title: [The efficacy of a physiotherapy program in the treatment of stress urinary incontinence in a female rural population].
abstract: OBJECTIVE
  To find the acceptance and efficacy of our protocol for exercises of the pelvic floor over short and long periods for women with urinary stress incontinence seen at our health centre.
  
  
  METHODS
  A prospective intervention study.
  
  
  METHODS
  Marquesado Health Area: a rural zone to the east of Granada.
  
  
  METHODS
  72 women between the ages of 20 and 65 with genuine urinary stress incontinence.
  
  
  METHODS
  Application of a pelvic physiotherapy procedure of two simple exercises. At the consultation with doctor and nurse on inclusion in the programme, a questionnaire was filled, the exercises were explained and an explanatory leaflet was given out. Nursing staff attended the women on days 1, 2, 7, 15, 25, 40 and 60.
  
  
  RESULTS
  72 women with genuine urinary stress incontinence were studied. Their ages ran from 20 to 65 (average 53). 55 women (76.3%) completed the treatment protocol at 60 days. Of these 55, 24 (43.8%) were dry at two months, 12 (21.1%) had improved, 18 (32.7%) experienced no change and 1 (1.8%) reported an increase in her incontinence. We assessed the amount of urine loss, by means of a continence apparatus and through the patients' subjective view. 67.7% of the women with slight incontinence were fully cured, whereas none of those with considerable incontinence were.
  
  
  CONCLUSIONS
  Both the efficacy and efficacy of the protocol are highly satisfactory in our community. Our protocol is more efficacious for young women and those with little incontinence.
authors.affiliation: Centro de Salud del Marquesado, Granada.
authors.forename: J J
authors.initials: JJ
authors.lastname: Bretones Alcaraz
authors.forename: M D
authors.initials: MD
authors.lastname: del Pino y Pino
authors.forename: M A
authors.initials: MA
authors.lastname: García Vílchez
authors.forename: A
authors.initials: A
authors.lastname: Pineda Martínez
authors.forename: M
authors.initials: M
authors.lastname: Trave Sierra
authors.forename: G
authors.initials: G
authors.lastname: Sáez Morales
mesh_terms: D000328:Adult; D000368:Aged; D002908:Chronic Disease; D005069:Evaluation Studies as Topic; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012074:Remission Induction; D012424:Rural Population; D013030:Spain; D013997:Time Factors; D014550:Urinary Incontinence, Stress / Q000175:diagnosis / Q000534:rehabilitation*
vernacular_title: Eficacia de un programa de fisioterapia en el tratamiento de la incontinencia urinaria de estrés en una población rural femenina.