Stres Üriner İnkontinansı Olan Kadınlarda Pelvik Taban Kas Eğitimine Ek Olarak Uygulanan Vajinal Tampon Eğitiminin Etkileri

Abstract

The aim of this study was to investigate the effect of the vaginal tampon training (VTT) added to PFMT on stress urinary incontinence (SUI). A total of 34 women who had symptom of SUI were completed this randomized controlled study [PFMT+VTT (n=16), PFMT (n=18)]. Assessment parameters were determined as subjective perception of improvement, severity of urinary incontinence, quality of life, urinary parameters, pelvic floor muscle strength (PFMS) and pelvic floor muscle endurance (PFME). All outcome measures except subjective perception of improvement were assessed at baseline, 4th week, 8th week and 12th week. A standardized 12-week treatment protocol was performed to the PFMT+VTT and PFMT groups. According to results of the study, there was no statistically significant difference in self-reported improvement between groups at all time points (p>0.05). Between-group analysis showed that there were no statistically significant differences in the incontinence severity, symptom distress score, PFMS, PFME, urinary parameters and in all domains of quality of life scores except social limitations at all time points (p>0.05). However, the increase in PFMS and PFME between baseline and 12th week in the PFMT+VTT group was significantly greater than the PFMT group (p<0.05). It was also found an earlier improvement in PFMS and PFME in PFMT+VTT group. In conclusion, although there was an earlier and greater improvement in PFMS and PFME in the PFMT+VTT group, combination therapy did not promote greater gains in the subjective cure/improvement rates, severity of urinary incontinence, urinary parameters, and quality of life compared with PFMT alone. According to the results of this study, resistance training with vaginal tampons may be added to early phase of treatment due to the additional effects on PFMS and PFME. In addition, further long-term follow-up trials with VTT as an only home-based programme or comparing PFMT with VTT alone are needed.