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Vaginal weight cone versus assisted pelvic floor muscle training in the treatment of female urinary incontinence. A prospective, single-blind, randomized trial

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Abstract

Introduction and hypothesis

Vaginal weight cone (VWC) versus assisted pelvic floor muscle training (APFMT) in the treatment of urinary incontinence (UI) in women.

Methods

One hundred three incontinent women were randomly distributed into two groups: group G1 (n = 51) treated with VWC and G2 (n = 52), APFMT. The following parameters were performed initially and after treatment: (1) clinical questionnaire, (2) visual analogue scale (VAS), (3) 60-min pad test, and (4) subjective and objective assessment of pelvic floor muscle (PFM).

Results

There was a significant decrease in nocturia and urine loss after treatment in both groups (p < 0.05). In VAS, there was a significant improvement of all parameters in both groups (p < 0.05). The pad test showed significant decrease in both groups (p < 0.05). There was a significant increase of PFM strength in both groups (p < 0.05).

Conclusion

There was no difference between groups treated with VWC and APFMT.

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Abbreviations

VWC:

Vaginal weight cone

APFMT:

Assisted pelvic floor muscle training

UI:

Urinary incontinence

G1:

Group 1

G2:

Group 2

VAS:

Visual analogue scale

PFM:

Pelvic floor muscles

PFMT:

Pelvic floor muscles training

SUI:

Stress urinary incontinence

T0:

Before the treatment

T6:

Six months after treatment

T12:

Twelve months after treatment

TDP:

Transvaginal digital palpation

g:

Gram

min:

Minutes

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Conflicts of interest

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Authors and Affiliations

  1. School of Medicine, São Paulo State University (UNESP), Botucatu, Brazil

    Mônica Orsi Gameiro

  2. Physiotherapy Department, Health Sciences Center, Paraná State University, Londrina, Brazil

    Eliane Hilberath Moreira

  3. Physiotherapy Service, School of Medicine, São Paulo State University (UNESP), Botucatu, Brazil

    Felipe Orsi Gameiro & Juliana Cruz Moreno

  4. Department of Biostatistics, School of Medicine, São Paulo State University (UNESP), Botucatu, Brazil

    Carlos Roberto Padovani

  5. Department of Urology, School of Medicine, São Paulo State University (UNESP), Botucatu, Brazil

    João Luiz Amaro

  6. Departamento de Urologia, Faculdade de Medicina de Botucatu, 18618-970, Botucatu, São Paulo, Brazil

    João Luiz Amaro

Authors
  1. Mônica Orsi Gameiro
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  2. Eliane Hilberath Moreira
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  3. Felipe Orsi Gameiro
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  4. Juliana Cruz Moreno
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  5. Carlos Roberto Padovani
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  6. João Luiz Amaro
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Corresponding author

Correspondence to João Luiz Amaro.

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Gameiro, M.O., Moreira, E.H., Gameiro, F.O. et al. Vaginal weight cone versus assisted pelvic floor muscle training in the treatment of female urinary incontinence. A prospective, single-blind, randomized trial. Int Urogynecol J 21, 395–399 (2010). https://doi.org/10.1007/s00192-009-1059-7

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  • DOI: https://doi.org/10.1007/s00192-009-1059-7

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