Individualized Pelvic Floor Muscle Training with Single Session Versus Long Term Biofeedback for Treating Stress Urinary Incontinence: A Prospective Randomized Trial

Yeşim Akkoç; Aylin Kılıçkap; Özgür Yeniel

Article Details

Individualized Pelvic Floor Muscle Training with Single Session Versus Long Term Biofeedback for Treating Stress Urinary Incontinence: A Prospective Randomized Trial

Authors:

Yeşim Akkoç | Aylin Kılıçkap | Özgür Yeniel

Publisher:

Marmara University

Main Topics:

Urology

Journal:

Clinical and Experimental Health Sciences Vol.15 Issue 1, pp.95-102

Document Type:

Article

Publication Date:

3/2025

Document Language:

English

Document ID (Org No.):

2001343255

pISSN:

2459-1459

Keywords:

Abstract:

 Objective: This study was planned to compare the effects of individualized pelvic floor muscle training PFMT in the treatment of stress urinary incontinence SUI applied with a single session versus long-term biofeedback BF. Methods: Thirty-three female patients with SUI were randomized into two groups. Sixteen patients in the first group were given an individualized PFMT program with BF, 2 days a week for 8 weeks, and a home exercise program on the other days. Seventeen patients in the second group were given a home exercise program after individualized PFMT with BF in a single session. After 8 weeks, both groups continued the exercises as a home program for another 4 weeks. Primary outcome parameters included a 3-day bladder diary, 1-hour pad test, maximum contraction pressure, duration of sustained contractions, Kings Health Questionnaire, incontinence impact questionnaire, incontinence quality of life scale and Beck depression inventory. Patients were questioned in terms of fecal incontinence, sexual dysfunction and treatment satisfaction as a secondary outcome parameters. Results: Thirty patients were able to complete the treatment. In the evaluations made at the 8th and 12th weeks, all of the primary outcome parameters improved in both groups p.001, and no statistically significant difference was found between the groups p.05. There was also improvement in secondary outcome parameters in both groups. Conclusion: In the treatment of SUI, it was determined that individualized exercise program might be continued as a home program after BF was used as a single session to teach the exercises correctly in PFMT.

 Objective: This study was planned to compare the effects of individualized pelvic floor muscle training PFMT in the treatment of stress urinary incontinence SUI applied with a single session versus long-term biofeedback BF. Methods: Thirty-three female patients with SUI were randomized into two groups. Sixteen patients in the first group were given an individualized PFMT program with BF, 2 days a week for 8 weeks, and a home exercise program on the other days. Seventeen patients in the second group were given a home exercise program after individualized PFMT with BF in a single session. After 8 weeks, both groups continued the exercises as a home program for another 4 weeks. Primary outcome parameters included a 3-day bladder diary, 1-hour pad test, maximum contraction pressure, duration of sustained contractions, Kings Health Questionnaire, incontinence impact questionnaire, incontinence quality of life scale and Beck depression inventory. Patients were questioned in terms of fecal incontinence, sexual dysfunction and treatment satisfaction as a secondary outcome parameters. Results: Thirty patients were able to complete the treatment. In the evaluations made at the 8th and 12th weeks, all of the primary outcome parameters improved in both groups p.001, and no statistically significant difference was found between the groups p.05. There was also improvement in secondary outcome parameters in both groups. Conclusion: In the treatment of SUI, it was determined that individualized exercise program might be continued as a home program after BF was used as a single session to teach the exercises correctly in PFMT.

 Objective: This study was planned to compare the effects of individualized pelvic floor muscle training PFMT in the treatment of stress urinary incontinence SUI applied with a single session versus long-term biofeedback BF. Methods: Thirty-three female patients with SUI were randomized into two groups. Sixteen patients in the first group were given an individualized PFMT program with BF, 2 days a week for 8 weeks, and a home exercise program on the other days. Seventeen patients in the second group were given a home exercise program after individualized PFMT with BF in a single session. After 8 weeks, both groups continued the exercises as a home program for another 4 weeks. Primary outcome parameters included a 3-day bladder diary, 1-hour pad test, maximum contraction pressure, duration of sustained contractions, Kings Health Questionnaire, incontinence impact questionnaire, incontinence quality of life scale and Beck depression inventory. Patients were questioned in terms of fecal incontinence, sexual dysfunction and treatment satisfaction as a secondary outcome parameters. Results: Thirty patients were able to complete the treatment. In the evaluations made at the 8th and 12th weeks, all of the primary outcome parameters improved in both groups p.001, and no statistically significant difference was found between the groups p.05. There was also improvement in secondary outcome parameters in both groups. Conclusion: In the treatment of SUI, it was determined that individualized exercise program might be continued as a home program after BF was used as a single session to teach the exercises correctly in PFMT.

 Objective: This study was planned to compare the effects of individualized pelvic floor muscle training PFMT in the treatment of stress urinary incontinence SUI applied with a single session versus long-term biofeedback BF. Methods: Thirty-three female patients with SUI were randomized into two groups. Sixteen patients in the first group were given an individualized PFMT program with BF, 2 days a week for 8 weeks, and a home exercise program on the other days. Seventeen patients in the second group were given a home exercise program after individualized PFMT with BF in a single session. After 8 weeks, both groups continued the exercises as a home program for another 4 weeks. Primary outcome parameters included a 3-day bladder diary, 1-hour pad test, maximum contraction pressure, duration of sustained contractions, Kings Health Questionnaire, incontinence impact questionnaire, incontinence quality of life scale and Beck depression inventory. Patients were questioned in terms of fecal incontinence, sexual dysfunction and treatment satisfaction as a secondary outcome parameters. Results: Thirty patients were able to complete the treatment. In the evaluations made at the 8th and 12th weeks, all of the primary outcome parameters improved in both groups p.001, and no statistically significant difference was found between the groups p.05. There was also improvement in secondary outcome parameters in both groups. Conclusion: In the treatment of SUI, it was determined that individualized exercise program might be continued as a home program after BF was used as a single session to teach the exercises correctly in PFMT.

Article Details

Individualized Pelvic Floor Muscle Training with Single Session Versus Long Term Biofeedback for Treating Stress Urinary Incontinence: A Prospective Randomized Trial

Authors: Yeşim Akkoç | Aylin Kılıçkap | Özgür Yeniel

Publisher: Marmara University

Main Topics: Urology

Journal: Clinical and Experimental Health Sciences Vol.15 Issue 1, pp.95-102

Document Type: Article

Publication Date: 3/2025

Document Language: English

Document ID (Org No.): 2001343255

pISSN: 2459-1459

Biofeedback

pelvic floor muscle training

stress urinary incontinence

Issues

Authors:

Yeşim Akkoç | Aylin Kılıçkap | Özgür Yeniel

Publisher:

Marmara University

Main Topics:

Urology

Journal:

Clinical and Experimental Health Sciences Vol.15 Issue 1, pp.95-102

Document Type:

Article

Publication Date:

3/2025

Document Language:

English

Document ID (Org No.):

2001343255

pISSN:

2459-1459