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[Perineal retraining in urinary stress incontinence]
L Valiquette1, J M Paquin, J P Perreault
1Département de Chirurgie, Hôpital Saint-Luc, Montréal, Québec, Canada.
Annales De Chirurgie
|January 1, 1991
Summary
Perineal reeducation effectively treats urinary stress incontinence (USI) in women. This non-invasive therapy achieved a 95% cure or improvement rate, with 75% sustained at 6-9 months.
Area of Science:
- Urology
- Physical Therapy
- Pelvic Floor Rehabilitation
Context:
- Urinary stress incontinence (USI) significantly impacts women's quality of life.
- Conservative management options are sought to avoid surgical interventions.
- Perineal reeducation offers a non-pharmacological and non-surgical approach.
Purpose:
- To evaluate the efficacy of perineal reeducation in treating women with urinary stress incontinence.
- To assess urodynamic and subjective improvements following a standardized 12-session program.
- To determine the short-term and medium-term (6-9 months) outcomes of the treatment.
Summary:
- Twenty women with documented stress incontinence underwent 12 sessions of biofeedback and electrostimulation over 4-6 weeks.
- Post-treatment assessment revealed a 95% cure or improvement rate, with decreased micturition frequency.
- Urodynamic parameters showed slight improvement, while subjective perineal evaluation also saw minor gains. A 75% efficacy rate persisted at 6-9 months follow-up.
Impact:
- Perineal reeducation is a safe and effective treatment for urinary stress incontinence.
- Demonstrates significant short-term and sustained medium-term benefits.
- Highlights the potential of conservative management for pelvic floor dysfunction.