Preference, Compliance and Initial Outcome of Therapeutic Options Chosen by Female Patients with Urinary Incontinence

Diokno, Ananias C.; Yuhico, Manuel

doi:10.1097/00005392-199511000-00039

Cited by 6 publications

(8 citation statements)

References 11 publications

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“…Wyman et al [1998] reported a high level of initial compliance with a pelvic muscle exercise regimen, which had fallen by 20% at 3 months. A study by Diokno and Yuhico [1995] found that compliance, in women choosing among three types of incontinence management, was poor for those choosing exercises in comparison to those selecting medication and surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

Compliance with a pelvic muscle exercise program as a causal predictor of urinary stress incontinence amongst Chinese women

Siu¹,

Yip

Chang

2003

Neurourology and Urodynamics

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Section: Discussionmentioning

confidence: 99%

Compliance with a pelvic muscle exercise program as a causal predictor of urinary stress incontinence amongst Chinese women

Siu¹,

Yip

Chang

2003

Neurourology and Urodynamics

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“…The cure rates have been approximately 70%-90% [87]. However, these operations can cause complications such as bleeding, pelvic pain and voiding difficulties [88], and only 14% of patients prefer surgical treatment [89]. The first-choice conservative treatment is exercise to strengthen the pelvic floor muscles, but its cure rate is as low as 12%-13% [88,89] and the dropout rate is high [89].…”

Section: Discussionmentioning

confidence: 99%

“…However, these operations can cause complications such as bleeding, pelvic pain and voiding difficulties [88], and only 14% of patients prefer surgical treatment [89]. The first-choice conservative treatment is exercise to strengthen the pelvic floor muscles, but its cure rate is as low as 12%-13% [88,89] and the dropout rate is high [89]. In drug therapy, c~-antagonists [90,91] and tricyclic depressants [92], which act to enhance the contractility of the smooth muscles, are used.…”

Section: Discussionmentioning

confidence: 99%

Electrical stimulation for stress incontinence

Yamanishi

Yasuda

1998

Int Urogynecol J

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Electrical stimulation has been reported to be effective for stress incontinence, cure and improvement rates being reported to range from 30% to 50%, and from 6% to 90%, respectively. However, clinical application of this treatment is not common because there is little physiological and technical information. Electrodes for electrical stimulation are divided into two types: external (non-implantable) and internal (implantable), and there are two methods of stimulation: chronic (long-term, continuous) and short-term. Frequencies of 20-50 Hz, with a pulse duration of 1-5 ms, have been reported to be effective for urethral closure. The effectiveness of the treatment should be verified with placebo-controlled double-blinded trials, and four such studies using an active and a sham device have been reported. Two of these verified the superiority of the active device over the sham device, but the others did not demonstrate any significant difference between the two with regard to efficacy. Electrical stimulation has been reported to result in a long-term continuation of therapeutic effect. The effect has been explained as a re-education or a reactivation of lost functions of the pelvic floor muscles. As to adverse effects, there may be some complications in relation to anesthesia or surgical procedures, such as infection, pain and bleeding with implantable electrodes. The incidence of adverse effects in short-term electrical stimulation is less than 14%. In conclusion, short-term electrical stimulation using non-implantable anal or vaginal electrodes is the most recommendable because of safety and ease of use.

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“…Drugs, hormonal replacement therapy, mechanical support devices, rehabilitation of pelvic floor and electrical stimulation are some of the treatment alternatives to surgery 10) . Even though the cure rates of surgery in genuine stress incontinence was reported as 70-90%, according to the results of a questionnaire, only 14% of patients prefer surgical treatment 7,11) . The first step of conservative treatment is pelvic floor exercises to strengthen pelvic floor muscles.…”

Section: Discussionmentioning

confidence: 99%

“…Recurrent voluntary contractions can be seen after optimal application of Kegel exercises 7) . But its cure rate was reported as 12-13% and the number patients refusing to continue treatment is quiet high 9,11) . Biofeedback is a method which increases the success of Kegel exercises by making the patients sense the contractions using audio or visual devices 12) .…”

Section: Discussionmentioning

confidence: 99%

Transvaginal Electrical Stimulation in Female Genuine Stress Incontinence.

et al. 2000

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Abstract.Objective: In this study the efficacy of transvaginal electrical stimulation in female genuine stress incontinence was assessed. Methods: Female patients with urinary incontinence were examined physically following history in a multiclinically based study involving Urology, Gynaecology, Physical Therapy and Rehabilitation. Urodynamics were performed for all patients, and 27 patients with genuine stress incontinence were included in this study. Transvaginal electrical stimulation were applied to the patients 30 mins once a day, 5 days a week, for a total of 4 weeks. The daily number of pads, incontinence and micturition times (day-night) were obtained and all patients completed the incontinence-specific quality of life questionnaire (I-QoL) before, at the end of and at the 3rd month after therapy, and 25 patients who completed this study were evaluated. Results: In patients treated with transvaginal electrical stimulation, the times of incontinence, micturition times, and number of pads were significantly decreased (p<0.001) and the scores of I-QoL were significantly increased (p<0.001) after treatment and at the 3rd month post-treatment when compared with pretreatment levels. According to subjective assessment eighteen (72%) of patients were cured. The number of patients improved moderately and minimally were 4 (16%) and 3 (12%) respectively. No patient reported side effects during treatment. Conclusion: Transvaginal electrical stimulation could be an effective and safe treatment for women with genuine stress incontinence.

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Preference, Compliance and Initial Outcome of Therapeutic Options Chosen by Female Patients with Urinary Incontinence

Abstract: When given options, patients chose nonoperative measures first. Compliance was poor among patients who chose behavioral modification.

Cited by 6 publications

References 11 publications

Compliance with a pelvic muscle exercise program as a causal predictor of urinary stress incontinence amongst Chinese women

Compliance with a pelvic muscle exercise program as a causal predictor of urinary stress incontinence amongst Chinese women

Electrical stimulation for stress incontinence

Transvaginal Electrical Stimulation in Female Genuine Stress Incontinence.

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