Single-blind, randomized, controlled trial of pelvic floor muscle training, electrical stimulation, vaginal cones, and no active treatment in the management of stress urinary incontinence

Authors

  • Rodrigo A. Castro Universidade Federal de São Paulo; Department of Gynecology; Urogynecology and Vaginal Surgery Section
  • Raquel M. Arruda Universidade Federal de São Paulo; Department of Gynecology; Urogynecology and Vaginal Surgery Section
  • Miriam R. D. Zanetti Universidade Federal de São Paulo; Department of Gynecology; Urogynecology and Vaginal Surgery Section
  • Patricia D. Santos Universidade Federal de São Paulo; Department of Gynecology; Urogynecology and Vaginal Surgery Section
  • Marair G. F. Sartori Universidade Federal de São Paulo; Department of Gynecology; Urogynecology and Vaginal Surgery Section
  • Manoel J. B. C. Girão Universidade Federal de São Paulo; Department of Gynecology; Urogynecology and Vaginal Surgery Section

DOI:

https://doi.org/10.1590/S1807-59322008000400009

Keywords:

Stress urinary incontinence, Electrical stimulation, Pelvic floor exercise, Vaginal cones, Urodynamic

Abstract

PURPOSE: To compare the effectiveness of pelvic floor exercises, electrical stimulation, vaginal cones, and no active treatment in women with urodynamic stress urinary incontinence. PATIENTS AND METHODS: One hundred eighteen subjects were randomly selected to recieve pelvic floor exercises (n=31), ES (n=30), vaginal cones (n=27), or no treatment (untreated control) (n=30). Women were evaluated before and after completion of six months of treatment by the pad test, quality of life questionnaire (I-QOL), urodynamic test, voiding diary, and subjective response. RESULTS: In the objective evaluation, we observed a statistically significant reduction in the pad test (p=0.003), in the number of stress urinary episodes (p<0.001), and a significant improvement in the quality of life (p<0.001) in subjects who used pelvic floor exercises, electrical stimulation, and vaginal cones compared to the control group. No significant difference was found between groups in the urodynamic parameters. In the subjective evaluation, 58%, 55%, and 54% of women who had used pelvic floor exercises, electrical stimulation, and vaginal cones, respectively, reported being satisfied after treatment. In the control group, only 21% patients were satisfied with the treatment. CONCLUSION: Based on this study, pelvic floor exercises, electrical stimulation, and vaginal cones are equally effective treatments and are far superior to no treatment in women with urodynamic stress urinary incontinence.

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Published

2008-01-01

Issue

Section

Clinical Sciences

How to Cite

Castro, R. A., Arruda, R. M., Zanetti, M. R. D., Santos, P. D., Sartori, M. G. F., & Girão, M. J. B. C. (2008). Single-blind, randomized, controlled trial of pelvic floor muscle training, electrical stimulation, vaginal cones, and no active treatment in the management of stress urinary incontinence . Clinics, 63(4), 465-472. https://doi.org/10.1590/S1807-59322008000400009