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Long-term efficacy of pelvic floor re-education with EMG-controlled biofeedback
Katharina Jundt1, Ursula M Peschers, Thomas Dimpfl
1I. Department of Obstetrics and Gynecology, Ludwig-Maximilians-Universitaet, Maistrasse 11, Munich 80337, Germany. katharina.jundt@fk-i.med.uni-muenchen.de
Objective:
To evaluate the long-term efficacy of pelvic floor re-education (PFR) with EMG-controlled biofeedback in the treatment of female genuine stress or mixed incontinence.
Study Design:
Between 1995 and 1998, 36 women completed a pelvic floor muscle training with a biofeedback device for 3-6 months. A mean of 26 months later, a follow-up examination was performed.
Results:
The prevalence of lower urinary tract symptoms decreased significantly immediately after the training but increased again at the long-term follow-up. Levator ani muscle strength improved after the treatment and remained significantly better for long-term follow-up. Immediately after the program, 25 (70%) women reported cure or improvement of stress incontinence. At the long-term follow-up, 17 (47%) reported the same result.
Conclusions:
About half of the patients after PFR with biofeedback are still improved or cured after 26 months. Women should be counseled about the long-term efficacy and about the necessity of maintaining training.
