Long-term efficacy of pelvic floor re-education with EMG-controlled biofeedback

Abstract

Objective: To evaluate the long-term efficacy of pelvic floor re-education (PFR) with EMG-controlled biofeedback in the treatment of female genuine stress or mixed incontinence. Study design: Between 1995 and 1998, 36 women completed a pelvic floor muscle training with a biofeedback device for 3–6 months. A mean of 26 months later, a follow-up examination was performed. Results: The prevalence of lower urinary tract symptoms decreased significantly immediately after the training but increased again at the long-term follow-up. Levator ani muscle strength improved after the treatment and remained significantly better for long-term follow-up. Immediately after the program, 25 (70%) women reported cure or improvement of stress incontinence. At the long-term follow-up, 17 (47%) reported the same result. Conclusions: About half of the patients after PFR with biofeedback are still improved or cured after 26 months. Women should be counseled about the long-term efficacy and about the necessity of maintaining training.