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Physiotherapy for persistent postnatal stress urinary incontinence: a randomized controlled trial.

Chantale Dumoulin·Marie-Claude Lemieux·Daniel Bourbonnais·Denis Gravel·Gina Bravo·Mélanie Morin
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Abstract

OBJECTIVE: The aim of this study was to compare the effectiveness of multimodal supervised physiotherapy programs with the absence of treatment among women with persistent postnatal stress urinary incontinence. METHODS: This was a single-blind randomized controlled trial. Sixty-four women with stress urinary incontinence were randomly assigned to 8 weeks of either multimodal pelvic floor rehabilitation (n = 21), multimodal pelvic floor rehabilitation with abdominal muscle training (n = 23), or control non-pelvic floor rehabilitation (n = 20). The primary outcome measure consisted of a modified 20-minute pad test. The secondary outcome measures included a Visual Analog Scale describing the perceived burden of incontinence, the Urogenital Distress Inventory, the Incontinence Impact Questionnaire, and pelvic floor muscle function measurements. RESULTS: Two patients dropped out, leaving 62 for analysis. At follow-up, more than 70% of the women in the treatment groups (14/20 in the pelvic floor and 17/23 in the pelvic floor plus abdominal group) were continent on pad testing compared with 0% of women in the control group. Scores on the pad test, Visual Analog Scale, Urogenital Distress Inventory, and Incontinence Impact Questionnaire improved significantly in both treatment groups (all P <.002), whereas no changes were observed in the control group. Pelvic floor muscle function, however, did not improve significantly in either active group. CONCLUSION: Multimodal supervised pelvic floor physiotherapy is an effective treatment for persistent postnatal stress urinary incontinence.

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Abdominal MusclesAdultFemaleHumansPelvic FloorPhysical Therapy ModalitiesPuerperal DisordersSingle-Blind MethodUrinary Incontinence, StressClinical TrialComparative StudyJournal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov't

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Chantale Dumoulin, Marie-Claude Lemieux, Daniel Bourbonnais, Denis Gravel, Gina Bravo, Mélanie Morin. 2004. Physiotherapy for persistent postnatal stress urinary incontinence: a randomized controlled trial.. https://doi.org/10.1097/01.aog.0000135274.92416.62

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