An objective assessment of physiotherapy for female genuine stress incontinence
Summary.
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.
http://onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.1987.tb03153.x/epdf?r3_referer=wol&tracking_action=preview_click&show_checkout=1&purchase_referrer=onlinelibrary.wiley.com&purchase_site_license=LICENSE_DENIED