Home Biofeedback Versus Physical Therapy for Stress Urinary Incontinence: A Randomized Trial.

Female Pelvic Medicine & Reconstructive Surgery
Kara Lauren BarnesGena C Dunivan

Abstract

The aim of the study was to assess whether home biofeedback is noninferior to supervised pelvic floor physical therapy (PFPT) for the treatment of stress urinary incontinence (SUI) in women. The study used a randomized controlled noninferiority trial to compare a home biofeedback device with PFPT. Women older than 18 years with SUI and no history of a prior incontinence surgery or PFPT were eligible. Forty-two participants were required to determine noninferiority for the primary outcome, improvement in quality of life as measured by the International Consultation on Incontinence Questionnaire Short Form. The noninferiority margin was 4 points. Secondary outcomes included sexual function, overactive bladder symptoms, and patient impression of improvement. From June 2018 to October 2019, 54 women with SUI were recruited (27 biofeedback, 27 PFPT) and 43 (21 biofeedback, 22 PFPT) completed follow-up. The groups had comparable baseline characteristics. For the primary outcome of change in mean International Consultation on Incontinence Questionnaire-Short Form scores (where lower scores indicate less incontinence), home biofeedback was found to be noninferior to PFPT with a mean decrease from baseline of -3.95 (95% confidence inter...Continue Reading

Associated Clinical Trials

References

Aug 1, 1991·American Journal of Obstetrics and Gynecology·R C BumpJ F Wyman
Sep 11, 2002·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·K CoyneP Abrams
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Sep 3, 2014·Female Pelvic Medicine & Reconstructive Surgery·UNKNOWN American Urogynecologic Society and American College of Obstetricians and Gynecologists
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Oct 20, 2017·Female Pelvic Medicine & Reconstructive Surgery·Andrea N SimpsonColleen D McDermott
Feb 24, 2018·Female Pelvic Medicine & Reconstructive Surgery·Megan B ShannonC Brincat

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Methods Mentioned

BETA
hysterectomy

Clinical Trials Mentioned

NCT03443687

Software Mentioned

SAS
PeriCoach
REDCap

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