title: Urinary incontinence in women treated by ischemic compression over the bladder area: a pilot study.
abstract: OBJECTIVE
  The purpose of this study was to determine if ischemic compression therapy over the bladder area results in clinically important changes among female patients with stress and mixed (stress and urge) incontinence.
  
  
  METHODS
  One group of patients (n = 24) received ischemic compression therapy directed over the bladder area (experimental group). The control group (n = 9) received ischemic compression therapy directed toward structures of the hip joint. Changes in urinary incontinence symptoms were monitored using a 2-part questionnaire: the urogenital distress inventory and the incontinence impact questionnaire. Patients' perceived amelioration (improvement) was quantified using a scale divided from 0% to 100%.
  
  
  RESULTS
  Mean scores for the first questionnaire (urogenital distress inventory + incontinence impact questionnaire, 19 questions) were 23.3 vs 25.3 at baseline and 10.2 vs 22.2 after 15 treatments for the experimental and control group, respectively. The experimental group scores were 6.9 at 30 days after the last treatment and 11.3 at the 6-month follow-up. The perceived percentages of amelioration after 15 treatments were 69% vs 32% for the experimental and control group, respectively. The experimental group scores were 73% at 30 days after the last treatment and 60% at the 6-month follow-up.
  
  
  CONCLUSIONS
  In this study, ischemic compression directed toward elicited trigger points over bladder area was found to be an effective treatment of patients presenting symptoms of urinary incontinence. Improvement in symptoms was still present in follow-up at 6 months.
authors.affiliation: Private practice, Trois-Rivières, Québec, Canada G8Z 3Y8.
authors.forename: Guy
authors.initials: G
authors.lastname: Hains
authors.forename: François
authors.initials: F
authors.lastname: Hains
authors.forename: Martin
authors.initials: M
authors.lastname: Descarreaux
authors.forename: André
authors.initials: A
authors.lastname: Bussières
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