Pelvic Floor Exercise versus Surgery for Female Urinary Stress Incontinence

Klarskov, Peter; Belving, D.; Bischoff, N.; Dorph, Sven; Gerstenberg, Thomas; Okholm, B.; Pedersen, Philip J.; Tikjøb, G; Wormslev, Merete; Hald, T

doi:10.1159/000281181

Cited by 93 publications

(76 citation statements)

References 7 publications

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“…Extended follow-up up to 4-8 years showed that everybody in this group was satisfied with their improvement. 13 In present study 84.1% SUI patients felt improvement. Pelvic floor exercise is least invasive and without any undesirable side effects, which leads to either improvement or complete cure of SUI in 80-85% of cases.…”

Section: Discussionsupporting

confidence: 51%

Pelvic floor exercises - a clinical study

Pal

2014

Asian J Med Sci

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Objective: To assess the effectiveness of pelvic floor exercise. Materials and methods: Hundred (100) patients of pelvic organ prolapse (POP), stress urinary incontinence (SUI) and overactive bladder (OAB) were included. They were advised pelvic floor exercise in stepwise incremental manner. Each time exercise comprised of 10 seconds holding up and 10 seconds relaxation. To start with it was 5 times each in the morning, noon, evening and night; making it 20 times per day. Every week 5 times increment. So by 5 th week it was 25 times each in the morning, noon, evening and night; making it 100 times per day. After 6 months patients were assessed by their subjective feeling of improvement and clinical assessment. Results: After 6 months of therapy patients subjective feeling of improvement for POP, SUI and OAB were 73%, 84.1%, 58.3% respectively; though objective assessment did not show this much improvement. Conclusion: Pelvic floor exercise is an easy, effective and non-invasive tool that can be considered as first line therapy for these patients.

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Section: Discussionsupporting

confidence: 51%

Pelvic floor exercises - a clinical study

Pal

2014

Asian J Med Sci

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“…A similar persisting effect has been reported following other noninvasive treatment modalities such as electrostimulation or phys iotherapy [11,12]. However, whether the medical treat ment per se is responsible for the curative effect, possibly due to re-education [ 11 ], is difficult to assess.…”

Section: Discussionmentioning

confidence: 55%

Does Medical Therapy Cure Female Stress Incontinence?

Lose

Diernaes²,

Rix³

1989

Urol Int

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Forty-four consecutive female patients, who were scheduled for operation for genuine stress incontinence but instead treated pharmacologically with an Α-agonist or placebo for 3–4.5 months, were evaluated after a median observation period of 30 months. Ten patients (23%) underwent colposuspension. Fourteen patients (32%) claimed to be continent or so much improved that further treatment was considered unnecessary by the patients themselves. Of the remaining 20 patients who still claimed to have stress incontinence, 11 (25%) preferred to resume the pharmacological treatment whereas 9 patients (20%) had not decided whether they wanted further treatment. These results suggest that some operations for stress incontinence may be avoided by introduction of a standard trial of medical therapy prior to intended surgical intervention.

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“…As it is an invasive treatment and has complications like bleeding, pelvic pain and difficulties of micturition, t h e p a t i e n t s a n d p h y s i c i a n s t e n d t o w a r d conservative treatment modalities 9 ) . Drugs, hormonal replacement therapy, mechanical support devices, rehabilitation of pelvic floor and electrical stimulation are some of the treatment alternatives to surgery 10) .…”

Section: Discussionmentioning

confidence: 99%

“…Recurrent voluntary contractions can be seen after optimal application of Kegel exercises 7) . But its cure rate was reported as 12-13% and the number patients refusing to continue treatment is quiet high 9,11) . Biofeedback is a method which increases the success of Kegel exercises by making the patients sense the contractions using audio or visual devices 12) .…”

Section: Discussionmentioning

confidence: 99%

Transvaginal Electrical Stimulation in Female Genuine Stress Incontinence.

et al. 2000

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Abstract.Objective: In this study the efficacy of transvaginal electrical stimulation in female genuine stress incontinence was assessed. Methods: Female patients with urinary incontinence were examined physically following history in a multiclinically based study involving Urology, Gynaecology, Physical Therapy and Rehabilitation. Urodynamics were performed for all patients, and 27 patients with genuine stress incontinence were included in this study. Transvaginal electrical stimulation were applied to the patients 30 mins once a day, 5 days a week, for a total of 4 weeks. The daily number of pads, incontinence and micturition times (day-night) were obtained and all patients completed the incontinence-specific quality of life questionnaire (I-QoL) before, at the end of and at the 3rd month after therapy, and 25 patients who completed this study were evaluated. Results: In patients treated with transvaginal electrical stimulation, the times of incontinence, micturition times, and number of pads were significantly decreased (p<0.001) and the scores of I-QoL were significantly increased (p<0.001) after treatment and at the 3rd month post-treatment when compared with pretreatment levels. According to subjective assessment eighteen (72%) of patients were cured. The number of patients improved moderately and minimally were 4 (16%) and 3 (12%) respectively. No patient reported side effects during treatment. Conclusion: Transvaginal electrical stimulation could be an effective and safe treatment for women with genuine stress incontinence.

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Pelvic Floor Exercise versus Surgery for Female Urinary Stress Incontinence

Cited by 93 publications

References 7 publications

Pelvic floor exercises - a clinical study

Pelvic floor exercises - a clinical study

Does Medical Therapy Cure Female Stress Incontinence?

Transvaginal Electrical Stimulation in Female Genuine Stress Incontinence.

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