A randomized controlled trial of pelvic floor muscle exercises to treat postnatal urinary incontinence

被引：100

作者：

Wilson P.D. ^{[1
,2
]}

Herbison G.P. ^{[1
]}

机构：

[1] Dunedin School of Medicine, University of Otago, Dunedin

[2] Department of Obstetrics and Gynaecology, Dunedin School of Medicine, University of Otago, Dunedin

来源：

International Urogynecology Journal | 1998年 / 9卷 / 5期

关键词：

Conservative treatment; Pelvic floor muscle exercises; Postnatal urinary incontinence; Randomized controlled trial;

D O I：

10.1007/BF01901501

中图分类号：

学科分类号：

摘要：

A randomized controlled trial was carried out to evaluate the extent to which a program of reinforced pelvic floor muscle exercises (PFME) reduces urinary incontinence 1 year after delivery. Two hundred and thirty women who were incontinent 3 months postpartum were randomized to either a control group doing standard postnatal pelvic floor muscle exercises (n = 117) or to an intervention group (n = 113) who saw a physiotherapist fur instruction at approximately 3, 4, 6 and 9 months postpartum. Results collected 12 months after delivery included prevalence and frequency of incontinence and PFME, sexual satisfaction, perineometry measurements and pad tests. Twenty-six (22%) of the control group and 59 (52%) of the intervention group withdrew before the final assessment. The prevalence of incontinence was significantly less in the intervention group than in the control group (50% versus 76%, P = 0.0003), and this group also did significantly more PFME. There were no significant differences between the groups as regards sexual satisfaction, perineometry measurements or pad test results.

引用

页码：257 / 264

页数：7

共 26 条

[11]

Kaplan, H.S., (1974) The New Sex Therapy: Active Treatment of Sexual Dysfunctions, pp. 402-403. , New York: Brunner/Mazel

[12]

Scott, R.S., Hsueh, G.S.C., A clinical study of the effects of galvanic vaginal muscle stimulation in urinary stress incontinence and sexual dysfunction (1979) Am J Obstet Gynecol, 135, pp. 663-665

[13]

Kitzinger, S., (1983) Women's Experience of Sex, p. 48. , London: Dorling Kindesley

[14]

Roughan, P.A., Kunst, L., Do pelvic floor exercises really improve orgasmic potential? (1981) J Sex Marital Ther, 7, pp. 223-229

[15]

Plevnik, S., New method for testing and strengthening of pelvic floor muscles (1985) Proceedings of the Fifteenth Annual Meeting of the International Continence Society, pp. 267-268. , London

[16]

Peattie, A.B., Plevnik, S., Stanton, S.L., Vaginal cones: A conservative method of treatment genuine stress incontinence (1988) Br J Obstet Gynaecol, 95, pp. 1049-1053

[17]

Wilson, P.D., Borland, M., Vaginal cones for the treatment of genuine stress incontinence (1990) Aust NZ J Obstet Gynaecol, 30, pp. 157-160

[18]

Peattie, A.G., Plevnik, S., Cones versus physiotherapy as a conservative method of treating genuine stress incontinence (1988) Neurourol Urodyn, 7, pp. 265-266

[19]

Fieber, D., Zivkovic, F., Tamussino, K., Pelvic floor exercises without or with vaginal cones in premenopausal women with mild to moderate stress incontinence (1994) Gynäkol Geburtshilf Rundsch, 34, pp. 32-33

[20]

Bø, K., Vaginal weight cones. Theoretical framework, effect on pelvic floor muscle strength and female stress urinary incontinence (1995) Acta Obstet Gynecol Scand, 74, pp. 87-92

← 1 2 3 →