Incontinence In Women Research Articles

Causes and treatment of urge incontinence in women

Journal of Prescribing PracticeVol. 4, No. 5 News AnalysisCauses and treatment of urge incontinence in womenAysha MendesAysha MendesE-mail Address: [email protected]Freelance journalist specialising in health, psychology and nursingSearch for more papers by this authorAysha MendesPublished Online:13 May 2022https://doi.org/10.12968/jprp.2022.4.5.186AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail View article References Artusi CA, Romagnolo A, Ledda C et al. COVID-19 and Parkinson's disease: what do we know so far? J Parkinsons Dis. 2021;11(2):445–454. https://doi.org/10.3233/JPD-202463 Google ScholarAustralian Menopause Society. Stress and urge incontinence info sheet. 2013. https://www.menopause.org.au/images/stories/infosheets/docs/AMS_Stress_and_urge_incontinence.pdf (accessed 29 April 2022) Google ScholarBritish Medical Journal. Best Practice: Urinary incontinence in women. 2020. https://bestpractice.bmj.com/topics/en-gb/169 (accessed 29 April 2022) Google ScholarKołodynska G, Zalewski M, Rozek-Piechura K. Urinary incontinence in postmenopausal women – causes, symptoms, treatment. Prz Menopauzalny. 2019;18(1): 46–50 https://doi.org/10.5114/pm.2019.84157 Google ScholarNational Institute for Health and Care Excellence. Clinical Knowledge Summary: Incontinence, urinary, in women. 2019a. https://cks.nice.org.uk/incontinence-urinary-in-women#!scenario:1 (accessed 29 April 2022) Google ScholarNational Institute for Health and Care Excellence. Urinary incontinence and pelvic organ prolapse in women: management. NICE guideline [NG123]. 2019b. https://www.nice.org.uk/guidance/ng123 (accessed 29 April 2022) Google ScholarZhou Y, Chi J, Lv W, Wang Y. Obesity and diabetes as high-risk factors for severe coronavirus disease 2019 (Covid-19). Diabetes Metab Res Rev. 2021;37(2):e3377. https://doi.org/10.1002/dmrr.3377 Google Scholar FiguresReferencesRelatedDetails 2 May 2022Volume 4Issue 5ISSN (print): 2631-8385ISSN (online): 2631-8393 Metrics History Published online 13 May 2022 Published in print 2 May 2022 Information© MA Healthcare LimitedPDF download

Treatment of urge incontinence in women.

Treatment of urge incontinence in women.

Botulinum toxin in incontinent women with neurogenic bladder after failure with anticholinergic therapy, long-term results: a pilot study

Botulinum toxin in incontinent women with neurogenic bladder after failure with anticholinergic therapy, long-term results: a pilot study

PD06-12 USAGE AND COST OF URINARY INCONTINENCE PRODUCTS IN WOMEN

You have accessJournal of UrologyCME1 May 2022PD06-12 USAGE AND COST OF URINARY INCONTINENCE PRODUCTS IN WOMEN Leah Chisholm, Elisabeth Sebesta, Stephanie Gleicher, Melissa Kaufman, Roger Dmochowski, and W. Stuart Reynolds Leah ChisholmLeah Chisholm More articles by this author , Elisabeth SebestaElisabeth Sebesta More articles by this author , Stephanie GleicherStephanie Gleicher More articles by this author , Melissa KaufmanMelissa Kaufman More articles by this author , Roger DmochowskiRoger Dmochowski More articles by this author , and W. Stuart ReynoldsW. Stuart Reynolds More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002525.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Urinary incontinence (UI) is common in US women, who often use incontinence containment products to self-manage, the cost of which can be a great burden. Because few studies have sought to quantify use and costs of incontinence products associated with subtypes of incontinence and severity, therefore we aimed to quantify incontinence product use and personal costs to women. METHODS: This is a secondary analysis of a sample of 2,627 US adult women, recruited electronically via ResearchMatch. Participants were asked about daily numbers and types of incontinence products used and weekly costs. Urinary symptoms were assessed via LURN SI-10 and ICIQ-UI SF, along with demographic and baseline clinical information. Descriptive statistics were performed, in addition to Wilcoxon rank sum and Kruskal-Wallis tests to compare mean incontinence product usage based on type of incontinence, symptom severity, and other demographics. RESULTS: A total of 1,522 of all women reported any weekly incontinence on ICIQ-UI SF (57.94%). The mean age of incontinent patients was 52.02 +/- 15.86 years, and the majority of patients identified as non-Hispanic white (86.60%). 564 patients (37.06%) reported using pads or diapers daily, with a mean of 1.6 +/- 1.5 (range 0 to 20) pads and a mean weekly cost of $4.98 +/- $8.38 (range $0 - $100). Usage or cost did not differ by type of UI, race, or living community. Usage and cost was more in women who had less than college education, on disability, used Medicaid or were uninsured, had 3 or more unmet social needs, or household income below the poverty line (all results in Table 1). Looking more closely at ICIQ-0UI SF, daily pad use and weekly costs increased with symptom severity, with the biggest increase between those with severe and very severe symptoms. CONCLUSIONS: In this study of incontinent women, those with severe or very severe symptoms on ICIQ-UI SF reported using on average 3 to 11 pads/diapers per day, at a significant personal cost that averaged $10 to $38 weekly. For those with more unmet social needs, uninsured or using Medicaid, less than college education, lower income, and on disability, these costs were even greater, and may be prohibitive. Source of Funding: UL1 TR000445 from NCATS/NIH © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e97 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Leah Chisholm More articles by this author Elisabeth Sebesta More articles by this author Stephanie Gleicher More articles by this author Melissa Kaufman More articles by this author Roger Dmochowski More articles by this author W. Stuart Reynolds More articles by this author Expand All Advertisement PDF DownloadLoading ...

Single-Incision Mini-Slings for Stress Urinary Incontinence in Women

BackgroundUntil recently, synthetic midurethral slings (made of mesh or tape) were the standard surgical treatment worldwide for female stress urinary incontinence, if conservative management failed. Data comparing the effectiveness and safety of newer single-incision mini-slings with those of standard midurethral slings are limited.MethodsWe performed a pragmatic, noninferiority, randomized trial comparing mini-slings with midurethral slings among women at 21 U.K. hospitals during 36 months of follow-up. The primary outcome was patient-reported success (defined as a response of very much or much improved on the Patient Global Impression of Improvement questionnaire) at 15 months after randomization (approximately 1 year after surgery). The noninferiority margin was 10 percentage points.ResultsA total of 298 women were assigned to receive mini-slings and 298 were assigned to receive midurethral slings. At 15 months, success was reported by 212 of 268 patients (79.1%) in the mini-sling group and by 189 of 250 patients (75.6%) in the midurethral-sling group (adjusted risk difference, 4.6 percentage points; 95% confidence interval [CI], −2.7 to 11.8; P<0.001 for noninferiority). At the 36-month follow-up, success was reported by 177 of 246 patients (72.0%) and by 157 of 235 patients (66.8%) in the respective groups (adjusted risk difference, 5.7 percentage points; 95% CI, −1.3 to 12.8). At 36 months, the percentage of patients with groin or thigh pain was 14.1% with mini-slings and 14.9% with midurethral slings. Over the 36-month follow-up period, the percentage of patients with tape or mesh exposure was 3.3% with mini-slings and 1.9% with midurethral slings, and the percentage who underwent further surgery for stress urinary incontinence was 2.5% and 1.1%, respectively. Outcomes with respect to quality of life and sexual function were similar in the two groups, with the exception of dyspareunia; among 290 women responding to a validated questionnaire, dyspareunia was reported by 11.7% in the mini-sling group and 4.8% in the midurethral-sling group.ConclusionsSingle-incision mini-slings were noninferior to standard midurethral slings with respect to patient-reported success at 15 months, and the percentage of patients reporting success remained similar in the two groups at the 36-month follow-up. (Funded by the National Institute for Health Research.)

Первые результаты применения стволовых клеток в лечении стрессового недержания мочи у женщин

Introduction. Stress urinary incontinence is a problem not only for the female, but is also a social, medical and economic issue for the community. The main method of treating stress urinary incontinence in women is surgical intervention with the use of synthetic mesh tape. Possibilities of intra and post-surgical complications is a major setback of surgical treatment. Attempts to restore/improve urethral sphincter functions by implanting stem cells has become a perspective method. Methods and materials. Ten female patients from the Urological Clinic of the Grodno State Medical University were chosen for treatment using autologous mesenchymal stem cells. All of them were undergone tourological and gynecological examinations. All chosen patients filled in an Incontinence Quality of Life questionnaire, related to the continention of urine before and after the implant of stem cells. After the explantation of fatty tissue, autologous mesenchymal stem cells were extracted and cultivated, a mixture of stem cells with a gelatine-based substance. Stem cells were introduced para-urethrally and into the urethral wall. Results. After 12 months after the implant 9 women completely retained urine during physical activity. No imperative disorders noted. One patient continued losing urine during physical activity, and her condition remained without improvement. Conclusion. A positive result by criteria of urine retention, urination disorder, and a subjective evaluation of quality of life was achieved in 90% of patients. A lack of even a small positive effect on one patient gives evidence to pathological changes in the organs of the genitourinary, in which stem cell therapy has a low effectiveness. First results inspire a careful optimism, but a continuation of research is required due to a small number of observations.

Prevalence and factors associated with urinary incontinence in female crossfitters: A cross-sectional study.

To determine the prevalence and factors associated with urinary incontinence (UI) in female crossfitters. This is a cross-sectional study. Data were collected using assessment forms: Knowledge, Attitude and Practice survey for young female athletes; Incontinence Severity Index; and International Consultation on Incontinence Questionnaire for UI. Descriptive analysis was conducted to obtain absolute and relative frequencies, means and 95% confidence intervals (95% CI). Multivariate analysis was carried out to determine the association between UI and sociodemographic, gynecological-obstetric, and anthropometric variables, associated morbidities, previous history and physical activity. Prevalence of UI, in the 189 included volunteers, was 38.6% and the most frequent type was stress UI (69.9%). A total of 72.6% of incontinent women reported urine loss during CrossFit training. Knowledge (53.4%) and attitude (86.2%) regarding UI were generally adequate, while prevention, management and treatment were inadequate (96.3%). The predominant characteristics of UI were frequency of once a week or less (74.0%), in small amounts (86.3%), mild intensity (57.5%) and slight impact on quality of life (64.3%). In multivariate analysis, no variable was significantly associated with UI. The prevalence of UI in female crossfitters was 38.6%. The factors investigated did not contribute to the development of UI.

Pelvic organ prolapse and anal incontinence in women: screening with a validated epidemiology survey.

The primary objective of this study was to determine the prevalence of pelvic organ prolapse (POP) and anal incontinence (AI) in a Minnesota population using the Epidemiology of Prolapse and Incontinence Questionnaire (EPIQ). The secondary objective of this study was to determine the association of POP and AI with parity, age, smoking status, body mass index (BMI), and co-morbidities. Women ≥ 18years old attending the 2018 Minnesota State Fair were asked to fill out a web-based version of the EPIQ. Multivariable logistic regression models were used to investigate the association of POP and AI with the variables of interest. A total of 1426 women were included in the analysis. There was a 4.9% prevalence of POP and 14.9% prevalence of AI. POP was significantly associated with parity and higher BMI (p < 0.01 and p = 0.02, respectively). In this cohort, POP was not associated with older age, smoking, or presence of co-morbid conditions. Anal incontinence was associated with older age (p < 0.01), smoking status (p = 0.01), and presence of co-morbid conditions (p = 0.01) but was not associated with parity or higher BMI. POP and AI were associated with some, but not all, of the variables tested, which differs from prior studies. In addition, the prevalence of POP and AI were different than rates reported in similar studies. This may suggest regional differences in prevalence of POP and AI.

Effect of Acupuncture for Mixed Urinary Incontinence in Women: A Systematic Review

BackgroundMixed urinary incontinence increasingly undermines women's quality of life. Previous studies showed some effects of acupuncture for MUI, but no systematic review has been done to evaluate the efficacy and safety of acupuncture for MUI in women.ObjectiveTo systematically review the efficacy and safety of acupuncture for women with MUI.MethodsTen databases (i.e., PubMed, Web of Science, Embase, ClinicalTrials.gov, the Cochrane Library, CBM, Scoups, CNKI, VIP and WANFANG DATA) were searched up to July 19th, 2021, using tailored search strategies with keywords not limited to “female,” “mixed urinary incontinence,” “acupuncture,” and “randomized controlled trial,” etc. RCTs and quasi-RCTs were included if investigating effect of any type of acupuncture for female patients with MUI. Data were extracted from eligible studies, and risks of bias were assessed according to the Cochrane Handbook from seven aspects using the RevMan 5.4 software.ResultsA total of three randomized studies with 591 women were included. The risk of bias among the studies varied, with major concerns on blinding of participants and outcome assessor. Liu's study (497) mainly showed that electroacupuncture's effect on reduction of numbers of incontinence, urgency, nocturia episodes, and amount of urine leakage etc. was not inferior to that of PFMT-Solifenacin group at 12, 24, and 36 weeks. Zhan's study (60) showed that electroacupuncture reduced significantly more amount of urine leakage than Tolterodine at 8 weeks, with no data on incontinence episodes frequency. All 3 studies reported that acupuncture significantly increased the quality of life assessed by ICIQ score. In addition, incidence of acupuncture-related adverse events was rare, while antimuscarinic agents related adverse events were common in two studies.ConclusionAlthough acupuncture showed some benefit for women with MUI, more evidences were required to draw a solid conclusion of effectiveness and safety of acupuncture for women with MUI.Systematic Review Registrationhttps://www.crd.york.ac.uk/PROSPERO, identifier: CRD42021224600.

Hypopressive exercise and urinary incontinence: review

Background: Urinary incontinence is due to pelvic floor disorders. Targeted exercises can aid recovery and reduce symptoms. Aims: to investigate how hypopressive abdominal exercises can help to reduce the symptoms of urinary incontinence in women. Method: integrative review in PubMed, BVS Lilacs and Cochrane Library databases looking for “urinary incontinence” AND “hypopressive exercises” OR “hypopressive techniques”. Six articles were fully analyzed. Of these, there was a predominance of the comparison between hypopressive exercises and pelvic floor muscle training. Results: For the most part, there were beneficial effects on pelvic floor toning and improvement in urinary incontinence symptoms. When compared to other techniques, such as pelvic floor muscle training, almost no or little significant difference was identified. Conclusion: There is a predominance of greater evidence of hypopressive exercises in postpartum recovery than in the treatment of urinary incontinence. More and in-depth studies are needed regarding the relationship between hypopressive exercise and urinary incontinence.

App-based self-management of urgency and mixed urinary incontinence in women: One-year follow-up.

AimsTo evaluate the long‐term effect of the Tät®II app for treatment of urgency (UUI) and mixed urinary incontinence (MUI).MethodsLong‐term follow‐up of a randomized controlled trial, including 123 women ≥18 years old with UUI or MUI, without red‐flag symptoms, and ≥2 leakages per week. All participants, regardless of group, had received the intervention, a treatment app, at the long‐term follow‐up. Long‐term data were collected through web‐based questionnaires 15 months after participants received the intervention. The app included pelvic floor muscle training, bladder training, psychoeducation, lifestyle advice, an exercise log, reminders, reinforcement messages, and tailored advice. The primary outcome was a change in incontinence symptoms (International Consultation on Incontinence Questionnaire [ICIQ]—Urinary Incontinence Short Form [ICIQ‐UI SF]), from baseline to follow‐up. Other outcomes were urgency symptoms (ICIQ—Overactive Bladder Module (ICIQ‐OAB)), quality of life (ICIQ—Lower Urinary Tract Symptoms Quality of Life Module [ICIQ‐LUTSqol]), and improvement (Patient's Global Impression of Improvement [PGI‐I]).ResultsOf the 123 women, 102 (83%) completed the long‐term follow‐up. The ICIQ‐UI SF mean score improved from 11.5 to 7.6 (mean difference 4.0, 95% CI 3.2–4.7). The ICIQ‐OAB improved from 6.7 to 5.5 (mean difference 1.3, 95% CI 0.9–1.6) and the ICIQ‐LUTSqol improved from 38.0 to 30.9 (mean difference 7.1, 95% CI 5.7–8.5). Of the 102 women, 74 (73%) reported improvement.ConclusionsSelf‐management with the Tät®II app for UUI and MUI had a significant effect across all outcome measures also long‐term and might serve as an alternative first‐line treatment for these conditions.

Storage symptoms after surgical treatment of stress urinary incontinence in women: a clinical review

Objectives: Minimally invasive sling procedures for the treatment of stress urinary incontinence has gained a topic of great interest for the last decades. However, postoperative storage symptoms after sling implantation or conventional surgical techniques are one of the most distressing complications which can significantly impair quality of life. The current review aims to focus on the development of storage symptoms after surgical treatment in comparison of different surgical techniques. Mechanism: A narrative review has been performed to identify literature reporting the incidence of storage symptoms after female stress urinary incontinence surgery. The results of systematic reviews and meta-analysis have been included in this review. Findings in brief: Pubovaginal slings have a higher risk for developing storage symptoms. In contrast, standard midurethral slings (SMUS) and colposuspensions demonstrate comparable rates of postoperative storage symptoms. Regarding SMUS, the surgical route did not demonstrate significant differences in storage symptoms. In comparison between SIMS and SMUS, no significant difference of postoperative storage symptoms could be identified. Conclusions: Pubovaginal slings have the highest risk for postoperative storage symptoms in comparison to colposuspension and SMUS and SIMS. Furthermore, surgical technique and misplacement of sling may contribute significantly in the development of postoperative storage symptoms.

The importance of overcoming the challenges in delivering the Proper Understanding of Recurrent Stress Urinary Incontinence Treatment (PURSUIT) study

There is insufficient data to assess the effects of any of the different management strategies for recurrent or persistent stress urinary incontinence in women after failed interventional treatment. The evidence base lacks well-designed randomised trials with sufficient power to answer this hugely important issue. PURSUIT is the Proper Understanding of Recurrent Stress Urinary Incontinence Treatment study, assessing through randomisation whether endoscopic or surgical interventions achieve better cure and/or quality of life outcomes at 1 year, and will follow up to 3 years to see if responses are sustained. The manuscript provides an outline of the study, describes the challenges it has faced, and advocates the importance of ensuring its successful delivery.

Evaluation and Treatment of Urinary Incontinence in Women.

This review focuses on the diagnosis, evaluation, and treatment of urinary incontinence (UI). UI is a common diagnosis that is encountered among women in their lifetime. Stress, urge (overactive bladder), and overflow are the most commonly encountered types of incontinence, but anatomic and neurologic causes are important to rule out. There are many treatment options available for the management of UI, and most patients will benefit from conservative strategies including weight loss, timed voiding, fluid intake reduction, pelvic floor strengthening exercises, and medications. For those who do not achieve adequate improvement with conservative measures, surgical intervention can provide good symptom relief.

Visualized Urethral Mobility Profile During Urine Leakage in Supine and Standing Positions.

To describe the urethral course and position during urine leakage based on the visualized urethral mobility profile (UMP) and to explore the differences between supine and standing positions. This was a prospective study of 100 women with SUI and 100 control women who underwent a cough stress test (CST) with transperineal ultrasound (TPUS) in supine and standing positions. In the mid-sagittal plane, the UMP software automatically placed six equidistant points from the bladder neck (point 1) to the external urethral meatus (point 6). It determined the x and y coordinates of the points relative to the symphysis pubis. The distance between the points and symphysis pubis (dist. 1 to 6) was calculated using the formula SQRT (x2 + y2). The visualized UMP was created by reproducing the six points on a bitmap. Valid UMP data of 78 control women and 90 women with SUI were analyzed. In the two positions, distances 1 to 6 were significantly greater in the SUI group than the continent group (all p < 0.05). During Valsalva, the distance between the mid-urethra (dist. 3 and 4) and the symphysis was significantly increased (all p < 0.001) in the SUI group. The visualized UMP showed a similar upper-urethral course in the two groups. The gap between the mid-urethra (points 3 and 4) and symphysis was wider in the SUI group. The visualized UMP in supine and standing positions showed no difference in the bladder neck and upper urethral stability between incontinent and continent women, but mid-urethral stability was weaker in SUI.

Physiotherapeutic Approaches to Treat Anal Incontinence in Women after Obstetric Trauma

Abstract Introduction Anal incontinence is defined as the loss of voluntary control of fecal matter or gases with a recurrence period longer than 3 months in individuals aged ≥ 4 years; it has a female predominance. Among the treatment modalities is pelvic physiotherapy, the second line of treatment, which promotes the reeducation, coordination, and strengthening of the muscles of the pelvic floor to enable patients to return to their regular activities of daily living. Objective To perform a systematic review on the physiotherapeutic treatments used in women between the ages of 18 and 65 years with a diagnosis of anal incontinence. Material and methods Clinical studies written in Portuguese, Spanish and English were searched on the the following databases: Science Direct, Medical Literature Analysis and Retrieval System Online (Medline) via PubMed, Physiotherapy Evidence Database (PEDro), Scientific Electronic Library Online (SciELO), and Scopus. Results Of the 998 articles found, only 4 studies met the inclusion criteria of the present systematic review. The physiotherapeutic approaches to treat women with anal incontinence are biofeedback, Kegel exercises, electrostimulation, and training of the pelvic floor muscles. The average score on the PEDro scale was of 6.25, which indicates that the methodological quality was good. Conclusion Although pelvic physiotherapy is effective to treat anal incontinence, it must be promoted through the performance of evidence-based scientific research.

Can Lower Urinary Tract Symptoms and Urinary Incontinence in Women Be Prevented?

No AccessJournal of UrologyEditorial1 May 2022Can Lower Urinary Tract Symptoms and Urinary Incontinence in Women Be Prevented? Vatche A. Minassian Vatche A. MinassianVatche A. Minassian Division of Urogynecology, Mass General Brigham, Harvard Medical School, Boston, Massachusetts More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002474AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail "Can Lower Urinary Tract Symptoms and Urinary Incontinence in Women Be Prevented?." The Journal of Urology, 207(5), pp. 958–959

A0575 - Results of periurethral adjustable balloons (ACT™) in the treatment of stress urinary incontinence in women after pelvic radiotherapy

A0575 - Results of periurethral adjustable balloons (ACT™) in the treatment of stress urinary incontinence in women after pelvic radiotherapy

Relation of Hysterectomy with Urinary Incontinence

Urinary incontinence is defined by international continence society as “a condition in which involuntary loss of urine is objectively demonstrable and is a social hygiene problem “It refers to the involuntary leakage of urine can be associated with a systemic complication. Its prevalence is higher in women than in men thought it can affect men and women equally. It has the high prevalence due to its impact on the quality of life. The presence of urinary incontinence can be associated with anger; embarrassment related to any clinical condition, with loss of self-esteem and decrease motivation and decrease social, physical quality of life. Moment plausibility is that the bladder is presently overactive because of the surgery or changes in the pelvic floor musculature related with hysterectomy. Urge incontinence causes spillage of urine all of a sudden, related with critical ness and the powerlessness to smother such inclinations. Objective: Aim of this study is to determine urinary incontinence in women with hysterectomy. To assess the impact of urinary incontinence on quality of life of women undergone hysterectomy. Background: Furthermore, this study highlighted the presence of pain, discomfort, alteration of Quality of life and functional limitation due to incontinence of urine associated after Hysterectomy. An observational survey from different hospitals of Rawalpindi and Islamabad was conducted to collect relevant information. Methods: Standard questionnaire tools (UDI-6) and (KHQ) was used to collect data from 100 women using convenient random sampling technique in different hospitals of Rawalpindi and Islamabad. Results: The result revealed that urinary incontinence in women with hysterectomies strongly associated with altered quality of life causing loss of self-esteem leading to an impairment. Conclusion: This study concluded urinary incontinence associated with hysterectomy had pronounced effects on quality of life of women causing physical, social and psychological role limitations and participation restriction.

Assessment of the Effectiveness of the Sonofeedback Method in the Treatment of Stress Urinary Incontinence in Women-Preliminary Report.

Urinary incontinence is a common problem that affects postmenopausal women. This ailment has a negative impact on many aspects of life, significantly limiting everyday functioning related to professional work, physical activity or the intimate sphere. The aim of the study was to assess the effectiveness of the sonofeedback method in reducing the severity of urinary incontinence in postmenopausal women with a urinary incontinence problem. A total of 60 patients aged 45–65 with stress urinary incontinence, confirmed by a gynecologist, were qualified for the study. All persons qualified for the study were randomly assigned to study group A (n = 20), comparative B (n = 20) and control C (n = 20). Patients from group A were treated with sonofeedback of the pelvic floor muscles. In group B, the combined electrostimulation method was used with biofeedback training. Group C was a control group in which only the measured parameters were measured at the same time interval as those carried out in groups A and B. In all patients, three times: before the therapy, after the fifth procedure and after the end of the therapy, the incidence and severity of stress urinary incontinence were assessed—Gaudenz questionnaire and the intensity of urinary incontinence—a modified 1 h pad test. The obtained results have an application value giving the possibility of using effective therapy with sonofeedback in women in whom the recommended electrostimulation method cannot be used due to health and behavioral reasons.