[Urodynamics and perineal rehabilitation in women. Prognosis and results]

It is essential, as far as possible to be able to predict the result of perineal rehabilitation. It seems preferable to complete perineal testing by a clinical functional test for evaluation of the preventive action of voluntary perineal contraction in stress incontinence and to measure urethral pressure in four different conditions: at rest, during stress (coughing), during voluntary perineal contraction, and during both stress and voluntary perineal contraction. These tests and measures provide a better evaluation of active continence, both reflex and voluntary continence, and the ability of voluntary mechanisms to compensate for reflex mechanism during stress. It is also very important to estimate the results of perineal rehabilitation using a lot of objective and subjective tests and taking into account that only the very good results must be considered as successful. According to these criteria the authors estimate the successful results at 50% at the end of rehabilitation and only 25% in the course of the third year after the end of rehabilitation.