Single-blind, randomized, controlled trial of pelvic floor muscle training, electrical stimulation, vaginal cones, and no active treatment in the management of stress urinary incontinence

Single-blind, randomized, controlled trial of pelvic floor muscle training, electrical stimulation, vaginal cones, and no active treatment in the management of stress urinary incontinence

Autor Castro, Rodrigo de Aquino Autor UNIFESP Google Scholar
Arruda, Raquel M. Autor UNIFESP Google Scholar
Zanetti, Míriam Raquel Diniz Autor UNIFESP Google Scholar
Santos, Patricia D. Autor UNIFESP Google Scholar
Sartori, Marair Gracio Ferreira Autor UNIFESP Google Scholar
Girão, Manoel João Batista Castello Autor UNIFESP Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo PURPOSE: To compare the effectiveness of pelvic floor exercises, electrical stimulation, vaginal cones, and no active treatment in women with urodynamic stress urinary incontinence. PATIENTS AND METHODS: One hundred eighteen subjects were randomly selected to recieve pelvic floor exercises (n=31), ES (n=30), vaginal cones (n=27), or no treatment (untreated control) (n=30). Women were evaluated before and after completion of six months of treatment by the pad test, quality of life questionnaire (I-QOL), urodynamic test, voiding diary, and subjective response. RESULTS: In the objective evaluation, we observed a statistically significant reduction in the pad test (p=0.003), in the number of stress urinary episodes (p<0.001), and a significant improvement in the quality of life (p<0.001) in subjects who used pelvic floor exercises, electrical stimulation, and vaginal cones compared to the control group. No significant difference was found between groups in the urodynamic parameters. In the subjective evaluation, 58%, 55%, and 54% of women who had used pelvic floor exercises, electrical stimulation, and vaginal cones, respectively, reported being satisfied after treatment. In the control group, only 21% patients were satisfied with the treatment. CONCLUSION: Based on this study, pelvic floor exercises, electrical stimulation, and vaginal cones are equally effective treatments and are far superior to no treatment in women with urodynamic stress urinary incontinence.
Palavra-chave Stress urinary incontinence
Electrical stimulation
Pelvic floor exercise
Vaginal cones
Urodynamic
Idioma Inglês
Data de publicação 2008-01-01
Publicado em Clinics. Faculdade de Medicina / USP, v. 63, n. 4, p. 465-472, 2008.
ISSN 1807-5932 (Sherpa/Romeo, fator de impacto)
Publicador Faculdade de Medicina / USP
Extensão 465-472
Fonte http://dx.doi.org/10.1590/S1807-59322008000400009
Direito de acesso Acesso aberto Open Access
Tipo Artigo
Web of Science WOS:000258504600009
SciELO S1807-59322008000400009 (estatísticas na SciELO)
Endereço permanente http://repositorio.unifesp.br/handle/11600/4108

Exibir registro completo




Arquivo

Nome: S1807-59322008000400009.pdf
Tamanho: 191.1KB
Formato: PDF
Descrição:
Abrir arquivo

Este item está nas seguintes coleções

Buscar


Navegar

Minha conta