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Erschienen in: International Urogynecology Journal 4/2010

01.04.2010 | Original Article

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

verfasst von: Mônica Orsi Gameiro, Eliane Hilberath Moreira, Felipe Orsi Gameiro, Juliana Cruz Moreno, Carlos Roberto Padovani, João Luiz Amaro

Erschienen in: International Urogynecology Journal | Ausgabe 4/2010

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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.
Literatur
1.
Zurück zum Zitat Holley RL, Varner RE, Kerns DJ, Mestecky PJ (1995) Long-term failure of pelvic floor musculature exercises in treatment of genuine stress incontinence. South Med J 165:322–329 Holley RL, Varner RE, Kerns DJ, Mestecky PJ (1995) Long-term failure of pelvic floor musculature exercises in treatment of genuine stress incontinence. South Med J 165:322–329
2.
Zurück zum Zitat Arvonen T, Fianu-Jonasson A, Tyni-Lenné R (2001) Effectiveness of two conservative modes of physical therapy in women with urinary stress incontinence. Neurourol Urodyn 20:591–599CrossRefPubMed Arvonen T, Fianu-Jonasson A, Tyni-Lenné R (2001) Effectiveness of two conservative modes of physical therapy in women with urinary stress incontinence. Neurourol Urodyn 20:591–599CrossRefPubMed
3.
Zurück zum Zitat Hay-Smith EJ, Dumoulin C (2006) Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev 25:CD005654 Hay-Smith EJ, Dumoulin C (2006) Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev 25:CD005654
4.
Zurück zum Zitat Peattie AB, Plevnik S, Stanton SL (1988) Vaginal cones: a conservative method of treating genuine stress incontinence. Br J Obstet Gynecol 95:1049–1053 Peattie AB, Plevnik S, Stanton SL (1988) Vaginal cones: a conservative method of treating genuine stress incontinence. Br J Obstet Gynecol 95:1049–1053
5.
Zurück zum Zitat Plevnik S (1994) Vaginal cones. In: Shussler B, Laycock J, Norton P, Stanton SL (eds) Pelvic floor re-education principles and practice. Springer, London, pp 139–142 Plevnik S (1994) Vaginal cones. In: Shussler B, Laycock J, Norton P, Stanton SL (eds) Pelvic floor re-education principles and practice. Springer, London, pp 139–142
7.
Zurück zum Zitat Jonasson A, Larsson B, Pschera H (1989) Testing and training of the pelvic floor muscles after childbirth. Acta Obstet Gynecol Scand 68:301–304CrossRefPubMed Jonasson A, Larsson B, Pschera H (1989) Testing and training of the pelvic floor muscles after childbirth. Acta Obstet Gynecol Scand 68:301–304CrossRefPubMed
8.
Zurück zum Zitat Bo K, Talseth T, Holme I (1999) Single blind, randomized controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women. Br Med J 318:487–493 Bo K, Talseth T, Holme I (1999) Single blind, randomized controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women. Br Med J 318:487–493
9.
Zurück zum Zitat Halbe HW (1993) Tratado de Ginecologia Roca. São Paulo Halbe HW (1993) Tratado de Ginecologia Roca. São Paulo
10.
Zurück zum Zitat Amaro JL, Moreira ECH, Gameiro MO, Padovani CR (2005) Pelvic floor muscle evaluation in incontinent patients. Int Urogynecol J 16:352–354CrossRef Amaro JL, Moreira ECH, Gameiro MO, Padovani CR (2005) Pelvic floor muscle evaluation in incontinent patients. Int Urogynecol J 16:352–354CrossRef
11.
Zurück zum Zitat Laycock J, Green RJ (1988) Interferential therapy in the treatment of incontinence. Phisiotherapy 74:161–168CrossRef Laycock J, Green RJ (1988) Interferential therapy in the treatment of incontinence. Phisiotherapy 74:161–168CrossRef
12.
Zurück zum Zitat Goodman LA (1965) On simultaneous confidence intervals for multinomial proportions. Technometrics 7:47–254CrossRef Goodman LA (1965) On simultaneous confidence intervals for multinomial proportions. Technometrics 7:47–254CrossRef
13.
Zurück zum Zitat Johnson RA, Wichern DW (2002) Applied multivariate statistical analysis, 5th edn. Prentice-Hall, Upper Saddle River, p 767 Johnson RA, Wichern DW (2002) Applied multivariate statistical analysis, 5th edn. Prentice-Hall, Upper Saddle River, p 767
14.
Zurück zum Zitat Cammu H, Van Nylen M (1998) Pelvic floor exercises versus vaginal weight cones in genuine stress incontinence. Eur J Obstet Gynecol Reprod Biol 77:89–93CrossRefPubMed Cammu H, Van Nylen M (1998) Pelvic floor exercises versus vaginal weight cones in genuine stress incontinence. Eur J Obstet Gynecol Reprod Biol 77:89–93CrossRefPubMed
15.
Zurück zum Zitat Amaro JL, Gameiro MO, Padovani CR (2003) Treatment of urinary stress incontinence by intravaginal electrical stimulation and pelvic floor physiotherapy. Int Urogynecol J 14:204–208CrossRef Amaro JL, Gameiro MO, Padovani CR (2003) Treatment of urinary stress incontinence by intravaginal electrical stimulation and pelvic floor physiotherapy. Int Urogynecol J 14:204–208CrossRef
16.
Zurück zum Zitat Wrigley T (1995) The effect of training with vaginal weighted cones and pelvic floor exercises on the strengh of the pelvic floor muscles: a pilot study. Int Urogynecol J 6:4–9CrossRef Wrigley T (1995) The effect of training with vaginal weighted cones and pelvic floor exercises on the strengh of the pelvic floor muscles: a pilot study. Int Urogynecol J 6:4–9CrossRef
17.
Zurück zum Zitat Deindl FM, Schüssler B, Vodusek DB, Hesse U (1995) Neurophysiologic effect of vaginal cone application in continent and urinary stress incontinent women. Int Urogynecol J 6:204–208CrossRef Deindl FM, Schüssler B, Vodusek DB, Hesse U (1995) Neurophysiologic effect of vaginal cone application in continent and urinary stress incontinent women. Int Urogynecol J 6:204–208CrossRef
Metadaten
Titel
Vaginal weight cone versus assisted pelvic floor muscle training in the treatment of female urinary incontinence. A prospective, single-blind, randomized trial
verfasst von
Mônica Orsi Gameiro
Eliane Hilberath Moreira
Felipe Orsi Gameiro
Juliana Cruz Moreno
Carlos Roberto Padovani
João Luiz Amaro
Publikationsdatum
01.04.2010
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 4/2010
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-009-1059-7

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