[Beneficial effect of exercise therapy in urinary incontinence in family practice depends largely on therapy compliance and motivation].
OBJECTIVE
Determining the factors which influence the success of training therapy in women suffering from urinary incontinence.


METHODS
Descriptive.


METHODS
Thirteen general practices in Nijmegen and environs, the Netherlands.


METHODS
A total of 110 women between 20 and 65 years old, suffering from urinary incontinence were examined by their general practitioners. Age, personality, parity, psychological features and type, duration, severity, beginning of the disease, as well as the presence of cystocele or prolapse were recorded. Women were asked about their own experiences regarding factors that influenced success. The treatment consisted of training of pelvic muscles in stress incontinence and bladder training in urge incontinence. Outcomes and compliance were measured 3 and 12 months after start of treatment by means of a so-called incontinence diary.


RESULTS
After 3 months the mean frequency of urine loss per week diminished from 21 to 8, and after 12 months to 6 times. Compliance was the most important contribution to success. Patients were more motivated to practise when the subjective burden of the urine loss was more severe. Other features did not influence success.
Katholieke Universiteit, vakgroep Huisartsgeneeskunde, Sociale Geneeskunde en Verpleeghuisgeneeskunde, Nijmegen.
A L
AL
Lagro-Janssen
A J
AJ
Smits
C
C
van Weel
D000328:Adult; D000368:Aged; D005081:Exercise Therapy; D005194:Family Practice; D005260:Female; D006801:Humans; D008875:Middle Aged; D009042:Motivation; D017063:Outcome Assessment, Health Care; D010349:Patient Compliance; D011788:Quality of Life; D014549:Urinary Incontinence / Q000523:psychology* / Q000534:rehabilitation*; D014550:Urinary Incontinence, Stress / Q000523:psychology / Q000534:rehabilitation
Gunstig effect van oefentherapie bij urine-incontinentie in de huisartspraktijk vooral afhankelijk van therapietrouw en motivatie.