Age-stratified Outcome of Pelvic Floor Muscle Exercise for Urinary Incontinence

Retrospective Study About the Age-stratified Outcome of Pelvic Floor Muscle Exercise for Stress (SUI), Mixed (MUI) and Urgency Urinary Incontinence (UUI) 2003-2008

In this retrospective study the outcome of pelvic floor muscle training in 150 women will be tested regarding patients reported satisfaction and achievement of the incontinence improvement.

Comparison of two age groups, controlled for BMI, parity and previous incontinence operations.

Study Overview

• Status: Completed
• Conditions: Stress Urinary Incontinence; Urge Urinary Incontinence

Detailed Description

Pelvic floor muscle exercise is an established conservative treatment for female urinary incontinence. Up to now, the investigators don't know whether treatment outcome in elderly women is as good as in younger premenopausal women. The International Incontinence Society states 2009: "There is no good evidence to date to suggest that "healthy" older women with urinary incontinence do not benefit from pelvic floor muscle training as much as younger women".

In this retrospective study the investigators analyze patient charts from 2003-2008 regarding subjective patients and physiotherapists reported outcome after physiotherapy as well as for objective parameters like the need of an incontinence surgery in the follow-up of at least 2 years.

Eligibility criteria are age younger than 50 years (premenopausal) and age older than 65 years and a urodynamically proven urinary incontinence. As incontinence forms the investigators include in this study the following three form: stress urinary incontinence, mixed urinary incontinence and urgency urinary incontinence.

• Study Type: Observational
• Enrollment (Actual): 150

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 99 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

• Sampling Method: Probability Sample

Study Population

women from a tertiary referral center with urodynamically proven incontinence willig to perform physiotherapy

Description

Inclusion Criteria:

• premenopausal women (<50 years) with urodynamically proven urinary incontinence
• postmenopausal women (>65 years) with urodynamically proven urinary incontinence
• 9 sessions of pelvic floor muscle exercise in a professional kinesiological setting inbetween 2003-2008
• follow up regarding need of incontinence operation up to June 2011

Exclusion Criteria:

• women aged 50-65 years with urodynamically proven urinary incontinence
• stool incontinence

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort
Incontinent women

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Patients reported outcome regarding their urinary incontinence	2003-2009 (up to 6 years)

Secondary Outcome Measures

Outcome Measure	Time Frame
Physiotherapists reported outcome after finishing the pelvic floor muscle training	2003-2008 (up to 5 years)
need of incontinence surgery after conservative treatment in the follow up of at least 2 years	follow up of at least 2 years after physiotherapy that was performed between 2003-2008

Collaborators and Investigators

• Sponsor: University of Zurich
• Investigators: Principal Investigator: Cornelia Betschart, MD, University Hospital of Zurich

Study record dates

Study Major Dates

• Study Start: June 1, 2011
• Primary Completion (Actual): October 1, 2011
• Study Completion (Actual): November 1, 2011

Study Registration Dates

• First Submitted: September 23, 2011
• First Submitted That Met QC Criteria: September 30, 2011
• First Posted (Estimate): October 4, 2011

Study Record Updates

• Last Update Posted (Estimate): December 3, 2015
• Last Update Submitted That Met QC Criteria: December 1, 2015
• Last Verified: December 1, 2015

More Information

Terms related to this study

• Keywords: stress urinary incontinence; female; urgency urinary incontinence; mixed urinary incontinence; outcome of pelvic floor muscle physiotherapy
• Additional Relevant MeSH Terms: Behavioral Symptoms; Mental Disorders; Urologic Diseases; Lower Urinary Tract Symptoms; Urological Manifestations; Urination Disorders; Elimination Disorders; Urinary Incontinence; Enuresis; Urinary Incontinence, Stress; Urinary Incontinence, Urge
• Other Study ID Numbers: KEK-ZH2011/0299/0