THE EFFECTS OF TREATMENT OF URINARY-INCONTINENCE IN GENERAL-PRACTICE

被引：71

作者：

LAGROJANSSEN, ALM

DEBRUYNE, FMJ

SMITS, AJA

VANWEEL, C

机构：

[1] Department of General Practice, Nijmegen, 6500 HB, Verlengde Groenestraat 75

来源：

FAMILY PRACTICE | 1992年 / 9卷 / 03期

关键词：

D O I：

10.1093/fampra/9.3.284

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

A total of 110 women who had reported urinary incontinence to their general practitioners were randomly assigned to a treatment or control group. Treatment consisted of pelvic floor exercises in the case of stress incontinence and bladder training in the case of urge incontinence. The results were measured after 3 and 12 months by a research assistant on the basis of a constructed severity scale, an incontinence diary, and a comparison by the patients themselves of their previous and current conditions. After 3 months the control group were given the same treatment. After a further 3 and 12 months, they were assessed in exactly the same way as the treatment group. After 3 months about 60% of the patients were either dry or only mildly incontinent; the mean number of wet episodes had gone down from 20 to 7, and 74% of the women felt improved or cured. These results were later corroborated by the control group. After 12 months this successful outcome was improved slightly further. It may be concluded that the majority of women with incontinence can be successfully treated by the general practitioner. The effect of this treatment continues after one year.

引用

页码：284 / 289

页数：6

共 10 条

[1]

Klarskov P., Belving D., Bishoff N., Et al., Pelvic floor exercise versus surgery for female urinary stress incontinence, Urol Int, 41, pp. 129-132, (1986)

[2]

Burgio K.L., Robinson J.C., Engel B.T., The role of biofeedback in Kegel exercise training for urinary incontinence, Am J Obstet Gynecol, 154, pp. 58-64, (1986)

[3]

Henalla S.M., Kirwan P., Castleden C.M., Hutchins C.J., Breeson A.J., The effect of pelvic floor exercises in the treatment of genuine urinary stress incontinence in women at two hospitals, Br J Obstet Gynaecol, 95, pp. 602-606, (1988)

[4]

Wilson P.D., Al Samarrai T., Deakin M., Kolbe E., Brown A.D.G., An objective assessment of physiotherapy for female genuine stress incontinence, Br J Obstet Gynaecol, 94, pp. 575-582, (1987)

[5]

Klarskov P., Gerstenberg T.C., Hald T., Bladder training and terodiline in females with idiopathic urge incontinence and stable detrusor function, Scand J Urol Nephrol, 20, pp. 41-46, (1986)

[6]

Wiseman P.A., Malone-Lee J., Rai G.S., Terodiline with bladder retraining for treating detrusor instability in elderly people, Br Med J, 302, pp. 994-996, (1991)

[7]

Jolleys J.V., Diagnosis and management of female urinary incontinence in general practice, J R Coll Gen Pract, 39, pp. 277-279, (1989)

[8]

Abrams A.P., Urodynamics of the female lower urinary tract, Urol Clin North Am, 12, pp. 231-246, (1985)

[9]

Debruyne Smits Van Wed A.F.A.C., Controlled trial of pelvic floor exercises in the treatment of urinary incontinence in general practice, Br J Gen Pract, 41, pp. 445-449, (1991)

[10]

Versi J.E., Physiotherapy for stress urinary incontinence, a national survey, Br Med J, 302, pp. 753-755, (1991)

← 1 →