 85 years with symptoms of stress and/or urge UIfaecal loading, known neurological symptoms, or currently receiving physiotherapy intervention for UINot reported/unclearUrge: 65, stress: 9, mixed: 2673.5 (9) [61, 86]older women 70%23221
Ghaderi 2016 27059833Iran, nd, RCTExplicitly not industry fundedAge 45–60 years old; chronic nonspecific low back pain; SUI; experience of 2 or 3 normal deliveriesExperience of the pelvic surgery or spine; malignant condition; pelvic or spine fracture; had twins or more; have low back pain with specific conditionNot reported/unclearStress: 10052.9 (1.1)60ndnd
Gittelman 2014 24231837 NDU.S., Canada, 2004–2006, RCTIndustry funded/industry provided materials≥18 years of age; OAB for ≥6 months; pure or predominant urinary urge incontinence (UUI); willing to discontinue all current OAB medications for 2 weeks prior to a placebo run-in period.Pure or predominant stress incontinence, insensate incontinence, or overflow urinary incontinence; urinary retention;uncontrolled narrow-angle glaucoma; hypersensitivity to Oxy or silicone; pregnancy/delivery in last 6 months; infections or conditions of urinary tract, bladder, vagina, or cervix that precluded VR placement or visual inspection; cervical dysplasia or any atypical Pap smear findings; known HIV positivity; history of any other medical conditions that could worsen with Oxy administration or VR use; current use of vaginal contraceptives or devices; initiation of hormone therapy within prior 3 months; prior Oxy response ure; and any use in the previous 3 months of other investigational drugs.Not reported/unclearUnclassified: 10057 (11.5) [21.3]white 78.6%, black 16.7%, Hispanic 4.3%, Asian 0.3%72032354
Golmakani 2014 24498480Iran, 2008–2009, RCTExplicitly not industry fundedWomen, 25–65 yo, proven SUIChronic degenerative diseases, vaginitis, pregnancy, active or recurrent UTIs, advanced genital prolapse, cardiac pacemakersNot reported/unclearStress: 100 (> = 3 episodes/wk)45.5 (4.6) [25–65 (eligibility)]60519
Gozukara 2014 24711149Turkey, 2008–2008, RCTNot reportedive or more episodes of any UI in a-3-day voiding diary and a BMI over 25 kg/m2Women who had used medical therapy for incontinence or made any attempt at weight loss within the previous month and women with urinary tract infection, pregnancy, or parturition in the previous 6 months and previous genitourinary surgery were excluded. Patients with UI due to neurological or functional origins, or with significant systemic and genitourinary medical conditions, and women who required assistance during their daily activities were also excluded. Additionally, patients who were using any medication that potentially affects urinary continence (e.g., cholinergic and anticholinergic agents, certain antihypertensives, diuretics, opioids, and certain psychotropic drugs) were excluded.Not reported/unclearUrge: 23, stress: 40, mixed: 3743.8 (9.7)37832157
Hirakawa 2013 23306768Japan, 2008–2011, RCTExplicitly not industry fundedSUI; leakage episode occurring more than once a weekPelvic organ prolapse beyond the vaginal hymen; pregnancy; previous pelvic surgery for urology or gynecology in the past year, concomitant treatment for SUI during the trial period; neurological or psychiatric disease; urinary tract infection; any severe disease such as malignancyStress: 10056.8 (10.6)46397
Huang 2012 22542122U.S., 2009–2010, RCTIndustry funded/industry provided materialswoman ≥ 18 years old, isolated urgency incontinence or mixed incontinence, ≥ 7 incontinence episodes per week in the past 3 monthsself-reported complex medical history (incontinence surgery in last 5 years, pelvic surgery in last 6 months), >3 UTI in last year, urinary tract or rectal fistula, interstitial cystitis, symptomatic pelvic organ prolapse, urogenital cancer or radiation, congenital abnormalities leading to incontinence, major neurological disorder, patients with contraindications to fesoterodine therapy.Not reported/unclearUrge: 100 (urgency-predominant incontinence on the 3IQ)56 (14)white 66.2%, black 22.3%, Hispanic 7.1%, Asian 2.3%64560441
Huang 2014 24763156U.S., 2012, RCTExplicitly not industry fundedAge > 40; experience incontinence for at least 3 months; document at least 7 episodes of incontinence on a screening 7-day voiding diary; half of those episodes being stress-type or urgency-type incontinenceSevere mobility limitations that would prevent participation in the yoga program; previous formal yoga instruction within the past year or any prior use of yoga specifically to treat incontinence; pregnancy within the past 6 months; current urinary tract infection or hematuria (assessed by urine dipstick testing) or history of 3 or more urinary tract infections in the past year; major neurologic condition such as stroke, multiple sclerosis, or Parkinson disease; history of congenital defect leading to incontinence, fistula in the bladder or rectum, pelvic cancer or radiation, or interstitial cystitis or chronic pelvic pain; current symptomatic pelvic organ prolapse; body mass index greater than 35 kg/m2; or prior surgery to the urinary tract. Participants also could not have used practitioner-supervised behavioral, pharmacological, or other clinical treatments (eg, pessary) for incontinence within the past 3 months or be planning to initiate new clinical incontinence treatments during the study.Not reported/unclearUrge: 63, stress: 3761.4 (8.2)19181
Huebner 2011 20848671Germany, 2004–2006, RCTExplicitly not industry fundedclinically verified SUI and MUI with predominant SUI, ability to perform a voluntary pelvic floor contraction, age 18 or older, negative pregnancy test.cardiac pacemaker, non-contracting/non-functioning pelvic floor, stage 2 or greater prolapse, genital anomalies, urogyn surgery in the prior 2 months, participation in other studies, OAB or MUI with predominant OABNot reported/unclearStress: 10049.8 (12.9)1088820
Jabs 2013 23343798 NDCanada, 2008–2009, RCTExplicitly not industry fundedFemales over 18 years of age Diagnosis of urinary urge incontinence with resistance to or intolerance of anticholinergic medication Willingness and ability to use self-catheterization if necessaryUrinary urge incontinence secondary to neurologic disease Known allergy or sensitivity to any of the components in the study medication Pregnant and/or breast-feeding The medical conditions of myasthenia gravis, Eaton-Lambert syndrome, or amytrophic lateral sclerosis Symptomatic urinary retention or post-void residual of > 200 mL Anticoagulation therapy Familial bleeding disorder Previous bladder pathology Participation in another drug study Previous botulinum toxin treatment for urological conditionYes (anticholinergics)Urge: 10063.4 (10.3)21210
Jafarabadi 2015 25369726Iran, 2011–2013, RCTExplicitly not industry fundedfemale outpatients age > = 45 with documented OAB (urinary frequency > = micturations/24 hours plus urge incontinence > = 5 episodes/week who show IDO in the filling chemistrylactation, pregnancy, glaucoma, urinary infection, stress UI, myasthenia gravis, neuropathy, mental disorder, gross renal, hepatic or cardiovascular disorders, obstruction in urinary bladder outlet, history of genitourinary operations, interstitial cystitis, unexplained hematuria, urinary catheterization, concomitant antimuscarinic medication, electrostimulation therapy or bladder training, allergy to oxybutynin or tolterodine, treatment with tolterodine or oxybutynin in the 3 months before randomization and exposure to any other investigational drug in the preceding 2 months.Not reported/unclearUrge: 10054.9 (9)30128219
Jha 2017 28801034UK 2012–2015 RCTExplicitly not industry fundedSexually active, over the age of 18 yrs and with urinary incontinence attending for PFMT; greater than 25% on the urinary domain of the sexual function dimension, and/or greater than 33% for the degree of bother for the same symptomprolapse, previous incontinence surgery, > = Grade 3 muscle strength, UTI, pacemaker, IUD, pregnant, undiagnosed pelvic pain, known sensitivity to electrodes or gel, infection of vulva or vagina, recent hemorrhage or hematoma, atrophic vaginitisNot reported/unclearUnlcassified: 100%45.6 (9.5)White: 98%, Black 1%, Asian 1%,1146945
Jordre 2014USA, nd, RCTNot reportedAge 18–88 years; minimum of 2 SUI episodes per monthPregnant or < 4 weeks postpartum; MMSE < 24/30; history of total hip anthroplasty; current treatment for UI; current mediciations known to impact bladder functionNot reported/unclearStress: 41, mixed: 5951.5 (12.8)30273
Kafri 2013 23160873Israel, nd, RCTExplicitly not industry fundedwomen, aged 45–75, experienced at least 3 episodes of UUI/week over the past 4 weeks; PFM contraction Oxford strength scale > = 2, no vaginal prolapse; residual urine volume < 100 mlcurrent UTI, neurological disease, psychiatric or depressive disorder, previous pelvic floor surgery or physical therapyNot reported/unclearUrge: 100 (episodes of UUI not completely explained by SUI symptoms)56.7 (8.0)16413529
Kaya 2011 20943711 NDTurkey, 2007–2008, RCTExplicitly not industry fundedOAB, diagnosis of idiopathic detrusor overactivityneurological disorder, neoplasm, second degree or greater pelvic organ prolapse, type III stress urinary incontinence, pregnancy, any mental disorder interfering the patient’s cooperation during the treatment, use of a pacemaker or an intrauterine device, or previous medical, surgical treatment or physiotherapy for detrusor overactivity, contraindication to trospium chlorideNot reported/unclearUnclassified: 10047 (7.05)46451
Kaya 2015 25266357Turkey, 2012–2014, RCTExplicitly not industry fundedFemale; having symptoms of SUI, UUI, or MUI; age>18 years; being free of UI medications for at least 4 weeks before the start of the study; and sufficient literacy to complete required forms and urinary diaries.Antenatal or postnatal women (up to 3 months after delivery), women who were unable to voluntarily contract their PFM, and women with persistent urinary tract infections, impaired mental state, pelvic organ prolapse (POP) past the vaginal introitus, neurological disorders, and who received concurrent or recent physiotherapy intervention (within the last year).No (explicitly treatment naive)Urge: 15, stress: 46, mixed: 3948.7 (10.1)13210824
Kim 2011 21545385Japan, 2006–2006, RCTExplicitly not industry funded(i) suffering from urge, stress or mixed UI; (ii) being 70 years or older; and (iii) having urine loss episodes more than once a month.(i) an unclear UI type;(ii) having urine loss episodes less than once a month;(iii) impaired mental health (a Mini-Mental StateExamination score of<24); 11, 12 and (iv) unstable cardiacconditions such as ventricular dysrhythmias, pulmo-nary edema or other musculoskeletal conditions.Not reported/unclearUrge: 40, stress: 34, mixed: 2676.0 (4.09)1471470
Kim 2012 21849373Korea, nd, RCTExplicitly not industry fundedUI after childbirth; less than 6 weeks after normal vaginal delivery; involuntary loss of urine; no genitourinary disease or infection; no other treatment administered for urinary incontinence; no obstetrical operation historyndYes (no other treatment administered for urinary incontinence)Unclassified: 10031.7 (2.7)20182
Klarskov 2014 24258099Denmark, 2010, RCTIndustry funded/industry provided materials18–65 years, stress incontinence >3 months, stress predominant mixed urinary incontinence >3 monthssignificant neurological disease, trauma, prescription or non-prescription drug use affecting the lower urinary tract within 14 days of first treatment period, history of lower urinary tract or pelvic surgery or irradiation to the pelvis, anatomical anomaly of the urinary tract, urinary retention or outlet obstruction, catheter, bladder training in the last 3 months, hematuria, URI, drug therapy for overactive bladderNot reported/unclearUnclassified: 10247.9 (8.4)22184
Leong 2015 25377297China, nd, RCTNot reportedChinese females aged > = 65 with a clinical diagnosis of SUI, UUI, or MUI of a mild to moderate severityactive urinary tract infection, patients on diuretic medication, presence of bladder pathology or dysfunction, previous anti-incontinence surgery, significant cognitive impairment, obesity, and use of concomitant treatments during the trial.Not reported/unclearUrge: 16, stress: 51, mixed: 3274.3 (4.6)older women 70%Asian 100%55550
Lian 2015 26054138 naChina, 2012–2014, RCTNot reportedfemale, >40 yo, mild-to-moderate stress urinary incontinence, multipara (> = 1)other types of UI, pregnancy, stroke, sever DM, spinal cord injury, UA showed hematuria or WBC, ICDNot reported/unclearStress: 10051.5 (8)Asian 100%90900
Lim 2017 27871927Malaysia, 2013–2015, RCTNot reportedfemale, 21yo or older, SUI with cough, ICIQ-UI SF score 6 or more, ability to perform a 1 hour pad test.other subtypes of UI, severe cardiac arrhythmia, pacemaker, neurological condition, pelvic radiation, prior SUI surgery, prior treatment with pulsed magnetic stimulation, certain medications, stage 3 or 4 prolapse, fistula, urethral sphincter defect, PVR > 200cc, pregnancyNo (explicitly treatment naive)Stress: 1001201200
Liu 2017 28655016China, 2013–2015, RCTExplicitly not industry fundedSexually active, over the age of 18 yrs and with urinary incontinence attending for PFMT; greater than 25% on the urinary domain of the sexual function dimension, and/or greater than 33% for the degree of bother for the same symptomprolapse, previous incontinence surgery, > = Grade 3 muscle strength, UTI, pacemaker, IUD, pregnant, undiagnosed pelvic pain, known sensitivity to electrodes or gel, infection of vulva or vagina, recent hemorrhage or hematoma, atrophic vaginitisNot reported/unclearStress: 10055.4 (8.4)Asian 100%50448618
Lopès 2014 25444700France, nd, RCTNot reportedWomen with stress or mixed UI (composed predominantly of stress UI) who responded favorably to the initial 10–15 session rehabilitation. The response was defined at the same time by a clinical improvement based on the investigator’s criteria, and by a ICIQ score < = 12.Patients who had given birth less than 6 months before, who had a pelvic surgery less than a year before, presented a disorder related to neurological disease or cognitional malformation, a urinary incontinence treated with surgically, or treated with medication in the last 6 months, a perineal hypoesthesia or local conditions that interfered with the use of a inter-vaginal probe.Yes (100% physiotherapy. Didn’t have failure. This studies was just to maintain the improvement.)Stress: 68, mixed: 32 (mixed with predominately stress UI)51.24 (13.7) [24, 84]16114912
Lovatsis 2017 27438055 SURE studyCanada, 2011–2013, RCTExplicitly not industry fundedurodynamically proven SUI, SUI having moderate to severe impact on lifemixed incontinence where urgency incontinence was predominant symptom, vaginal prolapse, post-voidal residual volume > 100 ml, hematuria, undiagnosed vaginal bleeding, pregnancy, past surgery for incontinence or prolapse, use of incontinence pessary had failed, physical inability to perform activities included in pad testNot reported/unclearStress: 10051 (9.5)36360
Manonai 2015 25920290Thailand, 2012–2013, RCTExplicitly not industry fundedSUI diagnosed according to the International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction; leakage episode occurring more than once a weekPregnancy; previous pelvic surgery for urology or gynecology in the past year; concomitant treatment for SUI during the trial period; neurological or psychiatric disease; urinary tract infection; any severe disease such as malignancyNot reported/unclearStress: 10047.8 (7.1)61592
Marencak 2011 20886571Czech Republic Lithuania Norway Slovakia Sweden United Kingdom, 2005–2006, RCTIndustry funded/industry provided materialswomen ≥18 years, urinary frequency ≥8 micturitions on aver per 24 hours, ≥4 episodes of urgency/week, mean voided volume <300ml in a 5 day bladder diaryOAB symtoms <6 months before randomization, significant stress urinary incontinence, UTI, chronic persistent urinary tract pathology, relevant neurologic disease associated with urinary symptoms, <3 bowel movements/week, cystocele or other clinically significant pelvic prolapse, mean total voided volume >3000 ml in 24 hours, postvoidal residual volume of >200 ml, previous bladder radiotherapy, catheterization or assistance required for toiletingNot reported/unclearUrge: 100 (sudden and compelling desire to pass urine that is difficult to defer)52.9 (13.3)18616422
McLean 2013 23861324Canada, nd, RCTNot reportedAge > 18 years old; symptoms of SUI with or without urge incontinence, nocturia or anterior compartment prolapseFecal incontinence; on medications known to increase or alleviate incontinence; known neurological impairments involving the central nervous system or the sacral nerves or known connective tissue disorderNot reported/unclearUrnclassified: 10051.7 (8.6)40355
McMichael 2013 REMOTEU.S., 2011–2012, RCTIndustry funded/industry provided materialsWomen who have moderate to severe urge, stress or mixed Urinary IncontinenceHistory of migraines, neurologic problems, swallowing disorder, stroke, severe depression, heart failure, peripheral edema, moderate to severe asthma, chronic obstructive pulmonary diseaseNot reported/unclearUrge: 10054.4 [22, 92]67670
Michel 2013 22816871 DUROSAGermany, 2005–2008, NRCSIndustry funded/industry provided materialsmoderate to severe stress urinary incontinence symptoms, 18 years and olderplanned SUI surgery during observation periodNot reported/unclearStress: 10059.4 (12.5)12733117331000
Oldham 2013 23023996UK, nd, RCTIndustry funded/industry provided materialsWomen (18–65 years of age) with self-reported stress, urge, or mixed incontinencePregnancy or a baby in the last 3 months. Recent abdominal surgery and previous or current active therapy for pelvic malignancy.? Implanted pacemaker.? Manual dexterity insufficient to place the device. Previous treatment for incontinence.? Presence of a neurological condition such as MS or Parkinson’s disease.No (explicitly treatment naive)Urge: 11, stress: 28, mixed: 6148.1 (8.7) [18, 65]1249529
Carmona 2013Spain, NR, RCTExplicitly not industry fundedUUI, men or women (only report on women), older than 45 younger than 75, conservative treatment had failed, symptoms for at least a year.nerve damage, prior surgery for incontinence, pace maker, heart problems, current pregnancy, cognitive deficits, skin problemsYes (conservative treatments had failed)Urge: 10060 (14.4)24222
Ong 2015 26142713Malaysia, 2011–2013, RCTIndustry funded/industry provided materialsFemale suffering predominantly from SUIPrevious incontinence surgery; concomitant medical treatment for urinary incontinence, UTI, neurologic or psychiatric diseaseNot reported/unclearUnclassified: 100 (says SUI is inclusion, but urge is accepted and there is no numeric breakdown of these participants)51.9 (12.7)Asian 100%40373
Oresković 2012 22816227 NDCroatia, Slovenia, ND, RCTNot reportedUrge incontinence, frequency of micturition (at least 8 voids per 24 hours) and urgency (a strong desire to void at least once per day).Contraindications for the use of antimuscarinic drugs (e.g. uncontrolled narrow-angle glaucoma, urinaryor gastric retention), stress urinary incontinence (more than one episode per week), bladder outlet obstruction and /or a post-void residual volume more than 200 mL, genitourinary condition that could cause urinary symptoms, recent urogenital surgery or hepatic disease.Not reported/unclearUrge: 10056.9 (10.1)17115714
Orri 2014 24792229 REMOTEU.S., 2011–2012, RCTIndustry funded/industry provided materialsFemale age > = 21 years with overactive bladder symptoms (subject-reported) for at least 3 monthsClinically significant hepatic, renal or neurological condition such as stroke (with residual deficit), multiple sclerosis, spinal cord injury, or Parkinson’s disease. History of cystitis, continence, urogenitalcancer or radiation Subjects who are pregnant, nursing, or with a positive urine pregnancy test or who are intending to become pregnant within 28 days after the completion of the trial.Not reported/unclearUrge: 10047.7 [28, 66]white 72%, black 17%, Hispanic 11%,18162
Özlü 2017 28345778Turkey, 2012–2014, RCTExplicitly not industry fundedWomen > = 18 with urodynamically confirmed diagnoses of SUI of mild to moderate severity. The strength of PFM 3/5 and morePregnancy; Current vulvovaginitis or urinary tract infections or malignancy; Previous surgery for stress incontinence; Anatomic structural disorders of genitoanal region; Neurologic or psychiatric disease; Previous conservative therapy within 6 months; More than stage 2 according to the pelvic organ prolapse quantification (POP-Q) 17; Allergy to condom or lubricant gel that is used with perineometer/probeNot reported/unclearStress: 10042.4 (8.2)53512
Pereira 2011 21962461Brazil, 2008–2009, RCTExplicitly not industry fundedAge >18 years; urinary leakage on stress; have not undergone physical therapy for UI beforendYes (physical therapy naïve)Stress: 10060.8 (10.5)49454
Pereira 2012 22840592Brazil, 2010–2011, RCTExplicitly not industry fundedThis study included women over the age of 60 years, with at least one episode of stress urine leakage during the previous month.UUI or MUI, Exclusion criteria also included previous treatment for UI or hormone therapy, ongoing urinary tract infections, cognitive or neurological disorder, uncontrolled hypertension, inability to perform the proposed procedures, or use of pacemaker implantation or metal rods.Not reported/unclearStress: 10068.6 (10.9)older women 70%14140
Pereira 2013 22674639 NDBrazil, 2009–2011, RCTExplicitly not industry fundedpost-menopausal women (defined as absence of vaginal bleeding for 12 months), with at least one episode of SUI symptom during the previous month, reported loss of urine with physical activities such as coughing, sneezing, runningWomen with urge incontinence symptoms, pelvic organ prolapse greater than grade II on Baden–Walker classification system, previous treatment for UI or hormone therapy, ongoing urinary tract infections, cognitive or neurological disorder, inability to perform the proposed procedure, uncontrolled hypertensionNo (explicitly treatment naive)Stress: 10063 [51–85]45414
Peters 2013 26663447U.S., 2009–2010, RCTIndustry funded/industry provided materialsfemales over the age of 18 who had an SNM implant with a tined lead located at S3 for at least 3 months. All study subjects had a baseline diagnosis of UF and any amount of UI over the voiding diary-reporting periodhistory of neurological disorders, diabetes unless it was well-controlled through diet and/or medications, or a primary diagnosis of stress incontinence, pelvic pain, or interstitial cystitisYes (refractory to conventional therapy, including antimuscarinic medications)Urge: 10060.9 (6.1)13121
Porta-Roda 2015 25130167Spain, 2011, RCTIndustry funded/industry provided materialswomen aged 35–60 years of age with SUI or MUI, who had delivered vaginally at least once and had not previously performed pelvic floor exercises(1) were taking any medication that could interfere in urine retention; (2) had severe pelvic organ prolapse; (3) were obese; (4) showed suspicion of complicated urinary incontinence; (5) were pregnant or in a post-partum period of under 6 months; or (6) had participated in another clinical trial in the previous 30 daysNot reported/unclearMixed: 10070655
Price 2015 26506165U.S., nd,Not reportednewly implanted with InterStim, have undergone a successful implantation and test period for Interstimprevious InterStim implantation, no InterStim deviceNot reported/unclearUnclassified: 10064.6 (11.6)423210
Robinson 2011 21831512UK, 2006–2007, RCTIndustry funded/industry provided materialsWomen aged 18–75 with symptomatic SUI who had a positive cough stress test and USI diagnosed by urodynamic evaluation within 36 months of screening; SUI episode frequency ?7-?21 per weekhistory of cardiac disease, hypertension, stroke, diabetes mellitus, recurrent urinary tract infection, significant (>grade 1) cystocele and previous pelvic surgeryNot reported/unclearStress: 10049 [34, 66]14122
Rovner 2011 21351127 NDU.S., Canada, UK, 2005–2008, RCTIndustry funded/industry provided materialsSymptoms of idiopathic OAB with UUI for at least 6 months At least 8 UUI episodes/week (with no more than 1 incontinence-free day/week); Urinary frequency (defined as an average of at least 8 micturitions/day) At least 1 anti-cholinergic drug had failed.Stress-predominant urinary incontinence Use of clean intermittent catheterization (CIC) History or evidence of pelvic or urologic abnormalities or diseases affecting bladder function Patients who had been treated for at least 2 urinary tract infections within 6 months 24-hr total urine volume voided>3,000 ml or post-void residual (PVR) urine volume>200 ml at screeningYes (anticholinergics)Urge: 10058.8 (13.5) [18]older women 70%white 88.8%, black 7.3%31327241
Rovner 2013 23796570U.S., nd, RCTIndustry funded/industry provided materialsfemale subjects > = 18 with SUI symptoms (demonstrated either urodynamically or by cough test)Pregnant, Bladder infection, History of recurrent UTIs, intrinsic sphincter deficiency, artificial urinary sphincter or surgical procedure for incontinence during the past 6 months,? Cystocele with bladder descent below mid-vagina during straining,? Undergoing or anticipating a course of pelvic radiation therapy,? Severe pelvic fibrosis from previous radiation therapy,? Urosepsis within previous 30 days,? Presence of gross hematuria and/or blood clots in the urineNot reported/unclearStress: 10052.6 (11.3)Athletes 13.9%16611551
Rutledge 2014 24183730U.S., nd, RCTNot reportedAge > 30 years old; history of uterine, cervical, ovarian, or vulvar cancer; attended the gynecologic oncology clinics for routine surveillance visits; any degree of urinary incontinencendSome (10% PFMT prior incontinence treatment; 20% control prior incontinence treatment)Stress: 70, mixed: 2557 (7.2) [37, 79]white 62.5%, black 2.5%, Hispanic 25%40364
Samuelsson 2017Sweden, 2013–2014, RCTExplicitly not industry fundedwomen > = 18 with stress urinary incontinence, leakage once a week or more often for at least 6 months with a smartphoneparticipation in our previous internet study, pregnancy, former incontinence surgery, known malignancy in lower abdomen, difficulties with passing urine, visual blood in urine, intermenstrual bleeding, severe psychiatric diagnosis, neurological disease with affection on sensibility in legs or lower abdomen, urge incontinenceNot reported/unclearStress: 10044.7 (9.4)1231212
Sand 2012 21963104U.S., 2006–2007, RCTIndustry funded/industry provided materials18 years of age or older, female, 8 or more urinary and 4 or more urge incontinence episodes per day, non-pregnant, non-lactatingtreatable conditions that may cause urinary incontinence, medical conditions in which it would be unsafe to use an anti-cholinergic agent, use of concomitant drugs that would confound the efficacy evaluation, use of concomitant drugs that would be unsafe with anti-cholinergic agents.Not reported/unclearUrge: 10059.1 (12.3)white 86.6%, black 10.9%, Asian 1.4%70470475
Sherburn 2011 21284022Australia, 2003–2005, RCTExplicitly not industry fundedCommunity dwelling women aged > 65 with urodynamic stress incontinence; no detrusor overactivity demonstrated on cystometry (<10 cmH2 O detrusor pressure rise); a score of more than 22 on the Mini-Mental State Examination (MMSE)Concurrent or recent physiotherapy intervention (within last 6 months); incontinence due to neurological causes, other causes such as urinary tract infection, or voiding difficultiesNot reported/unclearStress: 10071.8 (5.3)older women 70%white 100%83767
Sokol 2014 24704117U.S., Canada, 2008–2011, RCTIndustry funded/industry provided materialsNot stated “women who met study eligibility criteria were randomized”allergy to bovine collagenNot reported/unclearUnclassified: 100median 58.5 [23.3–93.4]34530342
Solberg 2016 26362793Norway, 2012, RCTIndustry funded/industry provided materialsAge > 18 years; MUIPregnant or planning to become pregnant; given birth within 12 months before onset of study; using medication for incontinence; undergone surgery for incontinenceNot reported/unclearMixed: 100median 62.5 [29, 87]342010
Sran 2016 26886884 NDCanada, 2006–2011, RCTExplicitly not industry fundedpostmenopausal women 55 years and older with osteoporosis or low bone density, defined by a T score of −2.0 or lower for the lumbar spine or hip, or a history of a nontraumatic hip, vertebral, wrist, or rib fracture; symptoms of stress, urge, or mixed UI for at least the past 3 months and at least two UI episodes in 3 daysprevious treatments or workshops on incontinence in the past 5 years; previous UI surgeries (except for those who had had anti-incontinence surgery at least 20 y previously); fecal incontinence; continuous urine leakage; a current urinary tract infection;perineal pain or genital prolapse likely to interfere with the PFM assessment and treatment; previous pelvic irradiation; hormone therapy, use of vaginal estrogen, or an unstable hormone dose within the previous 6 months; use of concomitant treatments for UI during the trial period; severe mobility impairments requiring the use of mobility aids (that would make going to the toilet difficult); use of high-dose diuretics or medications to improve bladder control; history of radiation for pelvic organ cancers; score of less than 24 on the Mini Mental State Exam (MMSE); any other medical problem likely to interfere with treatment and evaluation (serious cardiovascular disease, ongoing cancer treatments, neurological conditions, psychiatric conditions); and individuals performing a Valsalva manoeuvre in lieu of PFM contractionNot reported/unclearUrge: 17, stress: 13, mixed: 7166.7 (7.6)48485
Talley 2017 28248418 NDU.S., 2012–2015, RCTExplicitly not industry fundedUI (score of ≥1 points on the International Consultation on Incontinence Questionnaire (ICIQ)), 13 being frail (score of ≥3 points on the Vulnerable Elders Survey), gait speed less than 0.8 m/s15 or using a walking assistive device, being able to participate safely in low intensity physical activity, being cognitively intact according to Mini-Cog scoreUI associated with a central nervous system disorder, bladder cancer, recent bladder or incontinence surgery, or terminal illness, or if they had an ostomy, used a pessary or urinary catheter, started or changed the dose of an antiincontinence medication within 3 months, or had orthopedic surgery on the lower extremities or spine in the past year.Not reported/unclearUrge: 22, stress: 14, mixed: 6284.9 (6.4)white 98%42420
Tannenbaum 2013 24334159UK, 2010–2012, RCTExplicitly not industry fundedwomen aged 60 years and older who reported urinary incontinence at least once weekly and who were not under active treatment for incontinence.noneNot reported/unclearUrge: 30, stress: 19, mixed: 46, unclassified: 571.6 (7.5)older women 70%12310320
Terlikowski 2013 23443345poland, 2008–2012, RCTNot reportedexclusion factors were patients with chronic degenerative diseases that would affect muscular and nerve tissues, presence of any degree of pelvic organ prolapse (POP), active or recurrent urinary tract infections (UTI), vulvovaginitis, atrophic vaginitis, diabetes mellitus, neurological disease, psychiatric illness, use of medication affecting micturition, history of surgical or pharmaceutical treatment of SUI, chronic debilitating disease such as renal failure, and those with cardiac pacemakers. We also excluded patients with intrinsic sphincteric deficiencies identified by the Valsalva leak-point pressure ≤60 cmH20 measurement in the sitting position with a volume of 250 ml in the bladder and/or a urethral closure pressure ≤20 cmH20 in the sitting position at maximum cystometric capacity.Some (they could not have had prior pharmacologic or surgical treatment for SUI)Stress: 100 (urodynamic SUI)46.9 (6.8)102939
Tsai 2014 25073008Taipei, 2010–2012, RCTExplicitly not industry funded(1) a diagnosis of SUI, with or without detrusor overactivity, confirmed by urodynamic results; (2) an SUI history of at least 6 months, which remained refractory after at least 1 month of first-line management; (3) no history of surgery or hormone replacement therapy for SUI; (4) an absence of severe pelvic prolapse (>grade 3 prolapse or Qmax<15mL/s); and (5) no contraindication for SMS, such as a pacemaker or metallic device. No patients received anticholinergic medication in the 2 weeks before participation or during the follow-up period.Yes (at least one month of first line therapy had to have failed)Stress: 71, mixed: 2963.3 (14.4)403010
Visco 2012 23036134 ABCU.S., 2010–2012, RCTExplicitly not industry fundedwomen > = 5 UUI episodes/daypreviously received anticholinergic drugs or up to two anticholinergic medications other than solifenacin, darifenacin, or trospium chloride; residual urine volume of > = 150 ml; previous therapy for urgency urinary incontinence with onabotulinumtoxinASome 59% prior anticholinergic therapyUrge: 100, mixed: ND (some had mixed, but % not specified)58 (11.3)white 78.5%, black 16.6%24923118
Wallis 2012 21817123Australia, 2004–2005, RCTExplicitly not industry funded60 or older, experience stress, urge, or MUI at least once a week for the past 6 monthsimplanted electronic device, symptomatic UTI int eh past 4 weeks, pelvic surgery in the prior 3 months.Not reported/unclearUrge: 37, stress: 12, mixed: 5170.1 (6.8)older women 70%12210121
Wang 2016 26921645China, 2013–2013, RCTExplicitly not industry fundedSUI history, positive stress test, urodynamically confirmed SUI, post void residual <50ccUUI, MUI, neurogenic bladderNot reported/unclearStress: 10056.9 (11.4)42420
Wang 2017 28153510china, 2014–2016, RCTExplicitly not industry funded18 or older, UUI or urge predominant MUI >60 months, >1 UUI episode/week, 2 anticholinergics had to have failedSUI, MUI that is stress predominant, pelvic, neurological or urological abnormalities or dz that may affect bladder function including UTI, significant prolapse, stroke or spinal cord injury.Yes (anticholinergics)Urge: 100 (idiopathic)Asian 100%1201205
Wiegersma 2014 25533442Netherlands, 2009, 2012, RCTExplicitly not industry fundedWomen aged 55 years or over with symptomatic mild pelvic organ prolapse.Current prolapse treatment or treatment in the previous year, pelvic organ malignancy, current treatment for another gynaecological disorder, severe/terminal illness, impaired mobility, cognitive impairment, and insufficient command of the Dutch language.No (explicitly treatment naive)Unclassified: 10064.25 (6.66)older women 70%28723945
Xu 2016 26960195China, 2012–2014, RCTExplicitly not industry fundedEligible women were aged 40 to 75 years, and met diagnosis of SUI by the International Consultation on Urological Diseasesother type of UI; symptomatic urinary tract infection; ever received UI or pelvic surgery; severe pelvic organ prolapse; residual urinary volume >30 ml; maximum flow rate? 20 ml/s; limited in walking, stairs climbing and running; receiving specialized treatment for SUI or use of medicine affecting bladder function; serious cardiovascular, cerebral, liver, kidney, or psychiatric disease, diabetes, multiple system atrophy, injury of cauda equina, or myeleterosis; pregnant or breastfeeding; with cardiac pacemaker, metal allergy or severe needle phobiaYes (Ever received SUI treatment)Stress: 10058.5 (8.2)80773
Yamanishi 2017 28961380Japan, nd, RCTNot reportedWomen with urodynamic SUI refractory to PFMT for more than 12 weeks and who did not want to undergo surgeryUUI, complications after pelvic surgery or trauma, pacemaker, malignancy, residual urine volume ≥200 mL, pregnantYes (PFMT)Stress 100nd39930

From: Appendix C, Design, Arm Details, and Baselines

Cover of Nonsurgical Treatments for Urinary Incontinence in Women: A Systematic Review Update
Nonsurgical Treatments for Urinary Incontinence in Women: A Systematic Review Update [Internet].
Comparative Effectiveness Review, No. 212.
Balk E, Adam GP, Kimmel H, et al.

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.