The effect of home biofeedback training on stress incontinence
Article first published online: 28 SEP 2004
Acta Obstetricia et Gynecologica Scandinavica
Volume 83, Issue 10, pages 973–977, October 2004
How to Cite
Aukee, P., Immonen, P., Laaksonen, D. E., Laippala, P., Penttinen, J. and Airaksinen, O. (2004), The effect of home biofeedback training on stress incontinence. Acta Obstetricia et Gynecologica Scandinavica, 83: 973–977. doi: 10.1111/j.0001-6349.2004.00559.x
- Issue published online: 28 SEP 2004
- Article first published online: 28 SEP 2004
- Submitted 22 May, 2003Accepted 26 February, 2004
- pelvic floor training;
- stress urinary incontinence;
Background. To compare the effectiveness of pelvic floor training (PFT) with the aid of a home biofeedback device to PFT alone for urodynamic stress urinary incontinence (SUI) in women after a 1-year follow-up.
Methods. A randomized study comparing two conservative interventions was conducted in an outpatient clinic of a university hospital. Thirty-five consecutive women were randomized to either the PFT with home biofeedback group or the PFT alone group. The intensive training period lasted 12 weeks. After 1 year, 33 women could be evaluated according to the protocol. At the 1-year visit pelvic floor muscle activity was measured and the need for surgical intervention was evaluated. Logistic multivariate analysis was used to predict response to the PFT.
Results. In the home biofeedback training group 11/16 (68.8%) avoided surgery vs. 10/19 (52.6%) in the PFT alone group. The difference was not statistically significant. In the nonoperated home biofeedback group the increase in pelvic floor muscle activity (p = 0.005 in supine, p = 0.005 in standing) and the decrease in leakage index (p = 0.05) was significant after 12 weeks and pelvic floor activity remained constant. By contrast, in the nonoperated PFT group the increase in pelvic floor muscle activity after 12 weeks predicted a good result for conservative treatment.
Conclusions. This randomized controlled trial suggests that the home biofeedback method in PFT has a good success rate of 68.8%. The change achieved in leakage index after 12 weeks of training predicted an effective outcome for conservative treatment.