Pelvic floor exercise versus surgery for female urinary stress incontinence.

Abstract:

:Fifty consecutive female patients with genuine urinary stress incontinence were randomized either to surgery or to a pelvic floor training program. The operative procedure was chosen according to the type of bladder suspension defect on micturition cystourethrography. The training program was given 5 times in weekly lessons and the patients were guided by trained physiotherapists. Surgery was superior to the pelvic floor training program both subjectively and objectively. However, a significant improvement was found following the training program. Forty-two percent were satisfied with the outcome of the training and did not want operation. We find physiotherapist-guided pelvic floor exercise a realistic alternative to surgery in patients with mild degrees of stress incontinence. Also patients with residual symptoms after surgery are candidates for pelvic floor training.

journal_name

Urol Int

journal_title

Urologia internationalis

authors

Klarskov P,Belving D,Bischoff N,Dorph S,Gerstenberg T,Okholm B,Pedersen PH,Tikjøb G,Wormslev M,Hald T

doi

10.1159/000281181

subject

Has Abstract

pub_date

1986-01-01 00:00:00

pages

129-32

issue

2

eissn

0042-1138

issn

1423-0399

journal_volume

41

pub_type

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