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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.
Clinics (Sao Paulo). 2008 Aug; 63(4):465-72.C

Abstract

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 receive 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.

Authors+Show Affiliations

Urogynecology and Vaginal Surgery Section, Department of Gynecology, Universidade Federal de São Paulo, São Paulo, SP, Brazil. rodrigo.castro@uol.com.brNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

18719756

Citation

Castro, Rodrigo A., et al. "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." Clinics (Sao Paulo, Brazil), vol. 63, no. 4, 2008, pp. 465-72.
Castro RA, Arruda RM, Zanetti MR, et al. 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. Clinics (Sao Paulo). 2008;63(4):465-72.
Castro, R. A., Arruda, R. M., Zanetti, M. R., Santos, P. D., Sartori, M. G., & Girão, M. J. (2008). 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. Clinics (Sao Paulo, Brazil), 63(4), 465-72.
Castro RA, et al. 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. Clinics (Sao Paulo). 2008;63(4):465-72. PubMed PMID: 18719756.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - 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. AU - Castro,Rodrigo A, AU - Arruda,Raquel M, AU - Zanetti,Miriam R D, AU - Santos,Patricia D, AU - Sartori,Marair G F, AU - Girão,Manoel J B C, PY - 2008/03/26/received PY - 2008/05/05/accepted PY - 2008/8/23/pubmed PY - 2009/7/17/medline PY - 2008/8/23/entrez SP - 465 EP - 72 JF - Clinics (Sao Paulo, Brazil) JO - Clinics (Sao Paulo) VL - 63 IS - 4 N2 - 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 receive 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. SN - 1807-5932 UR - https://www.unboundmedicine.com/medline/citation/18719756/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_ L2 - https://www.scielo.br/scielo.php?script=sci_arttext&amp;pid=S1807-59322008000400009&amp;lng=en&amp;nrm=iso&amp;tlng=en DB - PRIME DP - Unbound Medicine ER -