The Effects of Treatment of Urinary Incontinence in General Practice

Abstract

A total of 110 women who had reported urinary incontinence to their general practitioners were randomly assigned to a treatment or control group. Treatment consisted of pelvic floor exercises in the case of stress incontinence and bladder training in the case of urge incontinence. The results were measured after 3 and 12 months by a research assistant on the basis of a constructed severity scale, an incontinence diary, and a comparison by the patients themselves of their previous and current conditions. After 3 months the control group were given the same treatment. After a further 3 and 12 months, they were assessed in exactly the same way as the treatment group. After 3 months about 60% of the patients were either dry or only mildly incontinent; the mean number of wet episodes had gone down from 20 to 7, and 74% of the women felt improved or cured. These results were later corroborated by the control group. After 12 months this successful outcome was improved slightly further. It may be concluded that the majority of women with incontinence can be successfully treated by the general practitioner. The effect of this treatment continues after one year.

Criterion validity, test‐retest reliability and sensitivity to change of the St George urinary incontinence score

“…Their median (IQR) loss on the 1-h pad test was 12 (4-28) g, indicating that their incontinence tended to be moderate [18]. The median score was 9.5/20 (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(7)(8)(9)(10)(11)(12). Of the 207 women, one did not undergo a 1-h pad test, two did not complete a FVC and another could not estimate the frequency of her incontinent episodes because of constant leakage.…”

“…As long ago as 1953, the Ingelman Sundberg Incontinence Severity Grading was developed, which comprised three degrees of severity (I, leak only with cough or heavy lifting; II, leak with daily activities; III, dripping incontinence whenever upright) [1]. In 1992, Lagro-Jansen et al [2] devised a 12-point score representing frequency and amount of leakage, pad usage and restriction of daily activity. More recently a range of in-depth scores was developed [3][4][5][6][7][8][9][10] but many are lengthy and/or need to be administered by a clinician.…”

Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence

“…The shape parameter describes the hazard function of Weibull function for the survival time. The hazard function for Weibull survival time could be increasing or 210 and Bø and colleagues (2005). 208 decreasing with time, depending on the value of parameter γ.…”

Urinary incontinence in the elderly: Attitudes and experiences of general practitioners

“…Non-surgical treatment (bladder training, pelvic floor exercises, and medication) is effective in the treatment of involuntary loss of urine, even in elderly patients [6]. This treatment can be very well managed in primary care [7]. But only half of the elderly with UI contact their GP for this problem.…”