Pelvic floor muscle training in women with stress urinary incontinence causes hypertrophy of the urethral sphincters and reduces bladder neck mobility during coughing

Neurourology and Urodynamics

Volumn 32, Issue 8, 2013, Pages 1096-1102

  McLean, Linda ^a   Varette, Kevin ^a   Gentilcore Saulnier, Evelyne ^a   Harvey, Marie Andree ^a   Baker, Kevin ^b   Sauerbrei, Eric ^c  

^a QUEEN S UNIVERSITY   (Canada)

^b UNIVERSITY OF OTTAWA   (Canada)

^c KINGSTON GENERAL HOSPITAL   (Canada)

Author keywords

exercise; pelvic floor; physiotherapy; stress urinary incontinence; ultrasound; urethra

Indexed keywords

ARTICLE; BLADDER NECK; BLADDER SPHINCTER; CLINICAL ARTICLE; CONTROLLED STUDY; COUGHING; ECHOGRAPHY; FEMALE; HUMAN; INCONTINENCE IMPACT QUESTIONNAIRE; PELVIC FLOOR MUSCLE TRAINING; PHYSIOTHERAPY; QUESTIONNAIRE; STANDING; STRESS INCONTINENCE; SUPINE POSITION; UROGENITAL DISTRESS INVENTORY; VALSALVA MANEUVER;

EXERCISE; PELVIC FLOOR; PHYSIOTHERAPY; STRESS URINARY INCONTINENCE; ULTRASOUND; URETHRA;

ADULT; AGED; COUGH; FEMALE; HUMANS; MIDDLE AGED; MUSCLE CONTRACTION; PELVIC FLOOR; PHYSICAL THERAPY MODALITIES; QUALITY OF LIFE; TREATMENT OUTCOME; URETHRA; URINARY INCONTINENCE, STRESS; URODYNAMICS;

EID: 84886379211     PISSN: 07332467     EISSN: 15206777     Source Type: Journal    
DOI: 10.1002/nau.22343     Document Type: Article

References (33)

1. Digesu GA, Robinson D, Cardozo L, et al. Three-dimensional ultrasound of the urethral sphincter predicts continence surgery outcome. Neurourol Urodyn 2009; 28: 90-4.
2. Abrams P, Andersson KE, Birder L, et al., editors. Fourth international consultation on incontinence recommendations of the international scientific committee: Evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence. Neurourol Urodyn 2010; 29: 213-40.
3. Motswin J, Bourcier A, Habb F, et al. Pathophysiology of urinary incontinence: Fecal incontinence and pelvic organ prolapse In:, Abrams P, Cardozo L, Khoury S, Wein A, editors. Incontinence: 3rd International Consultation on Incontinence. West Caldwell: Health Publications Ltd; 2005.
4. DeLancey JOL, Gossling J, Creed K, et al. Gross anatomy and cell biology of the lower urinary tract. In:, Abrams P, Cardozo L, Khoury S, Wein A, Incontinence: 2nd International Consultation on Incontinence. Paris: Health Publications Ltd; 2002. pp 17-82.
5. Snooks SJ, Swash M, Henry MM, et al. Risk factors in childbirth causing damage to the pelvic floor innervation. Int J Colorectal Dis 1986; 1: 20-4.
6. Smith ARB, Hosker GL, Warrell DW,. The role of pudendal nerve damage in the aetiology of genuine stress incontinence in women. Br J Obstet Gynecol 1985; 96: 29.
7. Grewar H, McLean L,. The integrated continence mechanism: A manual therapy approach to the management of stress urinary incontinence. The integrated continence system: A manual therapy approach to the treatment of stress urinary incontinence. Manual Therapy 2008; 13: 375-86.
8. Bø K, Talseth T, Holme I,. Single blind, randomised controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women. Br Med J 1999; 318: 487-93.
9. Hay-Smith EJC, Dumoulin C,. Pelvic floor muscle training versus no treatment or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev 2006; Art. no: CD005654. DOI: 10.1002/14651858
10. Abrams P, Cardozo L, Khoury S, Wein K,. editors. Incontinence: 2nd International Consultation on Incontinence. Paris: Health Publications Ltd; 2002.
11. Burgio K, Lochler JS, Goode PS, et al. Behavioral vs drug treatment for urge urinary incontinence in older women: A randomized controlled trial. J Am Med Assoc 1998; 280: 1995-2000.
12. Hoff Braekken JI, Majida M, Engh ME, et al. Can pelvic floor muscle training reverse pelvic organ prolapse and reduce prolapse symptoms? An assessor-blinded, randomized, controlled trial. Am J Obstet Gynecol 2010; 203: 170.e1-7.
13. Dumoulin C, Peng Q, Stodkilde-Jorgensen H, et al. Changes in levator ani anatomical configuration following physiotherapy in women with stress urinary incontinence. J Urol 2007; 178: 970-7.
14. Cassado J, Pessarodoma A, Telleuda R, et al. Introital ultrasonography: A comparison of women with stress uncontinence due to urethral hypermoblity and continent women. BJU Int 2006; 98: 822-8.
15. Peng Q, Jones R, Shishido K, et al. Spatial distribution of vaginal closure pressures of continent and stress urinary incontinent women. Physiol Meas 2007; 28: 1429-50.
16. Shek KL, Dietz HP,. The urethral motion profile: A novel method to evaluate urethral support and mobility. Aust N Z J Obstet Gynecol 2008; 48: 337-42.
17. Balmforth JR, Mantle J, Bidmead J, et al. A prospective observational trial of pelvic floor muscle training for female stress urinary incontinence. BJU Int 2006; 98: 811-7.
18. Morrison J, et al. Neurophysiology and neuropharmacology. In:, Abrams P, Cardozo L, Khoury S, Wein A, Incontinence: 2nd International Consultation on Incontinence. Paris: Health Publications Ltd; 2002. pp 83-163.
19. Nickell K, Boone TB,. Peripheral neuropathy and peripheral nerve injury. Urol Clin N Am 1996; 23: 491-500.
20. Norton PA,. Pelvic floor disorders: The role of fascia and ligaments. Clin Obstet Gynecol 1993; 36: 926-38.
21. Bump RC, Mattiasson A, Bo K, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 1996; 175: 10-7.
22. Richter HE, Burgio KL, Brubaker L, et al. Urinary incontinence treatment network: Factors associated with incontinence frequency in a surgical cohort of stress incontinent women. Am J Obstet Gynecol 2005; 193: 2088-93.
23. Turbaro A,., Artibani W, Bartram C, et al. Imaging and other investigations. In: Incontinence: 3rd Consultation on Incontinence., Abrams P, Cardozo L, Khoury S, Wein A, editors. West Caldwell: Health Publications Ltd; 2005.
24. Constantini E, Lazzeri M, Bini V, et al. Sensitivity and specificity of one-hour pad test as a predictive value for female urinary incontinence. Urol Int 2008; 81: 153-9.
25. Shumaker SA, Wyman JF, Uebersax JS, et al. Health-related quality of life measures for women with urinary incontinence: The Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Qual Life Res 1994; 3: 291-306.
26. Yalcin I, Patrick DL, Summers K, et al. Minimal clinically important differences in Incontinence Quality-of-Life scores in stress urinary incontinence. Urology 2006; 67: 1304-8.
27. Dietz HP, Lekskulchai O,. Ultrasound assessment of pelvic organ prolapse: The relationship between prolapse severity and symptoms. Ultrasound Obstet Gynecol 2007; 29: 688-69.
28. Bø K, Hagen RH, Kvarstein B, et al. Pelvic floor muscle exercise for the treatment of female stress urinary incontinence: II. Validity of vaginal pressure measurements of pelvic floor muscle strength and the necessity of supplementary methods for control of correct contraction. Neurourol Urodyn 1990; 9: 479-87.
29. Bump RC, Hurt WG, Fantl JA, et al. Assessment of Kegel pelvic muscle exercise performance after brief verbal instruction. Am J Obstet Gynecol 1991; 165: 322-9.
30. Örnö1 AK, Dietz HP,. Levator co-activation is a significant confounder of pelvic organ descent on Valsalva maneuver, Ultrasound Obstet Gynecol 2007; 30: 346-50.
31. Delancey JO, Miller JM, Kearney R, et al. Vaginal birth and de novo stress incontinence-Relative contributions of urethral dysfunction and mobility, Obstet Gynecol 2007; 110: 354-62.
32. Bo K, Stien R,. Needle EMG registration of striated urethral wall and pelvic floor muscle activity patterns during cough, Valsalva, abdominal, hip adductor, and gluteal muscle contractions in nulliparous healthy females. Neurourol Urodyn 1994; 13: 35-41.
33. Miller JM, Unik WH, Delancey JO, et al. Can women without visible pubococcygeal muscle in MR images still increase uretheral closure pressures ? Am J Obstet Gynecol 2004; 1: 171-5.