Physiotherapy for persistent postnatal stress urinary incontinence: a randomized controlled trial

Obstetrics and Gynecology
C DumoulinMélanie Morin

Abstract

The aim of this study was to compare the effectiveness of multimodal supervised physiotherapy programs with the absence of treatment among women with persistent postnatal stress urinary incontinence. This was a single-blind randomized controlled trial. Sixty-four women with stress urinary incontinence were randomly assigned to 8 weeks of either multimodal pelvic floor rehabilitation (n = 21), multimodal pelvic floor rehabilitation with abdominal muscle training (n = 23), or control non-pelvic floor rehabilitation (n = 20). The primary outcome measure consisted of a modified 20-minute pad test. The secondary outcome measures included a Visual Analog Scale describing the perceived burden of incontinence, the Urogenital Distress Inventory, the Incontinence Impact Questionnaire, and pelvic floor muscle function measurements. Two patients dropped out, leaving 62 for analysis. At follow-up, more than 70% of the women in the treatment groups (14/20 in the pelvic floor and 17/23 in the pelvic floor plus abdominal group) were continent on pad testing compared with 0% of women in the control group. Scores on the pad test, Visual Analog Scale, Urogenital Distress Inventory, and Incontinence Impact Questionnaire improved significantly in b...Continue Reading

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Citations

May 12, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Alaa El-GhobashySue Calvert
Sep 23, 2008·International Urogynecology Journal and Pelvic Floor Dysfunction·Kari BøMarie E Engh
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Nov 1, 2011·Neurourology and Urodynamics·Ana Paula Magalhães ResendeMarair Gracio Ferreira Sartori
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