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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