Holley R L, Varner R E, Kerns D J, Mestecky P J
Department of Obstetrics and Gynecology, University of Alabama at Birmingham 35233-7333, USA.
South Med J. 1995 May;88(5):547-9. doi: 10.1097/00007611-199505000-00008.
This report evaluates the motivation of a group of patients to continue a program of pelvic floor musculature exercises as conservative therapy for genuine stress incontinence. Fourteen women with urodynamically documented genuine stress incontinence had subjective improvement; nine of them showed objective improvement after 4 weeks of supervised pelvic floor musculature exercises. These patients were questioned 5 years later as to continence status, performance of pelvic floor musculature exercises, and subsequent surgery for incontinence. Ten of 14 patients responded: four have had anti-incontinence surgery and remain continent; five have not had surgery, do not perform pelvic floor musculature exercises, and continue to have stress incontinence. One patient continues to perform pelvic floor musculature exercises and has stress incontinence with a full bladder. Thus, only one patient out of 10 remained sufficiently motivated to perform pelvic floor musculature exercises after 5 years, even though all patients in this series had improvement after a 4-week course of supervised exercises.
本报告评估了一组患者继续进行盆底肌肉锻炼计划作为真性压力性尿失禁保守治疗方法的积极性。14名经尿动力学证实为真性压力性尿失禁的女性有主观改善；其中9名在接受4周的盆底肌肉锻炼指导后有客观改善。5年后对这些患者进行了关于尿失禁状况、盆底肌肉锻炼执行情况以及随后因尿失禁而进行手术的询问。14名患者中有10名做出了回应：4名接受了抗尿失禁手术且仍保持尿失禁；5名未接受手术，未进行盆底肌肉锻炼，且仍有压力性尿失禁。1名患者继续进行盆底肌肉锻炼，膀胱充盈时仍有压力性尿失禁。因此，10名患者中只有1名在5年后仍有足够的积极性进行盆底肌肉锻炼，尽管该系列中的所有患者在接受4周的锻炼指导课程后都有改善。
