Comparative Analysis of Biofeedback and Physical Therapy for Treatment of Urinary Stress Incontinence in Women

Abstract

Four weeks of both intensive group physical therapy or individual biofeedback training followed by an unsupervised home exercise program for 2 mo are effective therapies for female urinary stress incontinence and result in a significantly reduced nocturnal urinary frequency and improved subjective outcome. Only group physical therapy resulted in reduced daytime urinary frequency. BF therapy resulted in a better subjective outcome and higher contraction pressures of the pelvic floor muscles.

Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence

“…Fifteen studies 120,122,[146][147][148][149][150][151][152][153][154][155][156][157][158] evaluated the effect of adding BF to PFMT (Table 16). In two studies by Glavind and colleagues 150 and Wilson and colleagues, 157 the women randomised to use BF had more clinic visits than the PFMT group.…”

“…107,119,121,122,129,130,132,135,141,142,144,145,150,152,154,155,162,163,165,168,172,176,179,180,184,185,188,[190][191][192][193]196 The remaining 22 studies (25.0%) did not provide sufficient information about withdrawals, dropouts and those lost to follow-up.…”

“…The majority of studies (52.3%) failed to report results for everyone who entered into the trial, 57,[115][116][117][118][119]122,124,[129][130][131][132][133]135,[137][138][139][140][141][143][144][145]150,152,154,156,159,162,164,[166][167][168]176,178,180,183,185,[187][188][189][190][196][197][198][199] while in 24 studies (27.3%), it was unclear whether results accounted for all participants originally randomised. 107,120,121,134,136,142,148,153,157,158,160,161,165,169-174, 179,186,193-195 Few studies explicitly stated that participants were analysed in the groups that they had been originally allocated to but no study showed clear evidence that this was not done.…”

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“…transition shock may be potentially dangerous in situations where there is a disparity between the expectations of a newly graduated nurse and the realities of the job, to an extent that the nurse quits nursing (31). to ease transition shock in work organizations, supportive mentoring strategies have been developed for new nurses to increase their readiness to work, reduce the effects of the reality shock and reduce the resignation of the profession (31).…”

Effects of Pelvic Floor Muscle Training with Biofeedback in Women with Stress Urinary Incontinence

“…It is known that SUI compromises the quality of life (QOL) of women of different ages 5,6 . However, many women with UI believe that sporadic involuntary urinary loss is a normal part of the aging process and, also because they find it embarrassing, they do not refer to its impact on their daily activities or report these symptoms to their doctors 8 .…”