Prospective randomized comparison of oxybutynin, functional electrostimulation, and pelvic floor training for treatment of detrusor overactivity in women

Prospective randomized comparison of oxybutynin, functional electrostimulation, and pelvic floor training for treatment of detrusor overactivity in women

Autor Arruda, Raquel M. Autor UNIFESP Google Scholar
Castro, Rodrigo A. Autor UNIFESP Google Scholar
Sousa, Gabriela C. Autor UNIFESP Google Scholar
Sartori, Marair G. F. Autor UNIFESP Google Scholar
Baracat, Edmund C. Autor UNIFESP Google Scholar
Girao, Manoel J. B. C. Autor UNIFESP Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo The purpose of this study is to compare the effectiveness of oxybutynin, functional electrostimulation (FES), and pelvic floor training (PFT) for treatment of women with detrusor overactivity. Sixty-four subjects were randomized to oxybutynin (n = 22), FES (n = 21), or PFT (n = 21). Women were evaluated before and after completion of 12 weeks of treatment by subjective response, voiding diary, and urodynamic test. There was subjective symptomatic improvement in 77% of the women treated with oxybutynin, 52% with FES, and 76% with PFT. Urgency resolved in 64% of women treated with oxybutynin, 52% with FES, and in 57% with PFT. Urodynamic evaluation was normal in 36% treated with oxybutynin, 57% with FES, and 52% with PFT. Maximum detrusor involuntary contraction pressure decreased in all groups (p < 0.05). All treatments were equally effective. Subjective reduction of urge-incontinence episodes was associated with symptomatic improvement.
Palavra-chave overactive bladder
detrusor overactivity
urinary incontinence
pelvic floor training
electrical stimulation
Idioma Inglês
Data de publicação 2008-08-01
Publicado em International Urogynecology Journal. London: Springer London Ltd, v. 19, n. 8, p. 1055-1061, 2008.
ISSN 0937-3462 (Sherpa/Romeo, fator de impacto)
Publicador Springer
Extensão 1055-1061
Fonte http://dx.doi.org/10.1007/s00192-008-0586-y
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000257726400005
Endereço permanente http://repositorio.unifesp.br/handle/11600/30814

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