ORIGINAL ARTICLE Vaginal weight cone versus assisted pelvic floor muscle training in the treatment of female urinary incontinence. A prospective, single-blind, randomized trial Mônica Orsi Gameiro & Eliane Hilberath Moreira & Felipe Orsi Gameiro & Juliana Cruz Moreno & Carlos Roberto Padovani & João Luiz Amaro Received: 17 July 2009 / Accepted: 10 November 2009 / Published online: 6 January 2010 # The International Urogynecological Association 2009 Abstract Introduction and hypothesis Vaginal weight cone (VWC) versus assisted pelvic floor muscle training (APFMT) in the treatment of urinary incontinence (UI) in women. Methods One hundred three incontinent women were randomly distributed into two groups: group G1 (n =51) treated with VWC and G2 (n =52), APFMT. The following parameters were performed initially and after treatment: (1) clinical questionnaire, (2) visual analogue scale (VAS), (3) 60-min pad test, and (4) subjective and objective assess- ment of pelvic floor muscle (PFM). Results There was a significant decrease in nocturia and urine loss after treatment in both groups (p <0.05). In VAS, there was a significant improvement of all parameters in both groups (p <0.05). The pad test showed significant decrease in both groups (p <0.05). There was a significant increase of PFM strength in both groups (p <0.05). Conclusion There was no difference between groups treated with VWC and APFMT. Keywords Assisted PFMT . Conservative management . Urinary incontinence . Vaginal weight cone Abbreviations VWC Vaginal weight cone APFMT Assisted pelvic floor muscle training UI Urinary incontinence G1 Group 1 G2 Group 2 VAS Visual analogue scale PFM Pelvic floor muscles PFMT Pelvic floor muscles training SUI Stress urinary incontinence T0 Before the treatment T6 Six months after treatment T12 Twelve months after treatment TDP Transvaginal digital palpation g Gram min Minutes Introduction Many factors may be involved in the etiology of urinary incontinence (UI) in women, and their comprehension has M. O. Gameiro School of Medicine, São Paulo State University (UNESP), Botucatu, Brazil E. H. Moreira Physiotherapy Department, Health Sciences Center, Paraná State University, Londrina, Brazil F. O. Gameiro : J. C. Moreno Physiotherapy Service, School of Medicine, São Paulo State University (UNESP), Botucatu, Brazil C. R. Padovani Department of Biostatistics, School of Medicine, São Paulo State University (UNESP), Botucatu, Brazil J. L. Amaro Department of Urology, School of Medicine, São Paulo State University (UNESP), Botucatu, Brazil J. L. Amaro (*) Departamento de Urologia, Faculdade de Medicina de Botucatu, 18618-970 Botucatu, São Paulo, Brazil e-mail: jamaro@fmb.unesp.br Int Urogynecol J (2010) 21:395–399 DOI 10.1007/s00192-009-1059-7