title: [Effect of pelvic floor muscle training with biofeedback on stress urinary incontinence in postpartum and post-menopausal women].
abstract: OBJECTIVE
  To investigate the short-term effect of pelvic floor muscle training (PFM) with biofeedback on stress urinary incontinence (SUI) in postpartum and post-menopausal women.
  
  
  METHODS
  According to the different period that the SUI occurs, 107 women with SUI were divided into two groups: the group of SUI in postpartum with 60 women, and the group of SUI in post- menopausal with 47 women. PFM with biofeedback was performed on all patients for 8 weeks. One hour pad- weighing test, voiding diary, transperineal three- dimensional ultrasound and female pelvic floor muscle assessment were recorded before and after treatment.
  
  
  RESULTS
  There was statistically significant difference in 1 hour pad-weighing test between pre- treatment and post-treatment for the group of SUI in postpartum (the negative, mild, moderate, and severe cases of post-treatment: 21, 24, 14, 1, of pre-treatment: 0, 30, 28, 2; P < 0.05), and the group of SUI in post-menopausal (the negative, mild, moderate, and severe cases of post-treatment: 7, 22, 11, 7, of pre-treatment: 0, 14, 25, 8; P < 0.05). The strength of the pelvic floor muscles of type I and type II in two groups after treatment were significantly different from those in pre-treatment (P < 0.01). The efficient rate of improvement in symptoms after treatment in the group of SUI in postpartum was 88% (53/60) and the cure rate was 38% (23/60). While the efficient rate in the group of SUI in post-menopausal women was 64% (30/47) and the cure rate was 15% (7/47). There was statistically significant difference in the development of symptoms in two groups after treatment (P = 0.003).
  
  
  CONCLUSIONS
  PFM with biofeedback is an effective treatment for SUI in postpartum and post-menopausal women, especially for postpartum ones.
authors.affiliation: Department of Gynecology, Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, China. Email: liujuan90011@aliyun.com.
authors.forename: Juan
authors.initials: J
authors.lastname: Liu
authors.affiliation: Department of Gynecology, Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, China.
authors.forename: Jie
authors.initials: J
authors.lastname: Zeng
authors.affiliation: Department of Gynecology, Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, China.
authors.forename: Hailan
authors.initials: H
authors.lastname: Wang
authors.affiliation: Department of Gynecology, Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Zhou
authors.affiliation: Department of Gynecology, Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, China.
authors.forename: Chunyan
authors.initials: C
authors.lastname: Zeng
mesh_terms: D001676:Biofeedback, Psychology / Q000379:methods*; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D017773:Pelvic Floor / Q000502:physiology*; D010502:Perineum / Q000502:physiology; D017698:Postmenopause; D049590:Postpartum Period; D055070:Resistance Training; D016896:Treatment Outcome; D014463:Ultrasonography; D014549:Urinary Incontinence / Q000628:therapy*; D014550:Urinary Incontinence, Stress / Q000000981:diagnostic imaging; D014621:Vagina / Q000502:physiology