General Obstetrics and Gynecology: GynecologyWho will benefit from pelvic floor muscle training for stress urinary incontinence?
Section snippets
Methods
Between January 1, 1990, and December 31, 2001, 447 women with stress urinary incontinence who attended at least 1 session of PFMT under the guidance of our physiotherapist (M.V.N.) were included in the study. Institutionalized, hospitalized, demented, functionally invalid, postpartum patients and women with an overactive detrusor or a residual urine after micturition that exceeded 100 mL were excluded.
All of the women had cystometry and a stress test. The technique was carried out in the
Results
Of the 447 women who were included, 82 women (18%) were felt to be cured, and 139 women (31%) were improved considerably. Therefore, 221 women (49%) could be said to have been treated successfully. One hundred six women (24%) showed only some improvement, and 75 women (17%) were felt to be unchanged or worse. Forty-five women (10%) dropped out. Hence, in 226 women (51%), PFMT was thought to have failed. The average number of completed PFMT sessions in the successful group was 11.2 (SD, 5.6;
Comment
This study reports on the outcome of 447 women with stress urinary incontinence who followed PFMT under the guidance of a same physiotherapist. We tried to identify clinical factors that are predictive of response to treatment.
The International Consultation on Incontinence Committee on Conservative Treatment in Women concluded that “many of the factors traditionally supposed to affect outcomes of physical therapy interventions may be less crucial than previously thought. The single factor that
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