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Vaginal cone use in passive and active phases in patients with stress urinary incontinence
Haddad, Jorge Milhem; Ribeiro, Ricardo Muniz; Bernardo, Wanderley Marques; Abrão, Maurício Simões; Baracat, Edmund Chada.
Affiliation
  • Haddad, Jorge Milhem; Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas.
  • Ribeiro, Ricardo Muniz; Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas.
  • Bernardo, Wanderley Marques; s.af
  • Abrão, Maurício Simões; Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas.
  • Baracat, Edmund Chada; Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas.
Clinics ; Clinics;66(5): 785-791, 2011. ilus, tab
Article in En | LILACS | ID: lil-593841
Responsible library: BR1.1
ABSTRACT

OBJECTIVE:

To evaluate vaginal cone therapy in two phases, passive and active, in women with stress urinary incontinence.

METHODS:

A prospective study was conducted at the Department of Obstetrics and Gynecology, São Paulo University, Brazil. Twenty-four women with a clinical and urodynamic diagnosis of stress urinary incontinence were treated with vaginal cones in a passive phase (without voluntary contractions of the pelvic floor) and an active phase (with voluntary contractions), each of which lasted three months. Clinical complaints, a functional evaluation of the pelvic floor, a pad test, and bladder neck mobility were analyzed before and after each phase.

RESULTS:

Twenty-one patients completed the treatment. The reduction in absolute risk with the pad test was 0.38 (p<0.034) at the end of the passive phase and 0.67 (p<0.0001) at the end of the active phase. The reduction in absolute risk with the pelvic floor evaluation was 0.62 (p<0.0001) at the end of the passive phase and 0.77 (p<0.0001) at the end of the active phase. The reduction in absolute risk of bladder neck mobility was 0.38 (p<0.0089) at the end of the passive phase and 0.52 (p<0.0005) at the end of the active phase. Complete reversal of symptomatology was observed in 12 (57.1 percent) patients, and satisfaction was expressed by 19 (90.4 percent).

CONCLUSION:

Using vaginal cones in the passive phase, as other researchers did, was effective. Inclusion of the active phase led to additional improvement in all of the study parameters evaluated in women with stress urinary incontinence. Randomized studies are needed, however, to confirm these results.
Subject(s)
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Full text: 1 Index: LILACS Main subject: Pessaries / Urinary Incontinence, Stress / Pelvic Floor / Exercise Therapy / Muscle Contraction Type of study: Clinical_trials / Evaluation_studies / Observational_studies / Risk_factors_studies Limits: Adult / Female / Humans Language: En Journal: Clinics Journal subject: MEDICINA Year: 2011 Type: Article

Full text: 1 Index: LILACS Main subject: Pessaries / Urinary Incontinence, Stress / Pelvic Floor / Exercise Therapy / Muscle Contraction Type of study: Clinical_trials / Evaluation_studies / Observational_studies / Risk_factors_studies Limits: Adult / Female / Humans Language: En Journal: Clinics Journal subject: MEDICINA Year: 2011 Type: Article