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Rehabilitation Practice and Science

Translated Title

婦女尿失禁的復健治療

Abstract

Urinary incontinence is a very common but also very debilitating problem for older women. It has been estimated that the incidence of urinary incontinence among women older than 65 of age is about 30-60%. The management includes surgical therapy and conservative treatment such as drug therapy and rehabilitation. Rehabilitation therapy offers an alternative intervention for patients who are afraid of invasive surgery or experience intolerable side effects from drugs.This study evaluated the clinical efficacy of rehabilitation therapy for urinary incontinence. We collected a total of 30 patients. Fifteen had stress urinary incontinence, 2 had urge urinary incontinence, 5 had mixed urinary incontinence, 3 had neurogenic bladders and 5 had other urinary tract abnormalities. After obtaining a careful medical history and urinary diary, we performed a comprehensive physical examination for definite diagnosis. These patients received a 2 month rehabilitation including pelvic floor exercises, electrical stimulation, biofeedback and behavior therapy. A subjective severity scale and vaginal manometry were used before and at the end of treatment to assess the therapeutic outcome. In this study, increased pelvic floor muscle strength was noted on vaginal manometry after 2 months of pelvic floor exercise training (p value ＜ 0.05). Of the 22 patients with urinary incontinence, 86% reported improvement on subjective severity scale. In conclusion, rehabilitation therapy is a non-invasive and effective treatment for patients with mild to moderate urinary incontinence.

Language

Traditional Chinese

First Page

191

Last Page

196

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