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Randomized Controlled Trial
. 2013 Jul;24(7):1181-9.
doi: 10.1007/s00192-012-1992-8. Epub 2012 Nov 17.

Randomized trial of a comparison of rehabilitation or drug therapy for urgency urinary incontinence: 1-year follow-up

Rachel Kafri  1 , Daniel Deutscher, Jeffrey Shames, Jacob Golombp, Itshak Melzer
Affiliations
Randomized Controlled Trial

Randomized trial of a comparison of rehabilitation or drug therapy for urgency urinary incontinence: 1-year follow-up

Rachel Kafri et al. Int Urogynecol J. 2013 Jul.

Abstract

Introduction and hypothesis: Our goal was to compare the long-term efficacy of bladder training (BT), pelvic floor muscle training (PFMT), combined pelvic floor rehabilitation (CPFR), and drug therapy (DT) in patients with urgency urinary incontinence (UUI).

Methods: This multicenter single-blind randomized controlled trial compared the efficacy of BT, PFMT, DT, and CPFR at baseline and 3- and 12-month follow-ups. Outcome measures included number of voids/24 h, number of UUI episodes, Quality of Life related to UUI (QOL-rUI), urogynecologic visual analog scale, and self-reported function and disability.

Results: A significant improvement was found for all treatment groups at 3 and 12 months in urinary frequency, UUI episodes, QOL-rUI, and number of daily pads. Only CPFR showed a significant decrease of 4 voids/24 h and a significant increase in self-reported function.

Conclusions: The study demonstrated long-term benefits of DT, BT, PFMT, and CPFR in the treatment of UUI with a slight advantage for CPFR.

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References

    1. Cochrane Database Syst Rev. 2011 Dec 07;(12):CD009508 - PubMed
    1. Am J Obstet Gynecol. 2002 Jul;187(1):116-26 - PubMed
    1. Int Urogynecol J Pelvic Floor Dysfunct. 2006 Sep;17(5):520-4 - PubMed
    1. Int Urogynecol J Pelvic Floor Dysfunct. 2008 Nov;19(11):1533-43 - PubMed
    1. Cochrane Database Syst Rev. 2004;(1):CD001308 - PubMed

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