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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

Abstract

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.

Keywords

Long-term results Pelvic floor training Urinary stress incontinence 

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References

  1. 1.
    Kegel, AH. Progressive resistance exercise in the functional restoration of the perineal muscles.Am J Obstet Gynecol 1948; 56:238–248Google Scholar
  2. 2.
    Kujansuu E. The effect of pelvic floor exercises on urethral function in female stress urinary incontinence: a urodynamic study.Ann Chir Gynaecol 1983; 72:28–32PubMedGoogle Scholar
  3. 3.
    Wilson PD, Al Samarrai T, Deakin M, Kolbe E, Brown ADG, An objective assessment of physiotherapy for female genuine stress incontinence.Br J Obstet Gynaecol 1987; 94:575–582PubMedGoogle Scholar
  4. 4.
    Klarskov P, Belving D, Bischoff N, et al. Pelvic floor exercise versus surgery for female urinary stress incontinence.Urol Int 1986; 41:129–132PubMedGoogle Scholar
  5. 5.
    Klarskov P, Jepsen PV, Dorph S. Reliability of voiding colpocysto-urethrography in female urinary stress incontinence before and after treatment.Acta Radiol 1988; 29:685–688PubMedGoogle Scholar
  6. 6.
    Klarskov P, Hald T. Reproducibility and reliability of urinary incontinence assessment with a 60 min test.Scand J Urol Nephrol 1984; 18:293–298PubMedGoogle Scholar
  7. 7.
    Abrams P, Blaivas JG, Stanton SL, Andersen JT. The standardisation of terminology of lower urinary tract function.Scand J Urol 1988; suppl 114:5–19Google Scholar
  8. 8.
    Nielsen KK, Kormann-Andersen B, Jakobsen H, et al. The urethral plug. A new treatment modality for genuine urinary stress incontinence in women.J Urol 1990; 144:1199–1202PubMedGoogle Scholar

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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