An objective assessment of physiotherapy for female genuine stress incontinence

Sixty women with genuine stress incontinence were con-
secutively assigned to one of four physiotherapy groups who were
treated for ۶ weeks by either (۱) pelvic floor exercises (PFE) in hospital;
(۲) PFE and faradism; (3) PFE and interferential therapy ; (4) PFE at home. Assessment before and after treatment was by ۷-day bladder charts, urethral pressure profiles and perineometry. Approximately
two-thirds of the hospital-treated patients (groups
۱,۲ and ۳)experi-enced marked or moderate subjective improvement and at
۶months,۲۷% were dry or almost dry. There was little difference in outcome between groups ۱,۲ and ۳ but hospital-based therapy was more effective than home treatment. Statistical analyses showed that there were sig-nificant improvements in the objective indices measured in the
۴۵ hospital-treated patients. Successful treatment was more likely in
younger patients, in those with lesser degrees of genuine stress inconti-
nence and those who had had no previous pelvic floor surgery.