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The effect of bladder training, pelvic floor muscle training, or combination training on urodynamic parameters in women with urinary incontinence. Continence Program for Women Research Group.
Neurourol Urodyn. 1999; 18(5):427-36.NU

Abstract

The purpose of this study was to compare the effect of three conservative interventions: pelvic floor muscle training, bladder training, or both, on urodynamic parameters in women with urinary incontinence. Two hundred four women with genuine stress incontinence (GSI) or detrusor instability with or without GSI (DI +/- GSI) participated in a two-site trial comparing pelvic floor muscle training, bladder training, or both. Patients were stratified based on severity of urinary incontinence, urodynamic diagnosis, and treatment site, then randomized to a treatment group. All women underwent a comprehensive standardized evaluation including multi-channel urodynamics at the initial assessment and at the end of 12 weeks of therapy. Analysis of covariance was used to detect differences among treatment groups on urodynamic parameters. Post-treatment evaluations were available for 181 women. No differences were found among treatments on the following measurements: maximum urethral closure pressure, mean urethral closure pressure, maximum Kegel urethral closure pressure, mean Kegel urethral closure pressure, functional urethral length, pressure transmission ratios, straining urethral axis, first sensation to void, maximum cystometric capacity, and the MCC minus FSV. The effect of treatment did not differ by urodynamic diagnosis. Behavioral therapy had no effect on commonly measured urodynamic parameters. The mechanism by which clinical improvement occurs remains unknown. Neurourol. Urodynam. 18:427-436, 1999.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Christ Hospital and Medical Center, University of Illinois, Oak Lawn, Chicago, Illinois 60453, USA.denise.elser-md@advocatehealth.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

10494113

Citation

Elser, D M., et al. "The Effect of Bladder Training, Pelvic Floor Muscle Training, or Combination Training On Urodynamic Parameters in Women With Urinary Incontinence. Continence Program for Women Research Group." Neurourology and Urodynamics, vol. 18, no. 5, 1999, pp. 427-36.
Elser DM, Wyman JF, McClish DK, et al. The effect of bladder training, pelvic floor muscle training, or combination training on urodynamic parameters in women with urinary incontinence. Continence Program for Women Research Group. Neurourol Urodyn. 1999;18(5):427-36.
Elser, D. M., Wyman, J. F., McClish, D. K., Robinson, D., Fantl, J. A., & Bump, R. C. (1999). The effect of bladder training, pelvic floor muscle training, or combination training on urodynamic parameters in women with urinary incontinence. Continence Program for Women Research Group. Neurourology and Urodynamics, 18(5), 427-36.
Elser DM, et al. The Effect of Bladder Training, Pelvic Floor Muscle Training, or Combination Training On Urodynamic Parameters in Women With Urinary Incontinence. Continence Program for Women Research Group. Neurourol Urodyn. 1999;18(5):427-36. PubMed PMID: 10494113.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effect of bladder training, pelvic floor muscle training, or combination training on urodynamic parameters in women with urinary incontinence. Continence Program for Women Research Group. AU - Elser,D M, AU - Wyman,J F, AU - McClish,D K, AU - Robinson,D, AU - Fantl,J A, AU - Bump,R C, PY - 1999/9/24/pubmed PY - 1999/9/24/medline PY - 1999/9/24/entrez SP - 427 EP - 36 JF - Neurourology and urodynamics JO - Neurourol Urodyn VL - 18 IS - 5 N2 - The purpose of this study was to compare the effect of three conservative interventions: pelvic floor muscle training, bladder training, or both, on urodynamic parameters in women with urinary incontinence. Two hundred four women with genuine stress incontinence (GSI) or detrusor instability with or without GSI (DI +/- GSI) participated in a two-site trial comparing pelvic floor muscle training, bladder training, or both. Patients were stratified based on severity of urinary incontinence, urodynamic diagnosis, and treatment site, then randomized to a treatment group. All women underwent a comprehensive standardized evaluation including multi-channel urodynamics at the initial assessment and at the end of 12 weeks of therapy. Analysis of covariance was used to detect differences among treatment groups on urodynamic parameters. Post-treatment evaluations were available for 181 women. No differences were found among treatments on the following measurements: maximum urethral closure pressure, mean urethral closure pressure, maximum Kegel urethral closure pressure, mean Kegel urethral closure pressure, functional urethral length, pressure transmission ratios, straining urethral axis, first sensation to void, maximum cystometric capacity, and the MCC minus FSV. The effect of treatment did not differ by urodynamic diagnosis. Behavioral therapy had no effect on commonly measured urodynamic parameters. The mechanism by which clinical improvement occurs remains unknown. Neurourol. Urodynam. 18:427-436, 1999. SN - 0733-2467 UR - https://www.unboundmedicine.com/medline/citation/10494113/The_effect_of_bladder_training_pelvic_floor_muscle_training_or_combination_training_on_urodynamic_parameters_in_women_with_urinary_incontinence__Continence_Program_for_Women_Research_Group_ L2 - https://doi.org/10.1002/(sici)1520-6777(1999)18:5<427::aid-nau3>3.0.co;2-0 DB - PRIME DP - Unbound Medicine ER -