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An intensive programme for pelvic floor muscle exercises: short- and long-term effects on those with stress urinary incontinence.
Hinyokika Kiyo. 1996 Nov; 42(11):853-9.HK

Abstract

Pelvic floor muscle exercises for the treatment of stress urinary incontinence were reported 45 years ago. However, few studies have been made on the long-term outcome and clinical effects in elderly people. We put 123 incontinent women on an intensive exercise programme for 8 weeks and followed them for more than 12 months; 15 patients were over 65 years old and 108 under 65 years old. Self-reported success rates, i.e., cure or a reduction of > 50% of the original severity, were prospectively assessed in the 2 groups immediately and a mean of 28 months (12-52) after the training. Predictive parameters for an immediate and a long-term success were assessed. The intensive programme depended on patients being motivated, patient education, correct muscle contractions, and the keeping of treatment diaries for 8 weeks. Urine loss evaluated objectively and bothersome scores in 6 activities assessed subjectively improved only in the younger adult group. However, vaginal contractile strength increased in both groups. The immediate success rate was 20% and 40% for the elderly and the adults, respectively. Twenty eight months later, the success rate was 27% for the aged and 40% for the adults with 6 patients becoming continent by surgery. Both the short- and long-term success rates were similar in the 2 groups (p < 0.05). 95% of the patients stated that the intensive training was valuable and that they would recommend the training to friends suffering from stress incontinence. Contractile strength of the vagina can be used to predict the immediate treatment outcome, but there are no parameters for predicting the long-term success. In conclusion, the intensive programme of pelvic floor muscle exercises is an effective treatment option for not only for the young adults but also for elderly people suffering from stress incontinence.

Authors+Show Affiliations

Department of Urology, Nagoya University School of Medicine.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8973935

Citation

Kondo, A, et al. "An Intensive Programme for Pelvic Floor Muscle Exercises: Short- and Long-term Effects On Those With Stress Urinary Incontinence." Hinyokika Kiyo. Acta Urologica Japonica, vol. 42, no. 11, 1996, pp. 853-9.
Kondo A, Yamada Y, Morishige R, et al. An intensive programme for pelvic floor muscle exercises: short- and long-term effects on those with stress urinary incontinence. Hinyokika Kiyo. 1996;42(11):853-9.
Kondo, A., Yamada, Y., Morishige, R., & Niijima, R. (1996). An intensive programme for pelvic floor muscle exercises: short- and long-term effects on those with stress urinary incontinence. Hinyokika Kiyo. Acta Urologica Japonica, 42(11), 853-9.
Kondo A, et al. An Intensive Programme for Pelvic Floor Muscle Exercises: Short- and Long-term Effects On Those With Stress Urinary Incontinence. Hinyokika Kiyo. 1996;42(11):853-9. PubMed PMID: 8973935.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An intensive programme for pelvic floor muscle exercises: short- and long-term effects on those with stress urinary incontinence. AU - Kondo,A, AU - Yamada,Y, AU - Morishige,R, AU - Niijima,R, PY - 1996/11/1/pubmed PY - 1996/11/1/medline PY - 1996/11/1/entrez SP - 853 EP - 9 JF - Hinyokika kiyo. Acta urologica Japonica JO - Hinyokika Kiyo VL - 42 IS - 11 N2 - Pelvic floor muscle exercises for the treatment of stress urinary incontinence were reported 45 years ago. However, few studies have been made on the long-term outcome and clinical effects in elderly people. We put 123 incontinent women on an intensive exercise programme for 8 weeks and followed them for more than 12 months; 15 patients were over 65 years old and 108 under 65 years old. Self-reported success rates, i.e., cure or a reduction of > 50% of the original severity, were prospectively assessed in the 2 groups immediately and a mean of 28 months (12-52) after the training. Predictive parameters for an immediate and a long-term success were assessed. The intensive programme depended on patients being motivated, patient education, correct muscle contractions, and the keeping of treatment diaries for 8 weeks. Urine loss evaluated objectively and bothersome scores in 6 activities assessed subjectively improved only in the younger adult group. However, vaginal contractile strength increased in both groups. The immediate success rate was 20% and 40% for the elderly and the adults, respectively. Twenty eight months later, the success rate was 27% for the aged and 40% for the adults with 6 patients becoming continent by surgery. Both the short- and long-term success rates were similar in the 2 groups (p < 0.05). 95% of the patients stated that the intensive training was valuable and that they would recommend the training to friends suffering from stress incontinence. Contractile strength of the vagina can be used to predict the immediate treatment outcome, but there are no parameters for predicting the long-term success. In conclusion, the intensive programme of pelvic floor muscle exercises is an effective treatment option for not only for the young adults but also for elderly people suffering from stress incontinence. SN - 0018-1994 UR - https://www.unboundmedicine.com/medline/citation/8973935/An_intensive_programme_for_pelvic_floor_muscle_exercises:_short__and_long_term_effects_on_those_with_stress_urinary_incontinence_ L2 - https://repository.kulib.kyoto-u.ac.jp/dspace/handle/2433/115853 DB - PRIME DP - Unbound Medicine ER -