AIM: To determine the effectiveness of physiotherapy with myofeedback for women with stress incontinence as a result of pelvic muscle insufficiency. DESIGN: Randomised trial. SETTING: Three physiotherapy practices in Heerlen, Maastricht and Sittard, and the physiotherapy department of the 'Maasland' Hospital in Sittard and the 'St. Laurentius' Hospital in Roermond. SUBJECTS: Thirty-three women with stress incontinence as a result of pelvic muscle insufficiency were assigned to one of the two intervention groups: an exercise programme performed without myofeedback (15 women) and the same programme with myofeedback (18 women). MAIN MEASURES: The severity of stress incontinence, as determined by the frequency and quantity of involuntary urine loss. RESULTS: There were no significant differences between the two intervention groups. The improvement scores for the main measures, the severity of stress incontinence, and the frequency and quantity of involuntary urine loss, were 53%, 52% and 63% respectively for the group without biofeedback and 33%, 35% and 27%, respectively, for the group with biofeedback. CONCLUSION: Physiotherapy with myofeedback for women with stress incontinence as a result of pelvic muscles insufficiency does not seem to be more effective than the same treatment without myofeedback. Both interventions improved the stress incontinence.

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