Vaginal cone use in passive and active phases in patients with stress urinary incontinence

Autor: Jorge Milhem Haddad, Ricardo Muniz Ribeiro, Wanderley Marques Bernardo, Maurício Simões Abrão, Edmund Chada Baracat
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: Clinics, Vol 66, Iss 5, Pp 785-791 (2011)
Druh dokumentu: article
ISSN: 1807-5932
1980-5322
DOI: 10.1590/S1807-59322011000500013
Popis: OBJECTIVE: To evaluate vaginal cone therapy in two phases, passive and active, in women with stress urinary incontinence. METHODS: A prospective study was conducted at the Department of Obstetrics and Gynecology, São Paulo University, Brazil. Twenty-four women with a clinical and urodynamic diagnosis of stress urinary incontinence were treated with vaginal cones in a passive phase (without voluntary contractions of the pelvic floor) and an active phase (with voluntary contractions), each of which lasted three months. Clinical complaints, a functional evaluation of the pelvic floor, a pad test, and bladder neck mobility were analyzed before and after each phase. RESULTS: Twenty-one patients completed the treatment. The reduction in absolute risk with the pad test was 0.38 (p
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