International Urogynecology Journal

, Volume 2, Issue 3, pp 132–135 | Cite as

Long-term results of pelvic floor training and surgery for female genuine stress incontinence

  • P. Klarskov
  • K. K. Nielsen
  • B. Kromann-Andersen
  • Elsemarie Maegaard
Original Article


Fifty-two women with genuine urinary stress incontinence were randomized to pelvic floor training or surgery. At 4 and 12 months follow-up patients not satisfied with the outcome were offered the alternative treatment. Ten patients (42%) were satisfied following the training program, 20 patients (71%) were satisfied following surgery, while 22 patients underwent both treatment modalities.

The patients were re-evaluated 4–8 years later (median 6 years) by history (n=48), pad-weighing test (n=41), and urinary diary (n=37). The beneficial effect of pelvic floor training continues for years. The longterm results were practically the same as after 1 year for all treatments. Patients with significant incontinence may be well-adapted to the situation, and indication for treatment is very much dependent on the hazards involved. Objective measurement of the degree of incontinence is essential when different treatments are compared.


Long-term results Pelvic floor training Urinary stress incontinence 


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Copyright information

© The International Urogynecology Journal 1991

Authors and Affiliations

  • P. Klarskov
    • 1
  • K. K. Nielsen
    • 1
  • B. Kromann-Andersen
    • 1
  • Elsemarie Maegaard
    • 1
  1. 1.Urological Laboratory, Department of Urology, Herlev HospitalUniversity of CopenhagenTaastrupDenmark

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