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Pelvic floor muscle training in female stress urinary incontinence: comparison between group training and individual treatment using PERFECT assessmen

INTRODUCTION AND HYPOTHESIS: Pelvic floor muscle training (PFMT) is a treatment for stress urinary incontinence (SUI) that can be done individually or in a group. The aim of this study was to compare these two types of treatment.

METHODS: Sixty women 30 to 75 years old with SUI were randomly assigned to participate in the two groups. They were evaluated before and after the treatment with the Oxford grading system, pad test, voiding diary, and the King's Health Questionnaire.

RESULTS: Both groups experienced significant reductions in urinary leakage as measured by the pad test and bladder diary. A negative pad test was observed in about 50% of patients in both groups. There were statistically significant improvements in both muscle strength and quality of life. When the groups were compared, there were no differences in the results between them.

CONCLUSIONS: Individual treatment and group PFMT appear to be equally effective for improving SUI

de Oliveira Camargo F, Rodrigues AM, Arruda RM, Ferreira Sartori MG, Girão MJ, Castro RA.
Department of Gynecology-Section of Urogynecology and Pelvic Surgery, Federal University of São Paulo, Rua Borges Lagoa 783, conjunto 31, 3 degrees andar, CEP 04038 031, São Paulo, SP, Brazil.

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