Standardized pelvic floor exercises improve stress urinary incontinence in women with intrinsic sphincter deficiency

Background:Stress urinary incontinence (SUI) is commonly encountered in gynecological practice. Nowadays, midurethral sling surgeries in the form of transobturator tape (TOT) surgery are recommended in its treatment.Aims and Objectives:To assess the outcome and patient satisfaction of TOT surgery in the treatment of SUI.Materials and Methods:A prospective study was undertaken for patients of SUI who underwent TOT surgery by the outside in method and followed up for 5 years. The patients were assessed clinically and by the Patient Global Impression of Improvement (PGI-I) preoperatively and at postoperative day 3, discharge and 3 months follow-up.Results:Successful surgical treatment with TOT was seen in all patients at the time of discharge. There was no recurrence of SUI seen up to 1 year, but at 5-year follow-up two patients had a recurrence of SUI on examination though they did not complain of SUI. Urinary retention, tape extrusion, and groin stitch infection were the commonly seen complications following surgery. On subjective assessment, 61 patients were completely satisfied at day 3, and all patients were completely satisfied at discharge and 3 months follow-up as per the PGI-I score.Conclusion:TOT gives an excellent outcome in the treatment of SUI.

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“…Kegels exercise and physiotherapy have been advocated in the nonsurgical management of SUI. [ 17 18 19 ]…”

Section: Discussionmentioning

confidence: 99%

A study of transobturator tape in stress urinary incontinence

et al. 2017

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Incontinence Due to Neurogenic Sphincter Deficiency

Corcos

Przydacz

2017

Consultation in Neurourology

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The Role of Pelvic Floor Muscle Training in the Conservative and Surgical Management of Female Stress Urinary Incontinence: Does the Strength of the Pelvic Floor Muscles Matter?

Lasak

Jean-Michel

et al. 2018

PM&R

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The purpose of this review is to provide an in-depth overview of the role of pelvic floor muscle (PFM) training in the management of stress urinary incontinence (SUI). The definition, epidemiology, and pathogenesis of SUI are described. We review the anatomy of the PFM and the importance of PFM strength in maintaining urinary continence and establishing normal voiding function. A brief description of the surgical options currently available for SUI and the existing data regarding the role of perioperative PFM training for SUI are included. Critical research questions to better evaluate and assess PFM training during the perioperative period are proposed. Promising novel approaches in the treatment of SUI are also presented. This review is useful for physiatrists, urogynecologists, female urologists, and nurse practitioners who specialize in the management and treatment of women with SUI. LEVEL OF EVIDENCE: IV.

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Standardized pelvic floor exercises improve stress urinary incontinence in women with intrinsic sphincter deficiency

Abstract: Standardized physiotherapy should be offered to patients with SUI and ISD. Long-term results are subject to future studies. Neurourol. Urodynam. 35:711-716, 2016. © 2015 Wiley Periodicals, Inc.

Cited by 4 publications

References 40 publications

A study of transobturator tape in stress urinary incontinence

A study of transobturator tape in stress urinary incontinence

Incontinence Due to Neurogenic Sphincter Deficiency

The Role of Pelvic Floor Muscle Training in the Conservative and Surgical Management of Female Stress Urinary Incontinence: Does the Strength of the Pelvic Floor Muscles Matter?

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