Introduction: Urinary incontinence (UI) is a widespread health condition and in some situations conservative treatment has been recommended.
The aim of this study was to compare women's quality of life (QoL) before and after short-term physical therapy treatment.
Methods: We carried out a clinical trial involving 72 women who received an eight-session intervention based on pelvic floor electrical stimulation (PFES), pelvic floor muscle training (PFMT) and behavioral training. QoL was evaluated by the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). The Wilcoxon signed-rank test compared the ICIQ-SF scores; the relative changes were calculated by dividing the differences by the initial score, and McNemar's χ2 compared the questions related to the type of, possible causes of or situations related to UI (p < 0.05).
Results: There was a significant reduction in the frequency (p < 0.03), amount (p < 0.04) and impact (p < 0.001) of UI on QoL. The total score decreased from 14.6 ± 4.2 to 7.2 ± 4.5 (p < 0.001). All questions regarding the type of, possible causes of or situations related to UI had significantly decreased. Also, 15 women reported the 'never leaked urine' condition (p < 0.001) after treatment.
Conclusion: A short-term physical therapy treatment based on PFES, PFMT and behavioral modifications reduced the frequency, amount and impact of UI and therefore resulted in QoL improvement.
Written by:
Rett MT, Giraldo PC, Gonçalves AK, Eleutério Junior J, Morais SS, Desantana JM, Amaral RL. Are you the author?
Department of Physical Therapy, Federal University of Sergipe (UFS), Aracaju, Brazil.
Reference: Urol Int. 2014 Feb 13. Epub ahead of print.
doi: 10.1159/000355703
PubMed Abstract
PMID: 24525394
UroToday.com Urinary Incontinence Section
