| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
ORIGINAL RESEARCH |
From the *Norwegian University of Sport and Physical Education, Department of Sport Medicine, Oslo, Norway; Akershus University Hospital, Department of Urology, Nordbyhagen, Norway; and Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Iowa Carver College of Medicine, Iowa City, Iowa.
Address reprint requests to: Address correspondence to: Kari Bø, PhD, Professor, Norwegian University of Sport and Physical Education Box 4014, Ullevål Stadion, 0806 Oslo, Norway; e-mail: kari.bo{at}nih.no.
OBJECTIVE: Pelvic floor muscle training effectively treats female stress urinary incontinence. However, data on long-term efficacy and adherence are sparse. Our aims were to assess current lower urinary tract symptoms and exercise adherence 15 years after ending organized training.
METHODS: Originally, 52 women with urodynamic stress urinary incontinence were randomly assigned to home or intensive exercise. After 6 months, 60% in the intensive group were almost or completely continent, compared with 17% in the home group. Fifteen years later, all original study subjects were invited to complete a postal questionnaire assessing urinary symptoms (using validated outcome tools) and current pelvic floor muscle training.
RESULTS: Response rate was 90.4%. There were no differences in any urinary outcomes or satisfaction between the 2 study groups as a whole or when restricted to those without intervening stress urinary incontinence surgery. One half of both groups had stress urinary incontinence surgery during the 15-year follow-up period. Twenty-eight percent performed pelvic floor muscle training at least weekly; this rate did not differ by original group assignment or operated status. More operated women reported severe incontinence (P = .03) and leakage that interfered with daily life (P = .04) than did nonoperated women. There were no other differences between operated and nonoperated women.
CONCLUSION: The marked benefit of intensive pelvic floor muscle training seen short-term was not maintained 15 years later. Long-term adherence to training is low. Urinary symptoms were equally common in both operated and nonoperated women. Further studies are needed to understand factors associated with long-term effectiveness of stress urinary incontinence treatments.
LEVEL OF EVIDENCE: I
This article has been cited by other articles:
|
|
 |
|
  T. A. Shamliyan, R. L. Kane, J. Wyman, and T. J. Wilt Systematic Review: Randomized, Controlled Trials of Nonsurgical Treatments for Urinary Incontinence in Women Ann Intern Med, March 18, 2008; 148(6): 459 - 473. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. J. MADILL and L. MCLEAN A Contextual Model of Pelvic Floor Muscle Defects in Female Stress Urinary Incontinence: A Rationale for Physiotherapy Treatment Ann. N.Y. Acad. Sci., April 1, 2007; 1101(1): 335 - 360. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. P. Smith, R. J. McCrery, and R. A. Appell Current trends in the evaluation and management of female urinary incontinence. Can. Med. Assoc. J., November 7, 2006; 175(10): 1233 - 1240. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. Viktrup, G. Rortveit, and G. Lose Risk of Stress Urinary Incontinence Twelve Years After the First Pregnancy and Delivery Obstet. Gynecol., August 1, 2006; 108(2): 248 - 254. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
