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Vaginal cone use in passive and active phases in patients with stress urinary incontinence.
Clinics (Sao Paulo). 2011; 66(5):785-91.C

Abstract

OBJECTIVE

To evaluate vaginal cone therapy in two phases, passive and active, in women with stress urinary incontinence.

METHODS

A prospective study was conducted at the Department of Obstetrics and Gynecology, São Paulo University, Brazil. Twenty-four women with a clinical and urodynamic diagnosis of stress urinary incontinence were treated with vaginal cones in a passive phase (without voluntary contractions of the pelvic floor) and an active phase (with voluntary contractions), each of which lasted three months. Clinical complaints, a functional evaluation of the pelvic floor, a pad test, and bladder neck mobility were analyzed before and after each phase.

RESULTS

Twenty-one patients completed the treatment. The reduction in absolute risk with the pad test was 0.38 (p<0.034) at the end of the passive phase and 0.67 (p<0.0001) at the end of the active phase. The reduction in absolute risk with the pelvic floor evaluation was 0.62 (p<0.0001) at the end of the passive phase and 0.77 (p<0.0001) at the end of the active phase. The reduction in absolute risk of bladder neck mobility was 0.38 (p<0.0089) at the end of the passive phase and 0.52 (p<0.0005) at the end of the active phase. Complete reversal of symptomatology was observed in 12 (57.1%) patients, and satisfaction was expressed by 19 (90.4%).

CONCLUSION

Using vaginal cones in the passive phase, as other researchers did, was effective. Inclusion of the active phase led to additional improvement in all of the study parameters evaluated in women with stress urinary incontinence. Randomized studies are needed, however, to confirm these results.

Authors+Show Affiliations

Divisão de Clínica Ginecológica, Ginecologia Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil. jorge_milhem@uol.com.brNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

21789381

Citation

Haddad, Jorge Milhem, et al. "Vaginal Cone Use in Passive and Active Phases in Patients With Stress Urinary Incontinence." Clinics (Sao Paulo, Brazil), vol. 66, no. 5, 2011, pp. 785-91.
Haddad JM, Ribeiro RM, Bernardo WM, et al. Vaginal cone use in passive and active phases in patients with stress urinary incontinence. Clinics (Sao Paulo). 2011;66(5):785-91.
Haddad, J. M., Ribeiro, R. M., Bernardo, W. M., Abrão, M. S., & Baracat, E. C. (2011). Vaginal cone use in passive and active phases in patients with stress urinary incontinence. Clinics (Sao Paulo, Brazil), 66(5), 785-91.
Haddad JM, et al. Vaginal Cone Use in Passive and Active Phases in Patients With Stress Urinary Incontinence. Clinics (Sao Paulo). 2011;66(5):785-91. PubMed PMID: 21789381.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Vaginal cone use in passive and active phases in patients with stress urinary incontinence. AU - Haddad,Jorge Milhem, AU - Ribeiro,Ricardo Muniz, AU - Bernardo,Wanderley Marques, AU - Abrão,Maurício Simões, AU - Baracat,Edmund Chada, PY - 2010/12/01/received PY - 2011/01/11/accepted PY - 2011/7/27/entrez PY - 2011/7/27/pubmed PY - 2012/6/9/medline SP - 785 EP - 91 JF - Clinics (Sao Paulo, Brazil) JO - Clinics (Sao Paulo) VL - 66 IS - 5 N2 - OBJECTIVE: To evaluate vaginal cone therapy in two phases, passive and active, in women with stress urinary incontinence. METHODS: A prospective study was conducted at the Department of Obstetrics and Gynecology, São Paulo University, Brazil. Twenty-four women with a clinical and urodynamic diagnosis of stress urinary incontinence were treated with vaginal cones in a passive phase (without voluntary contractions of the pelvic floor) and an active phase (with voluntary contractions), each of which lasted three months. Clinical complaints, a functional evaluation of the pelvic floor, a pad test, and bladder neck mobility were analyzed before and after each phase. RESULTS: Twenty-one patients completed the treatment. The reduction in absolute risk with the pad test was 0.38 (p<0.034) at the end of the passive phase and 0.67 (p<0.0001) at the end of the active phase. The reduction in absolute risk with the pelvic floor evaluation was 0.62 (p<0.0001) at the end of the passive phase and 0.77 (p<0.0001) at the end of the active phase. The reduction in absolute risk of bladder neck mobility was 0.38 (p<0.0089) at the end of the passive phase and 0.52 (p<0.0005) at the end of the active phase. Complete reversal of symptomatology was observed in 12 (57.1%) patients, and satisfaction was expressed by 19 (90.4%). CONCLUSION: Using vaginal cones in the passive phase, as other researchers did, was effective. Inclusion of the active phase led to additional improvement in all of the study parameters evaluated in women with stress urinary incontinence. Randomized studies are needed, however, to confirm these results. SN - 1980-5322 UR - https://www.unboundmedicine.com/medline/citation/21789381/Vaginal_cone_use_in_passive_and_active_phases_in_patients_with_stress_urinary_incontinence_ L2 - https://www.scielo.br/scielo.php?script=sci_arttext&amp;pid=S1807-59322011000500013&amp;lng=en&amp;nrm=iso&amp;tlng=en DB - PRIME DP - Unbound Medicine ER -