1. Treatment of stress incontinence by vaginal cones: short- and long-term results and predictive parameters.
- Author
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Kondo A, Yamada Y, and Niijima R
- Subjects
- Adult, Aged, Exercise Therapy instrumentation, Female, Humans, Middle Aged, Patient Satisfaction, Pelvic Floor, Prospective Studies, Treatment Outcome, Exercise Therapy methods, Urinary Incontinence, Stress rehabilitation
- Abstract
Objective: To evaluate prospectively the short- and long-term results of treatment with vaginal cones for women with urinary stress incontinence and to assess predictive parameters., Patients and Methods: Fifty women (mean age 49 years, range 28-76) with differing severities of stress incontinence (mean parity 2.4 and mean 60-min pad-test 20.7 g) were treated with cones for 15 min twice a day for 8 weeks. Treatment results were evaluated immediately after and at a mean of 3 years after the treatment. Parameters were analysed to determine those with predictive value for a successful outcome., Results: Physiotherapy was assessed as being successful, i.e. a complete cure or a reduction of > 50% of the original severity, in seven patients (14%), while in 43 patients (86%) the treatment failed. After 3 years, 13 (30%) reported that the treatment was successful, 27 (61%) reported failure and four (9%) underwent surgery for stress incontinence. Those with lesser amounts of urinary loss and those with less frequent incontinence would be most likely to benefit from treatment with vaginal cones., Conclusion: The treatment had a low success rate and we recommend that the vaginal cones should be used only for those with a slight or moderate degree of stress incontinence.
- Published
- 1995
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