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 6 weeks by either (1) pelvic floor exercises (PFE) in hospital;
(2) PFE and faradism; (3) PFE and interferential therapy ; (4) PFE at home. Assessment before and after treatment was by 7-day bladder charts, urethral pressure profiles and perineometry. Approximately
two-thirds of the hospital-treated patients (groups
1,2 and 3)experi-enced marked or moderate subjective improvement and at
6months,27% were dry or almost dry. There was little difference in outcome between groups 1,2 and 3 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
45 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.
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