Urodynamic alterations after pelvic floor exercises for treatment of stress urinary incontinence in women.
The following study improves the effectiveness of pelvic floor exercise in women with stress urinary incontinence. A group of 27 women with stress urinary incontinence performed specific pelvic floor exercises twice a week for 45 minutes under a therapist's supervision for a period of 12 weeks. This group had urodynamic and urethral pressure profile studies and filled in a daily diary. The patients self-evaluated their symptoms. After the therapy, the urodynamic and urethreal pressure profile studies were repeated and the results were: 66.7% patients were self-evaluated as cured; 14.8% improved and 18.5% unchanged. The urodynamic results showed that 48.2 % of the patients did not have urinary loss, however, 51,8% of the patients that had a loss showed an increase in vesicle volume, and only 7.3% remained unchanged. The results show that pelvic floor exercises are an effective and low cost treatment for stress urinary incontinence rehabilitation.
Moreno
A L
AL
Sector of Urogynecology and Vaginal Surgery, Department of Gynecology Federal University of São Paulo, Escola Paulista de Medicina (UNIFEST/EPM), São Paulo, SP (Brazil).
Benitez
C M M
CM
Castro
R A
RA
Girão
M J B C
MJ
Baracat
E C
EC
de Lima
G Rodrigues
GR
D000328:Adult; D000368:Aged; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D017773:Pelvic Floor / Q000503:physiopathology*; D011312:Pressure; D016896:Treatment Outcome; D014521:Urethra / Q000503:physiopathology; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000628:therapy*; D014563:Urodynamics / Q000502:physiology*