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Pelvic floor stimulation in the treatment of mixed incontinence complicated by a low-pressure urethra.
Obstet Gynecol 1996; 88(5):757-60OG

Abstract

OBJECTIVE

To determine the efficacy and safety of transvaginal pelvic floor stimulation in the treatment of women with genuine stress incontinence and detrusor instability complicated by a low-pressure urethra.

METHODS

Twenty-six consecutive women with mixed incontinence complicated by a low-pressure urethra who elected to try pelvic floor stimulation were studied. Visual analogue symptom scales and weekly incontinence episodes were compared before and after 8 weeks of twice-daily device use.

RESULTS

The symptoms of stress and urge incontinence were completely resolved in six (23%) and ten (38%) women, respectively. Ten of 26 subjects (38%) had greater than 50% overall symptomatic improvement, and two subjects (8%) were completely dry during their last week of therapy. Symptoms of urinary frequency, urgency, and stress incontinence improved significantly. No factors were found to be predictive of treatment success.

CONCLUSION

Pelvic floor stimulation was found to be an effective and safe treatment for some patients with genuine stress incontinence and detrusor instability complicated by a low-pressure urethra.

Authors+Show Affiliations

Evanston Continence Center of Evanston Hospital, Northwestern University Medical School, Illinois, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8885908

Citation

Sand, P K.. "Pelvic Floor Stimulation in the Treatment of Mixed Incontinence Complicated By a Low-pressure Urethra." Obstetrics and Gynecology, vol. 88, no. 5, 1996, pp. 757-60.
Sand PK. Pelvic floor stimulation in the treatment of mixed incontinence complicated by a low-pressure urethra. Obstet Gynecol. 1996;88(5):757-60.
Sand, P. K. (1996). Pelvic floor stimulation in the treatment of mixed incontinence complicated by a low-pressure urethra. Obstetrics and Gynecology, 88(5), pp. 757-60.
Sand PK. Pelvic Floor Stimulation in the Treatment of Mixed Incontinence Complicated By a Low-pressure Urethra. Obstet Gynecol. 1996;88(5):757-60. PubMed PMID: 8885908.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pelvic floor stimulation in the treatment of mixed incontinence complicated by a low-pressure urethra. A1 - Sand,P K, PY - 1996/11/1/pubmed PY - 1996/11/1/medline PY - 1996/11/1/entrez SP - 757 EP - 60 JF - Obstetrics and gynecology JO - Obstet Gynecol VL - 88 IS - 5 N2 - OBJECTIVE: To determine the efficacy and safety of transvaginal pelvic floor stimulation in the treatment of women with genuine stress incontinence and detrusor instability complicated by a low-pressure urethra. METHODS: Twenty-six consecutive women with mixed incontinence complicated by a low-pressure urethra who elected to try pelvic floor stimulation were studied. Visual analogue symptom scales and weekly incontinence episodes were compared before and after 8 weeks of twice-daily device use. RESULTS: The symptoms of stress and urge incontinence were completely resolved in six (23%) and ten (38%) women, respectively. Ten of 26 subjects (38%) had greater than 50% overall symptomatic improvement, and two subjects (8%) were completely dry during their last week of therapy. Symptoms of urinary frequency, urgency, and stress incontinence improved significantly. No factors were found to be predictive of treatment success. CONCLUSION: Pelvic floor stimulation was found to be an effective and safe treatment for some patients with genuine stress incontinence and detrusor instability complicated by a low-pressure urethra. SN - 0029-7844 UR - https://www.unboundmedicine.com/medline/citation/8885908/Pelvic_floor_stimulation_in_the_treatment_of_mixed_incontinence_complicated_by_a_low_pressure_urethra_ L2 - https://linkinghub.elsevier.com/retrieve/pii/0029-7844(96)00271-2 DB - PRIME DP - Unbound Medicine ER -