One hundred and ten consecutive patients who had come to the Urogynaecological outpatients surgery of Desio Hospital with stress urinary incontinence were studied and treated with uro-rehabilitation at the Neuro-rehabilitation Division of Seregno Hospital between 1998 and 2000. The study only included the patients studied and treated in that three year period of research who suffered from stress urinary incontinence (genuine or mixed) with a 0/1 degree cystocele according to the Baden-Walker HWS classification with type I/II incontinence according to Blassas, with no suspect intrinsic clinical instrumental urethral defect and of whom all the subjective and objective parameters of evaluation of the gravity of the IUS adopted were available (micturition diary, VAS, Pad test according to the ICS, stress test according to Ferrari, I-S score, PC test) before and after treatment. All the patients voluntarily accepted to follow the combined therapeutic rehabilitation protocol at the Outpatients Surgery: One cycle of physiochinesitherapy associated to a three weekly cycle as outpatients of electro myographic biofeedback and FES with vaginal probe. The comparison between the initial and final numerical values studied after treatment show how the degree of the disorder, subjective and/or objective of the patients had significantly improved: the mean value of VAS passed from 6.8+/-2.1 to 3.5+/-2.6; the values of the PAD and stress tests went from 9.8±16.8 2.8±1.3 to 5.9±13.7 and 1.8±1.6 respectively an inverse trend being shown by the PC-test which rise from 1.1±1 to 2.2±0.9. In particular, 55% of the patients during their first visit mentioned a VAS equal to or above 7; while after the rehabilitation treatment in 51% of the population a VAS equal to or less than 3 was registered. At the last follow-up 35.5% remained unvaried, 25.4% improved and 39.1% completely recovered. Some anamnestic clinical instrumental parameters modify the response to treatment (in particular the objective gravity of IUS). It is however difficult to state, on the basis of the sample studied, that these parameters can represent significant risk factors of failure of the treatment, as has been pointed out several times in international literature. The results of this study confirm that uro-rehabilitation techniques can represent the first possible and effective therapeutic choice in the treatment of stress urinary incontinence (genuine or mixed).

Bernasconi, F., Pisani, G., Arienti, S., Veronese, B., Pittalis, S., Conti, M., et al. (2001). Rehabilitation of the pelvic floor in patients with sui: Results and analysis of failure risk factors (Uro-riabilitazione nell'incontinenza urinaria da sforzo: Risultati ed analisi dei fattori di rischio di fallimento). UROGYNAECOLOGIA INTERNATIONAL JOURNAL, 15(2), 33-49.

Rehabilitation of the pelvic floor in patients with sui: Results and analysis of failure risk factors (Uro-riabilitazione nell'incontinenza urinaria da sforzo: Risultati ed analisi dei fattori di rischio di fallimento)

BERNASCONI, FRANCESCO
;
CERRI, CESARE GIUSEPPE
2001

Abstract

One hundred and ten consecutive patients who had come to the Urogynaecological outpatients surgery of Desio Hospital with stress urinary incontinence were studied and treated with uro-rehabilitation at the Neuro-rehabilitation Division of Seregno Hospital between 1998 and 2000. The study only included the patients studied and treated in that three year period of research who suffered from stress urinary incontinence (genuine or mixed) with a 0/1 degree cystocele according to the Baden-Walker HWS classification with type I/II incontinence according to Blassas, with no suspect intrinsic clinical instrumental urethral defect and of whom all the subjective and objective parameters of evaluation of the gravity of the IUS adopted were available (micturition diary, VAS, Pad test according to the ICS, stress test according to Ferrari, I-S score, PC test) before and after treatment. All the patients voluntarily accepted to follow the combined therapeutic rehabilitation protocol at the Outpatients Surgery: One cycle of physiochinesitherapy associated to a three weekly cycle as outpatients of electro myographic biofeedback and FES with vaginal probe. The comparison between the initial and final numerical values studied after treatment show how the degree of the disorder, subjective and/or objective of the patients had significantly improved: the mean value of VAS passed from 6.8+/-2.1 to 3.5+/-2.6; the values of the PAD and stress tests went from 9.8±16.8 2.8±1.3 to 5.9±13.7 and 1.8±1.6 respectively an inverse trend being shown by the PC-test which rise from 1.1±1 to 2.2±0.9. In particular, 55% of the patients during their first visit mentioned a VAS equal to or above 7; while after the rehabilitation treatment in 51% of the population a VAS equal to or less than 3 was registered. At the last follow-up 35.5% remained unvaried, 25.4% improved and 39.1% completely recovered. Some anamnestic clinical instrumental parameters modify the response to treatment (in particular the objective gravity of IUS). It is however difficult to state, on the basis of the sample studied, that these parameters can represent significant risk factors of failure of the treatment, as has been pointed out several times in international literature. The results of this study confirm that uro-rehabilitation techniques can represent the first possible and effective therapeutic choice in the treatment of stress urinary incontinence (genuine or mixed).
No
Articolo in rivista - Articolo scientifico
Scientifica
adult; aged; article; disease classification; exercise test; follow up; human; major clinical study; outpatient; rehabilitation medicine; risk factor; scoring system; stress incontinence; urine incontinence
English
33
49
17
Bernasconi, F., Pisani, G., Arienti, S., Veronese, B., Pittalis, S., Conti, M., et al. (2001). Rehabilitation of the pelvic floor in patients with sui: Results and analysis of failure risk factors (Uro-riabilitazione nell'incontinenza urinaria da sforzo: Risultati ed analisi dei fattori di rischio di fallimento). UROGYNAECOLOGIA INTERNATIONAL JOURNAL, 15(2), 33-49.
Bernasconi, F; Pisani, G; Arienti, S; Veronese, B; Pittalis, S; Conti, M; Tassi, M; Gelosa, S; Biella, A; Cerri, C
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10281/131228
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