Godbout Manon, Le Tu Mai, Watier Alain, Black Robert
CHUS - Hôpital Fleurimont, Faculté de Médecine, Université de Sherbrooke, Sherbrooke, Canada.
Prog Urol. 2005 Sep;15(4):756-61.
Assessment of the Abdominal Global Method (ABDO-MG) in the treatment of stress urinary incontinence or mixed incontinence with stress predominance in women.
Thirty patients with clinically and urodynamically proven genuine stress incontinence or mixed incontinence with stress predominance were enrolled. Patients had 4 weeks of ABDO-MG technique under supervision and a home unit to do their exercises, then 8 weeks of home exercises without home unit or supervision. We compared the results for each patient before the treatment, at 4 and 12 weeks post initiation of the technique. Main outcome measures were short Pad test with standardized bladder volume and exercises as well as self-report of degrees of incontinence.
The data showed improvement in leakage on short Pad test from 82.0 g before versus 38.8 g and 24.8 g at 4 and 12 weeks respectively (p = 0.0002). Seventeen of thirty patients were completely dry. All patients reported improvement of their condition after 4 weeks of exercises and almost cure at 12 weeks (p = 0.0001).
This is the first study demonstrating the clinical efficacy, both objectively and subjectively, of the technique ABDO-MG in the treatment of genuine stress urinary incontinence and mixed incontinence with stress predominance in women. Our data are encouraging, however long-term study with control group is warranted.
评估腹部整体法（ABDO-MG）治疗女性压力性尿失禁或以压力性为主的混合性尿失禁的效果。
招募30例经临床和尿动力学证实为真性压力性尿失禁或以压力性为主的混合性尿失禁的患者。患者在监督下进行4周的ABDO-MG技术训练，并使用家庭训练设备进行练习，然后在无家庭训练设备和监督的情况下进行8周的家庭练习。我们比较了每位患者在治疗前、技术开始后4周和12周的结果。主要结局指标是标准化膀胱容量下的短垫试验、练习情况以及失禁程度的自我报告。
数据显示，短垫试验中的漏尿量从治疗前的82.0克分别改善至4周时的38.8克和12周时的24.8克（p = 0.0002）。30例患者中有17例完全无漏尿。所有患者均报告在练习4周后病情有所改善，12周时几乎治愈（p = 0.0001）。
这是第一项客观和主观地证明ABDO-MG技术在治疗女性真性压力性尿失禁和以压力性为主的混合性尿失禁方面具有临床疗效的研究。我们的数据令人鼓舞，但仍需要进行有对照组的长期研究。
