Rééducation avec prise en charge globale de femmes ayant des signes fonctionnels urinaires (SFU). Quels résultats ? View Full Text


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Article Info

DATE

2010-11-18

AUTHORS

B.-G. Marti, F.-A. Valentini, G. Robain

ABSTRACT

IntroductionComprehensive care of urinary functional symptoms (UFS) combines pelvic floor rehabilitation (PFR) and behavioral and cognitive therapy (BCT). The purpose of our study was to analyze for this approach the patients’ compliance, the results, the satisfaction, and the reasons for discontinuation.Population and methodsSixty-four women with UFS, mean age 53 years (22–82), were included; 55 were incontinent. Thirty-four were post-menopausal and 15 had already PFR. In addition to the conventional PFR, the BCT comprised of “homework assignments” and relaxation exercises. The mean number of sessions prescribed was 10 (one session weekly). The assessment of improvement by the physiotherapist was evaluated on clinical data using the MHU scale. Patient satisfaction was evaluated using the VAS scale.ResultsFor 35/64 (54%) women who completed all the sessions prescribed, VAS and MHU scores were significantly improved (P = 0.0001). The 29 women who discontinued had done half of the prescribed sessions. Discontinuation was more common among women with no history of PFR (50% vs. 33%). The motive for discontinuation was feeling improved (10), external cause (8), and unknown (11). Fifty patients were considered improved by the physiotherapist. Among these patients, only 44 were satisfied; the other six had behavioral dysfunction.ConclusionComprehensive care of UFS is prescribed as a first-line treatment for intricate cases. The number of discontinuations, however, remains similar to the literature data. Discontinuation is not due to failure but because of the fact that women consider themselves sufficiently improved. More... »

PAGES

140-144

References to SciGraph publications

  • 2010-02-09. The effects of drug and behavior therapy on urgency and voiding frequency in INTERNATIONAL UROGYNECOLOGY JOURNAL
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    URI

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