Conservative therapy of female genuine stress incontinence with vaginal cones

European Journal of Obstetrics, Gynecology, and Reproductive Biology
A Dellas, J Drewe

Abstract

The objective was to analyse urodynamic data before and after conservative treatment with vaginal cones. The design was an open clinical study and was carried out at the Urogynaecology Unit of the University women's hospital. Eighteen women with genuine urinary stress incontinence were treated with vaginal cones for 6 weeks. Cystometry was performed before and after conservative therapy. The patients' subjective improvement and the urodynamic data have been compared. The Mann-Whitney U-test was used for statistical analysis. Of eighteen women with cone therapy, eight were continent after 6 weeks and showed a significant increase of the dynamic urethral closure pressure. Seven patients reported a subjective improvement, and in three women no change of stress incontinence was observed Colposuspension was performed at a later date in these three cases. Vaginal cone therapy is a successful method to cure mild female stress incontinence and has the advantage of avoiding incontinence operation. Therapeutic success can be assessed by urodynamic evaluation.

References

Mar 1, 1990·British Journal of Obstetrics and Gynaecology
Jan 1, 1989·Acta Obstetricia Et Gynecologica Scandinavica·A JonassonH Pschera
Jan 1, 1989·British Journal of Obstetrics and Gynaecology·S A GilpinD W Warrell
Oct 1, 1988·British Journal of Obstetrics and Gynaecology·A B PeattieS L Stanton
Jul 7, 1951·Journal of the American Medical Association·A H KEGEL

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Citations

Sep 22, 1998·Clinical Obstetrics and Gynecology·B J Amuzu
Apr 21, 2010·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·B LericheUNKNOWN Committee on Women's Urology and pelviperineology, French Association of Urology
Jul 31, 2003·International Journal of Urology : Official Journal of the Japanese Urological Association·Kimio SugayaYoshihide Ogawa
Jan 9, 2019·Neurourology and Urodynamics·Nikolaus Veit-RubinAlex Digesu
Mar 15, 2002·British Journal of Community Nursing·J LaycockA Schofield

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