The effect of home biofeedback training on stress incontinence

Aukee, Pauliina; Immonen, Paula; Laaksonen, David E.; Laippala, Pekka; Penttinen, Jorma; Airaksinen, Olavi

doi:10.1111/j.0001-6349.2004.00559.x

Cited by 38 publications

(18 citation statements)

References 19 publications

(32 reference statements)

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“…Furthermore, regular physical exercise is based on the idea of strengthening the muscles involved in keeping the urethra closed and the pelvic structures supported, particularly during periods of increased intra-abdominal pressure [22]. Although exercises are noninvasive, they may not be effective if there are variations in technique and compliance [23]. Therapeutic intervention, including pharmacologic agents, has been attempted to cure OAB.…”

Section: Introductionmentioning

confidence: 99%

Effect of Long-term Exercise on Voiding Functions in Obese Elderly Women

Lim

Choi³

et al. 2013

Int Neurourol J

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PurposeAn overactive bladder (OAB) may be defined as urgency that is a sudden, compelling, difficult to defer desire to pass urine that is usually accompanied by frequency and nocturia and possibly by incontinence. Obesity and old age are two factors in various causes of OAB. Several epidemiologic studies have identified positive associations among obesity, old age, urinary incontinence, and OAB. However, although exercise has been known to improve obesity and reduce incontinent urine loss, little research has been done in elderly women. Therefore, we investigated the effects of exercise on obesity-related metabolic factors, blood lipid factors, and OAB symptoms in elderly Korean women.MethodsTwenty-one women aged between 69 and 72 years were recruited from the Seoul senior towers in Korea. All subjects worked out on a motorized treadmill and stationary cycle for 40 minutes, respectively, and performed resistance exercise for 30 minutes once a day for 52 weeks. Body composition, blood pressure, blood lipids, OAB symptom score, and King's health questionnaire were investigated and analyzed.ResultsBefore performing physical exercise, all subjects showed increased OAB symptoms in association with enhanced body mass index (BMI), percentage fat, and blood lipid profiles. However, physical exercise for 52 weeks suppressed BMI, percentage fat, and blood lipid profiles and thus improved OAB symptoms.ConclusionsWe suggest that long-term physical exercise can be a valuable tool for remarkable improvement of OAB.

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Section: Introductionmentioning

confidence: 99%

Effect of Long-term Exercise on Voiding Functions in Obese Elderly Women

Lim

Choi³

et al. 2013

Int Neurourol J

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“…In another trial, after 12 weeks of training with a physiotherapist, patients completed 20-minute at-home sessions of PFMT with biofeedback 5 days per week. One group used a personal biofeedback monitor device [33]. In the final study, at-home Kegel exercises were performed 5 times daily, eventually decreasing to twice daily, with patients also receiving either eleven 30-minute individual or nine 2-hour group sessions with a physiotherapist [34].…”

Section: Resultsmentioning

confidence: 99%

“…Improvement was shown in patient-reported SUI symptoms in two of the studies [32, 34] and, in the other, in electromyographically (EMG) assessed muscle electrical activity [33]. In all three trials, PFMT efficacy was comparable, regardless of whether it was performed alone versus in a group [34], with patient education [32], or paired with at-home biofeedback [33]. The positive outcomes reported in one trial [33], however, are difficult to interpret because findings were reported separately for patients who failed therapy versus those with treatment success.…”

Section: Resultsmentioning

confidence: 99%

“…In all three trials, PFMT efficacy was comparable, regardless of whether it was performed alone versus in a group [34], with patient education [32], or paired with at-home biofeedback [33]. The positive outcomes reported in one trial [33], however, are difficult to interpret because findings were reported separately for patients who failed therapy versus those with treatment success. In the trial conducted by Aukee et al, 14 of 35 patients (40%) had undergone or were scheduled for incontinence surgery during long-term follow-up, while patients without surgery who adhered to therapy continued to show positive outcomes (Table 1).…”

Section: Resultsmentioning

confidence: 99%

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Nonsurgical Outpatient Therapies for the Management of Female Stress Urinary Incontinence: Long-Term Effectiveness and Durability

Davila

2011

Advances in Urology

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Objective. To evaluate long-term effectiveness and safety of conservative and minimally invasive outpatient treatments for female stress urinary incontinence (SUI) through a review of the literature. Methods. PubMed was searched for reports on prospective clinical trials with at least 12-month follow-up of minimally invasive treatments, pelvic floor rehabilitation, or pharmacotherapy in women with SUI. Each report was examined for long-term rates of effectiveness and safety. Results. Thirty-two clinical trial reports were included. Prospective long-term studies of pelvic floor rehabilitation were limited but indicated significant improvements with treatment adherence for at least 12 months. Poor initial tolerability with duloxetine resulted in substantial discontinuation. Most patients receiving transurethral radiofrequency collagen denaturation or urethral bulking agents reported significant long-term improvements, generally good tolerability, and safety. Conclusions. Conservative therapy is an appropriate initial approach for female SUI, but if therapy fails, radiofrequency collagen denaturation or bulking agents may be an attractive intermediate management step or alternative to surgery.

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“…In an assessment of 13 systematic reviews on conservative treatment of SUI, Latthe et al concluded that pelvic floor muscle training (PFMT) was better than no treatment [6]. Nine-to-twelve-month success rates following PFMT with or without biofeedback and/or health education programs range from 52.6% to 74.8% [7–9]. Long-term durability in these patients is likely a function of life-long exercise.…”

Section: Introductionmentioning

confidence: 99%

Transurethral Radiofrequency Collagen Denaturation for Treatment of Female Stress Urinary Incontinence: A Review of the Literature and Clinical Recommendations

Lukban

2012

Obstetrics and Gynecology International

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Stress urinary incontinence is a prevalent condition in women with a significant negative effect on quality of life. Intervention includes behavioral modification, intravaginal devices, pelvic floor muscle exercises, biofeedback, functional electrical stimulation, and surgical procedures. We will review a new in-office procedure for the treatment of SUI that may serve as a viable nonsurgical option.

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The effect of home biofeedback training on stress incontinence

Abstract: This randomized controlled trial suggests that the home biofeedback method in PFT has a good success rate of 68.8%. The change achieved in leakage index after 12 weeks of training predicted an effective outcome for conservative treatment.

Cited by 38 publications

References 19 publications

Effect of Long-term Exercise on Voiding Functions in Obese Elderly Women

Effect of Long-term Exercise on Voiding Functions in Obese Elderly Women

Nonsurgical Outpatient Therapies for the Management of Female Stress Urinary Incontinence: Long-Term Effectiveness and Durability

Transurethral Radiofrequency Collagen Denaturation for Treatment of Female Stress Urinary Incontinence: A Review of the Literature and Clinical Recommendations

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