Quality of Life in Women with Stage 1 Stress Urinary Incontinence after Application of Conservative Treatment—A Randomized Trial
Abstract
:1. Introduction
2. Materials and Methods
2.1. Subjects
2.2. Methods
2.3. Interventions
2.4. Statistical Analyses
3. Results
4. Discussion
5. Conclusions
Acknowledgments
Author Contributions
Conflicts of Interest
References
- Abrams, P.; Andersson, K.E.; Birder, L.; Brubaker, L.; Cardozo, L.; Chapple, C.; Cottenden, A.; Davila, W.; de Ridder, D.; Dmochowshi, R.; et al. 4th International Consultation on Incontinence Recommendations of the International Scientific Committee: Evaluation and Treatment of Urinary Incontinence, Pelvic Organ Prolapse and Faecal Incontinence. 2009. Dostępne. Available online: http://www.ics.org/publications/ici_4/files-book/recommendation.pdf (accessed on 1 July 2016).
- Haylen, B.T.; Ridder, D.; Freeman, R.M.; Steven, E.; Swift, S.E.; Bary Berghmans, B.; Lee, J.; Monga, A.; Petri, E.; Rizk, D.E.; et al. International Urogynecological Association; International Continence Society: An International Urogynecological Association (IUGA)/International Continence Society (ICS) Joint Report on the Terminology for Female Pelvic Floor Dysfunction. Neurourol. Urodyn. 2010, 29, 4–20. [Google Scholar] [PubMed]
- Rechberger, T.; Skorupski, P. Nietrzymanie moczu- problem medyczny, socjalny i społeczny. In Nietrzymanie Moczu U Kobiet- Patologia Diagnostyka, Leczenie; Rechberger, T., Jakowicki, J.A., Eds.; Wydawnictwo Bifolium: Lublin, Poland, 2005; pp. 29–38. [Google Scholar]
- Goode, P.S.; Burgio, K.L.; Richter, H.E.; Markland, A.D. Incontinence in older women. JAMA 2010, 303, 2172–2181. [Google Scholar] [CrossRef] [PubMed]
- Resnick, N.M. Urinary incontinence. Lancet 1995, 6, 94–99. [Google Scholar] [CrossRef]
- Abrams, P.; Cardozo, I.; Fall, M.; Griffiths, D.; Rosier, P.; Ulmsten, U.; Van Kerrebroeck, P.; Victor, A.; Wein, A.; Standardisation Sub-committee of the International Continence Society. The stadndarisation of terminology of lower urinary tract function. Report from the standarisation subcomittee of the International Continence Society. Neurourol. Urodyn. 2002, 21, 167–178. [Google Scholar] [CrossRef] [PubMed]
- Sjöström, M.; Umefjord, G.; Stenlund, H.; Carlbring, P.; Andersson, G.; Samuelsson, E. Internet-based treatment of stress urinary incontinence: A randomised controlled study with focus on pelvic floor muscle training. BJU Int. 2013, 112, 362–372. [Google Scholar] [CrossRef] [PubMed]
- Jolleys, J.V. The reported prevelence of urinary symptoms in women in one ryral general practice. Br. J. Gen. Pract. 1990, 39, 277–279. [Google Scholar]
- Stamey, T.A. Endoscopic suspension of the Vesical Neck for urinary incontinence in females. Ann. Surg. 1980, 192, 465–471. [Google Scholar] [CrossRef] [PubMed]
- Ingelman-Sandberg, A. Urinary incontinence in woman, excluding fistulas. Acta Obstet. Gynecol. Scand. 1952, 31, 266–291. [Google Scholar] [CrossRef]
- Abrams, P.; Avery, K.; Gardener, N.; Donovan, J. The International Consultation on Incontinence Modular Questionnaire: www.iciq.net. J. Urol. 2006, 175, 1063–1066. [Google Scholar] [CrossRef]
- Nyström, E.; Sjöstrom, M.; Stenlund, H.; Samuelsson, E. ICIQ Symptom and Quality of Life Instruments Measure Clinically Relevant Improvements in Women With Stress Urinary Incontinence. Neurourol. Urodyn. 2014, 34, 747–751. [Google Scholar] [CrossRef] [PubMed]
- Schröder, A; Abrams, P.; Andersson, K.E.; Artibani, W.; Chapple, R.C.; Drake, M.J.; Hampel, G.C.; Neisius, A.; Tubaro, A.; Thüroff, J.W. Guidelines on Incontinence; EAU: Warszawa, Poland, 2010. [Google Scholar]
- Stanowisko Polskiego Towarzystwa Uroginekologicznego Odnośnie Stosowania Laserów Do Leczenia Wysiłkowego Nietrzymania Moczu I Obniżenia Narządów Miednicy Mniejszej. 2014. Available online: http://ptug.pl/stanowisko-ptug-odnosnie/ (accessed on 1 December 2016).
- DeLancey, J.O.L. Structural aspects of urethrovesical function in the female. Neurourol. Urodyn. 1988, 7, 509–519. [Google Scholar] [CrossRef]
- Bø, K.; Lilleas, F.; Talseth, T.; Hedland, H. Dynamic MRI of the pelvic floor muscles in an upright sitting position. Neurourol. Urodyn. 2001, 20, 167–174. [Google Scholar] [CrossRef]
- Thompson, J.A.; O’Sullivan, P.B. Levator plate movement during voluntary pelvic floor muscle contraction in subjects with incontinence and prolapse: A cross-sectional study and review. Int. Urogynecol. J. Pelvic Floor Dysfunct. 2003, 14, 84–88. [Google Scholar] [CrossRef] [PubMed]
- Miller, J.M.; Ashton-Miller, J.A.; Song Hong, G.; DeLancey, J.O.L. Clarification and confirmation of the effect of volitional pelvic floor muscle contraction to preempt urine loss (the knack maneuver) in stress incontinent women. Int. Urogynecol. J. Pelvic Floor Dysfunct. 2008, 19, 773–782. [Google Scholar] [CrossRef] [PubMed]
- Ghoniem, G.M.; Leeuwen, J.S.; Elser, D.M.; Freeman, R.; Zhao, Y.D.; Yalcin, I.; Bump, R.C. Duloxetine/Pelvic Floor Muscle Training Clinical Trial Group.: A randomized controlled trial of duloxetine alone, pelvic floor muscle training alone, combined treatment and no active treatment in women with stress urinary incontinence. Am. J. Urol. 2005, 173, 1647–1653. [Google Scholar] [CrossRef] [PubMed]
- Bø, K.; Stein, R. Needle EMG registration of striated urethral wall and pelvic floor muscle activity patterns during cough, Valsalva, abdominal, hip adductor, and gluteal muscle contractions in nulliparous healthy females. Neurourol. Urodyn. 1994, 13, 35–41. [Google Scholar] [CrossRef] [PubMed]
- De Lancey, J.O.L. Anatomy and mechanism of structures around the vesical neck: How vesical neck position might affects its closure. Neurourol. Urodyn. 1988, 7, 161–162. [Google Scholar]
- Bø, K. Pelvic floor muscle training is efective in teratment of female stress urinary incontinence, but how does it work? Int. Urogynecol. J. Pelvic Floor Dysfunct. 2004, 15, 76–84. [Google Scholar] [CrossRef] [PubMed]
- Pontbriand-Drolet, S. Étude Comparative de la Morphologie du Plancher Pelvien des Femmes Âgées Continentes et Avec Incontinence Urinaire; Université de Montréal: Montréal, QC, Canada, 2012; Chapter 5; pp. 71–111. [Google Scholar]
- Morin, M.; Burbonnais, D. Pelvic floor muscle function in continent and stress urinary incontinent women using dynamometric mesurements. Neurourol. Urodyn. 2004, 23, 668–674. [Google Scholar] [CrossRef] [PubMed]
- Dumoulin, C.; Hay-Smith, E.J.C.; Mac Habee-Seguin, G. Pelvic Floor Muscle Training Versus No Treatment, or Inactive Control Treatments, for Urinary Incontinence in Women. Cochrane Database Syst. Rev. 2014, 5. [Google Scholar] [CrossRef]
- Bø, K. Pelvic floor muscle training in treatment of female stress urinary incontinence, pelvic organ prolapse and sexual dysfunction. World J. Urol. 2012, 30, 437–443. [Google Scholar] [CrossRef] [PubMed]
- Neuman, P.; Gill, V. Pelvic floor and abdominal muscle interaction: EMG activity and intra-abdominal pressure. Int. Urogynecol. J. Pelvic Floor Dysfunct. 2002, 13, 125–132. [Google Scholar] [CrossRef] [PubMed]
- Soljanik, I.; Jannsen, U.; May, F.; Fritsch, H.; Stief, C.G.; Wiessenbacher, E.R.; Friese, K.; Lienemann, A. Functional interactions between the fossa ischioanalis, levator ani and gluteus maximus muscles of the female pelvic floor: A prospective study in nulliparous women. Arch. Gynecol. Obstet. 2012, 286, 931–938. [Google Scholar] [CrossRef] [PubMed]
- Pereira, L.C.; Botelho, S.; Marques, J.; Amorim, C.F.; Lanza, A.H.; Palma, P.; Riccetto, C. Are transversus abdominis/oblique internal and pelvic floor muscles coactivated during pregnancy and postpartum? Neurourol. Urodyn. 2013, 32, 416–419. [Google Scholar] [CrossRef] [PubMed]
- Sapsford, R. Rehabilitation of pelvic floor muscles utilizing trunk stabilization. Man. Ther. 2004, 9, 3–12. [Google Scholar] [CrossRef]
- Sapsford, R.R.; Hodges, P.W.; Richardson, C.A.; Cooper, D.H.; Markwell, S.J.; Jull, G.A. Co-activation of the abdominal and pelvic floor muscles during voluntary exercises. Neurourol. Urodyn. 2001, 20, 31–42. [Google Scholar] [CrossRef]
- Gaudenz, R. Der Inkontinenz-Fragebogen mit dem neuen Urge- und Stress Score. Geburtsh u Frauenhailk. 1979, 39, 784–792. [Google Scholar]
- Kelleher, C.J.; Cardozo, L.D.; Khullar, V.; Salvatore, S. A new questionnaire to assess the quality of life of urinary incontinent women. Br. J. Obstet. Gyneacol. 1997, 140, 1374–1379. [Google Scholar] [CrossRef]
- Hebbar, S.; Pandey, H.; Chawla, A. Understanding King’s Health Questionnaire (KHQ) in assessment of female urinary incontinence. Int. J. Res. Med. Sci. 2015, 3, 531–538. [Google Scholar] [CrossRef]
- Fitz, F.F.; Costa, T.F.; Yamamoto, D.M.; Resende, A.P.M.; Stüpp, L.; Sartori, M.G.F.; Girao, M.J.B.C.; Castro, R.A. Impact of pelvic floor muscle training on the quality of life in women with urinary incontinence. Rev. Assoc. Med. Bras. 2012, 58, 155–159. [Google Scholar] [CrossRef]
- Rett, M.T.; Simőes, J.A.; Herrmann, V.; Gurgel, M.S.C.; Morais, S.S. Qualidade de vida em mulheres após tratamento da incontinência urinária de esforço com fisioterapia. Rev. Bras. Ginecol. Obstet. 2007, 29, 134–140. [Google Scholar] [CrossRef]
- Nascimento-Correia, G.; Santos-Pereira, V.; Tahara, N.; Driusso, P. Effects of pelvic floor muscle training on quality of life of a group of women with urinary incontinence: Randomized controlled trial. Actas Urol. Esp. 2012, 36, 216–221. [Google Scholar] [CrossRef] [PubMed]
- Prażmowska, B.; Puto, G.; Gergont, B. Impact of urinary incontinence on life satisfaction among women aged 45 and over. Probl. Hig. Epidemiol. 2012, 93, 785–789. [Google Scholar]
- Sinclair, A.J.; Ramsey, I.N. The psychosocial impact of urinary incontinence in women. Obstet. Gynaecol. 2011, 13, 143–148. [Google Scholar] [CrossRef]
- Barnaś, E.; Barańska, E.; Gawlik, B.; Zych, B. Factors most significantly affecting quality of life in women with urinary incontinence. HYGEIA Public Health. 2015, 50, 643–648. [Google Scholar]
- Hirakawa, T.; Suzuki, S.; Kato, K.; Gotoh, M.; Yoshikawa, Y. Randomized controlled trial of pelvic floor muscle training with or without biofeedback for urinary incontinence. Int. Urogynecol. J. 2013, 24, 1347–1354. [Google Scholar] [CrossRef] [PubMed]
- Pereira, V.S.; Correia, G.N.; Driusso, P. Individual and group pelvic floor muscle training versus no treatment in female stress urinary incontinence: A randomized controlled pilot study. Eur. J. Obstet. Gynecol. Reprod. Biol. 2011, 159, 465–471. [Google Scholar] [CrossRef] [PubMed]
- Coyne, K.S.; Zhou, Z.; Thompson, C.; Versi, E. The impact on health-related quality of life of stress, urge and mixed urinary incontinence. BJU Int. 2003, 92, 731–735. [Google Scholar] [CrossRef] [PubMed]
- Coyne, K.S.; Kvasz, M.; Ireland, A.M.; Milsom, I.; Kopp, Z.S.; Chapple, C.R. Urinary incontinence and its relationship to mental helath and helath-related quality of life in men and women in Sweden, the United Kingdom and the United States. Eur. Urol. 2012, 61, 88–95. [Google Scholar] [CrossRef] [PubMed]
- Nelas, P.; Duarte, J.; Dias, A.; Chaves, C.; Coutinho, E.; Amaral, O. Vulnerability to Stress and Quality of Life of Women with Urinary Incontinence. Procedia Soc. Behav. Sci. 2016, 217, 1118–1123. [Google Scholar] [CrossRef]
- Elanskaia, K.; Haidvogel, K.; Heidinger, C.; Doefler, D.; Umek, W.; Hanzal, E. The geratest taboo: Urinary incontinence as a source of shame and embarrassment. Wien. Klin. Wochenschr. 2011, 123, 607–610. [Google Scholar] [CrossRef] [PubMed]
- Wan, X.; Wang, C.; Xu, D.; Guan, X.; Sun, T.; Wang, K. Disease stigma and its mediating effect on the relationship between symptom severity and quality of life among community-dwelling women with stress urinary incontinence: A study from a Chinese city. J. Clin. Nurs. 2014, 23, 2170–2179. [Google Scholar] [CrossRef] [PubMed]
- Farzinmehr, A.; Moezy, A.; Koohpayehzadeh, J.; Kashanian, M. A Comparative Study of Whole Body Vibration Training and Pelvic Floor Muscle Training on Women’s Stress Urinary Incontinence: Three- Month Follow- Up. J. Fam. Reprod. Health. 2015, 9, 147–154. [Google Scholar]
- Jahromi, M.K.; Talebizadeh, M.; Mirzaei, M. The Effect of Pelvic Muscle Exercises on Urinary Incontinency and Self-Esteem of Elderly Females with Stress Urinary Incontinency, 2013. Glob. J. Health Sci. 2015, 7, 71–79. [Google Scholar]
The features of group A and B | Group A n = 70 | Group B n = 70 | p | |
---|---|---|---|---|
Age (+ SD, years) | 53.1 ± 5.5 | 53.0 ± 5.7 | 0.813 * | |
BMI (+ SD, kg/m²) | 27.4 ± 4.6 | 27.4 ± 5.0 | 1.0 * | |
Place of residence (%) | city | 75.7 | 77.1 | 0.842 |
village | 24.3 | 22.9 | ||
Physical activity (%) | sitting | 12.9 | 18.6 | 0.616 |
active | 30.0 | 25.7 | ||
mixed | 57.1 | 55.7 | ||
Menopausal status (%) | premenopausal | 47.1 | 61.4 | 0.09 |
postmenopausal | 52.9 | 38.6 | ||
Smoking (%) | yes | 12.9 | 11.4 | 0.8 |
no | 87.1 | 88.6 |
Score | Groups | Moment of ICIQ LUTS QoL Questionnaires Execution | SEM | pANOVA and Post-Hoc Tukey’s Test | |
---|---|---|---|---|---|
Role limitations (Q3) | A | before | 52.6 | 2.6 | <0.0001; Ab vs. Aa: p = 0.0001; Bb vs. Ba: p = 0.0001; Aa vs. Ba: p = 0.002; |
after | 18.1 | 2.4 | |||
B | before | 51.0 | 2.6 | ||
after | 30.5 | 2.4 | |||
Physical limitations (Q4a) | A | before | 56.4 | 2.8 | 0.01; Ab vs. Aa: p = 0.0001; Bb vs. Ba: p = 0.0001; Aa vs. Ba: p = 0.903; |
after | 19.5 | 2.2 | |||
B | before | 58.6 | 2.8 | ||
after | 33.6 | 2.2 | |||
Social limitations (Q4b) | A | before | 24.8 | 2.3 | <0.0001; Ab vs. Aa: p < 0.0001; Bb vs. Ba: p < 0.0001; Aa vs. Ba: p = 0.0160; |
after | 6.8 | 1.6 | |||
B | before | 29.5 | 2.3 | ||
after | 22.1 | 1.6 | |||
Relationship limitations (Q5) | A | before | 30.0 | 3.3 | 0.126; Ab vs. Aa: p = 0.0002; Bb vs. Ba: p = 0.515; Aa vs. Ba: p = 0.057; |
after | 15.0 | 3.1 | |||
B | before | 31.4 | 3.3 | ||
after | 26.4 | 3.1 | |||
Emotions (Q6) | A | before | 38.3 | 2.4 | <0.0001; Ab vs. Aa: p < 0.0001; Bb vs. Ba: p < 0.0001; Aa vs. Ba: p < 0.0001; |
after | 11.4 | 2.1 | |||
B | before | 39.0 | 2.4 | ||
after | 27.9 | 2.1 | |||
Sleep/energy (Q7) | A | before | 41.2 | 3.0 | 0.052; Ab vs. Aa: p < 0.0001; Bb vs. Ba: p < 0.0001; Aa vs. Ba: p = 0.0007; |
after | 19.8 | 2.3 | |||
B | before | 47.4 | 3.0 | ||
after | 34.3 | 2.3 | |||
Severity measures (Q8) | A | before | 56.6 | 2.6 | <0.0001; Ab vs. Aa: p < 0.0001; Bb vs. Ba: p < 0.0001; Aa vs. Ba: p < 0.0001; |
after | 24.3 | 2.1 | |||
B | before | 55.8 | 2.6 | ||
after | 43.0 | 2.1 | |||
Shame (QW) | A | before | 38.1 | 3.7 | 0.0001; Ab vs. Aa: p = 0.0001; Bb vs. Ba: p = 0.058; Aa vs. Ba: p = 0.002; |
after | 14.8 | 2.9 | |||
B | before | 37.6 | 3.7 | ||
after | 31.4 | 2.9 | |||
Suma scores | A | before | 337.9 | 11.6 | <0.0001; Ab vs. Aa: p < 0.0001; Bb vs. Ba: p < 0.0001; Aa vs. Ba: p < 0.0001; |
after | 129.7 | 10.6 | |||
B | before | 350.2 | 11.6 | ||
after | 249.2 | 10.6 |
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Ptak, M.; Brodowska, A.; Ciećwież, S.; Rotter, I. Quality of Life in Women with Stage 1 Stress Urinary Incontinence after Application of Conservative Treatment—A Randomized Trial. Int. J. Environ. Res. Public Health 2017, 14, 577. https://doi.org/10.3390/ijerph14060577
Ptak M, Brodowska A, Ciećwież S, Rotter I. Quality of Life in Women with Stage 1 Stress Urinary Incontinence after Application of Conservative Treatment—A Randomized Trial. International Journal of Environmental Research and Public Health. 2017; 14(6):577. https://doi.org/10.3390/ijerph14060577
Chicago/Turabian StylePtak, Magdalena, Agnieszka Brodowska, Sylwester Ciećwież, and Iwona Rotter. 2017. "Quality of Life in Women with Stage 1 Stress Urinary Incontinence after Application of Conservative Treatment—A Randomized Trial" International Journal of Environmental Research and Public Health 14, no. 6: 577. https://doi.org/10.3390/ijerph14060577