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Prospective double blind controlled trial of intensive physiotherapy with and without stimulation of the pelvic floor in treatment of genuine stress incontinence
Blowman C, Pickles C, Emery S, Creates V, Towell L, Blackburn N, Doyle N, Walkden B
Physiotherapy 1991 Oct;77(10):661-664
clinical trial
7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: Yes; Blind assessors: Yes; 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*

Fourteen women complaining of incontinence were tested urodynamically and proved to have genuine stress incontinence. They were treated with pelvic floor exercises and randomised in a double blind manner to neurotrophic stimulation (NTS) or placebo stimulation. Four of the six patients in the placebo group still required surgery after treatment, while none of the seven in the treated group required surgery. It is concluded that NTS could be offered as a first-line treatment for genuine stress incontinence.

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