Discussion
breast cancer
BREAST CANCER
This study demonstrated that PFMT delivered via telehealth may be feasible and potentially beneficial in treating any UI, particularly stress UI, in women with breast cancer on AIs. Whilst the high consent rate suggests that PFMT delivered via telehealth was highly feasible, consent rate was calculated based on the number of participants who consented to the study divided by the total number of participants who were eligible but did not consent to the trial. As participants were recruited via advertisement on social media, the true number of eligible participants who saw the advertisement to the study and did not express their interest is unknown. The high consent, attendance and adherence rate indicate that participants who consented to this study were a highly motivated group of women who were interested in engaging with the PFMT intervention.One point of difficulty with the use of the intravaginal biofeedback device was that several of the eight sensors within the device malfunctioned with frequent use for some users. When a failure occurred, participants were provided with a new device as soon as the fault was detected. It is likely that this resulted in lower adherence to the home exercise program and increased dissatisfaction with the use of the biofeedback device in this study. Despite this, most participants reported satisfaction with the use of the femfitDespite these technological challenges, significant improvements in clinical outcomes were observed. A study investigating the minimal important difference in ICIQ-UI SF score after a randomized clinical trial evaluating efficacy of a supervised 12-week PFMT in women with stress UI reported that a decrease in 2.5 points on the ICIQ-UI SF was clinically meaningful [