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Non-operative methods in the treatment of female genuine stress incontinence of urine
Henalla SM, Hutchins CJ, Robinson P, MacVicar J
Journal of Obstetrics and Gynaecology 1989;9(3):222-225
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

The use of three different non-operative techniques for the treatment of female genuine urinary stress incontinence has been assessed by objective means. One hundred and four patients complaining of stress incontinence were allocated at random to four groups Sixty-five per cent of patients treated with pelvic floor exercises were significantly improved after 3 months; interferential therapy was effective in 32% of cases. Oestrogen treatment was initially beneficial in 12% of patients but recurrence of symptoms occurred soon after stopping the treatment. The control group of patients did not show any significant changes according to perineal pad weight testing, which was used for the objective assessment of incontinence. Long term follow up of these patients, after 9 months from commencing treatment still showed that pelvic floor exercises are the most effective non-surgical treatment for this condition.

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