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Stress urinary incontinence and pelvic floor muscle exercises: effectiveness two different training intensive versus home instruccitions

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Objectives: 1) To compare the results of two differents pelvic floor training (PFT) protocols. 2) To study the relationship between the Incontinence Impact Questionaire (IIQ) and the discomfort perception of patients. Methods: Prospective study of 56 SUI women. Main variables registered: age, stage of SUI, Visual Analogue Score (VAS) of discomfort before and after training, IIQ score before and after training (phisical activity and emotional situation subscales); Perineometry; Isopo Test. Women were randomly assigned to Group A (who underwent 12 individual sessions consisting to PFT and biofeetback system) or Group B (consisting of 1 individual session of PFT). Patients were instructed to do exercices at home and were assessed at 4 months after treatment. Results: Mean age 54.7 (DE 11.3) A statistically significant difference was found between VAS and emotional IIQ (p=0.02). The AS of discomfort was significantly reduced in all women (p=0,025). All women showed improvement in IIQ score (p=0.01) and perinemotry- max. voluntary contraction (p=0,007) and no differences were observed between groups. Conclusions: The patients of both protocols presented improvement in the VAS, perineomatry and the IIQ. A statistical significant relation was observed between VAS and emocional IIQ score.

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