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An effective treatment for functional urinary incoordination.

H C Philips1, H N Fenster, D Samsom

  • 1Psychology Department, University Hospital, Vancouver, B.C., Canada.

Journal of Behavioral Medicine
|February 1, 1992
PubMed
Summary
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Biofeedback and progressive muscle relaxation effectively treat functional urinary incoordination by improving symptoms and psychological state. Pelvic floor muscle (PFM) retraining showed no significant difference between these interventions.

Area of Science:

  • Urology
  • Physical Therapy
  • Behavioral Medicine

Background:

  • Functional urinary incoordination affects numerous women, impacting quality of life.
  • Pelvic floor musculature (PFM) plays a critical role in urinary continence.
  • Non-invasive therapies are sought for managing urinary incoordination.

Purpose of the Study:

  • To compare the efficacy of biofeedback and progressive muscle relaxation for functional urinary incoordination.
  • To assess the impact of these interventions on symptomatology, psychological functioning, and PFM activity.
  • To evaluate treatment outcomes using objective and subjective measures.

Main Methods:

  • Randomized controlled trial with 20 women diagnosed with functional urinary incoordination.
  • Interventions included biofeedback targeting PFM retraining and progressive muscle relaxation.

Related Experiment Videos

  • A waiting list control group was included for comparison.
  • Assessments were conducted pre-treatment, post-treatment, and at 2-month follow-up.

    • Main Results:

    • Both biofeedback and progressive muscle relaxation significantly improved urinary symptomatology and psychological state.
    • No significant differences were observed between the biofeedback and progressive muscle relaxation groups.
    • The waiting list control group showed no improvement in urological difficulties.

    Conclusions:

    • Biofeedback and progressive muscle relaxation are effective treatment options for women with functional urinary incoordination.
    • PFM retraining via biofeedback does not offer superior outcomes compared to progressive muscle relaxation.
    • These findings support the use of behavioral interventions in managing urinary incoordination.