Long-term results of pelvic floor training and surgery for female genuine stress incontinence
Tóm tắt
Fifty-two women with genuine urinary stress incontinence were randomized to pelvic floor training or surgery. At 4 and 12 months follow-up patients not satisfied with the outcome were offered the alternative treatment. Ten patients (42%) were satisfied following the training program, 20 patients (71%) were satisfied following surgery, while 22 patients underwent both treatment modalities. The patients were re-evaluated 4–8 years later (median 6 years) by history (n=48), pad-weighing test (n=41), and urinary diary (n=37). The beneficial effect of pelvic floor training continues for years. The longterm results were practically the same as after 1 year for all treatments. Patients with significant incontinence may be well-adapted to the situation, and indication for treatment is very much dependent on the hazards involved. Objective measurement of the degree of incontinence is essential when different treatments are compared.
Tài liệu tham khảo
Kegel, AH. Progressive resistance exercise in the functional restoration of the perineal muscles.Am J Obstet Gynecol 1948; 56:238–248
Kujansuu E. The effect of pelvic floor exercises on urethral function in female stress urinary incontinence: a urodynamic study.Ann Chir Gynaecol 1983; 72:28–32
Wilson PD, Al Samarrai T, Deakin M, Kolbe E, Brown ADG, An objective assessment of physiotherapy for female genuine stress incontinence.Br J Obstet Gynaecol 1987; 94:575–582
Klarskov P, Belving D, Bischoff N, et al. Pelvic floor exercise versus surgery for female urinary stress incontinence.Urol Int 1986; 41:129–132
Klarskov P, Jepsen PV, Dorph S. Reliability of voiding colpocysto-urethrography in female urinary stress incontinence before and after treatment.Acta Radiol 1988; 29:685–688
Klarskov P, Hald T. Reproducibility and reliability of urinary incontinence assessment with a 60 min test.Scand J Urol Nephrol 1984; 18:293–298
Abrams P, Blaivas JG, Stanton SL, Andersen JT. The standardisation of terminology of lower urinary tract function.Scand J Urol 1988; suppl 114:5–19
Nielsen KK, Kormann-Andersen B, Jakobsen H, et al. The urethral plug. A new treatment modality for genuine urinary stress incontinence in women.J Urol 1990; 144:1199–1202