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- Title
Factors predicting the response to biofeedback-assisted pelvic floor muscle training for urinary incontinence
- Authors
Yoo, Eun-Hee; Kim, Young-Mi; Kim, Donguk
- Abstract
<bold>Objective: </bold>To evaluate the efficacy of biofeedback-assisted pelvic floor muscle training (PFMT) for urinary incontinence and to determine the patient characteristics predictive of success.<bold>Methods: </bold>Clinical and physiologic data of 86 patients with urinary incontinence who had received biofeedback-assisted PFMT were analyzed retrospectively. The clinical response was determined to be a success (requiring no more therapy) or a failure (requiring surgery or other medical therapy) at 3 months after completion of treatment.<bold>Results: </bold>The success group included 57% of the enrolled patients. In the univariate analysis, the following factors had P values of less than 0.20: alcohol consumption, detrusor overactivity, type of urinary incontinence, and the change in the average amplitude of tonic contraction before treatment and after the 8th session of biofeedback-assisted PFMT. In the multiple logistic regression analysis, the only independent predictive factor of a successful response was a significant change in the average tonic contraction before treatment and after the 8th session (odds ratio, 1.661; 95% confidence interval, 1.015- 2.721).<bold>Conclusion: </bold>After biofeedback-assisted PFMT, 57% of patients with urinary incontinence required no further therapy. Increased pelvic floor muscle activity after the 8th session of PFMT predicted a successful response to treatment.
- Subjects
URINARY incontinence treatment; PHYSIOLOGICAL control systems; PELVIC floor; MUSCLES; TREATMENT effectiveness; LOGISTIC regression analysis
- Publication
International Journal of Gynecology & Obstetrics, 2011, Vol 112, Issue 3, p179
- ISSN
0020-7292
- Publication type
journal article
- DOI
10.1016/j.ijgo.2010.09.016