Pelvic floor exercises with biofeedback for stress urinary incontinence
Int. braz. j. urol
; 32(4): 462-469, July-Aug. 2006. tab
Article
in En
| LILACS
| ID: lil-436894
Responsible library:
BR1.1
ABSTRACT
OBJECTIVE:
Prospective study to objectively evaluate the benefits of pelvic floor strengthening exercises associated to biofeedback for the treatment of stress urinary incontinence. MATERIALS ANDMETHODS:
Fourteen patients diagnosed with stress urinary incontinence (SUI) were selected for this study. All patients underwent a pelvic floor training associated to biofeedback for 12 consecutive weeks. Urodynamic tests, pad test and bladder diary were analyzed at the beginning of the study, at the end and after 3 months. The King's Health Questionnaire (KHQ) was applied before and after treatment to assess the impact in the quality of life.RESULTS:
There was a significant reduction in the pad weight (from 14.21 g to 1 g), number of urinary leakage episodes (from 8.14 per day to 2.57 per day) and daytime frequency (from 7.93 per day to 5.85 per day). At urodynamics the authors observed a significant increase in Valsalva leak-point pressure (from 103.93 cm H2O to 139.14 cm H2O), cistometric capacity (from 249.29 mL to 336.43 mL, p = 0.0015) and bladder volume at first desire to void (from 145 mL to 215.71 mL). Those differences were kept during the first 3 months of follow up. The KHQ revealed significant differences except in the case of "general health perception", which covers health in general and not exclusively urinary incontinence.CONCLUSION:
Treatment of SUI with pelvic floor exercises associated to biofeedback caused significant changes in the parameters analyzed, with maintenance of good results 3 months after treatment.
Full text:
1
Index:
LILACS
Main subject:
Quality of Life
/
Urinary Incontinence, Stress
/
Biofeedback, Psychology
/
Pelvic Floor
/
Exercise Therapy
Type of study:
Evaluation_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
Language:
En
Journal:
Int. braz. j. urol
Journal subject:
UROLOGIA
Year:
2006
Type:
Article