Individualized Pelvic Floor Muscle Training with Single Session Versus Long Term Biofeedback for Treating Stress Urinary Incontinence: A Prospective Randomized Trial

Objective: This study was planned to compare the effects of individualized pelvic floor muscle training (PFMT) in the treatment of stress urinary incontinence (SUI) applied with a single session versus long-term biofeedback (BF). Methods:Thirty-threefemale patients with SUI were randomized into two groups. Sixteen patients in thefirst group were given an individualized PFMT program with BF, 2 days a week for 8 weeks, and a home exercise program on the other days. Seventeen patients in the second group were given a home exercise program after individualized PFMT with BF in a single session. After 8 weeks, both groups continued the exercises as a home program for another 4 weeks. Primary outcome parameters included a 3-day bladder diary, 1-hour pad test, maximum contraction pressure, duration of sustained contractions, King's Health Questionnaire, incontinence impact questionnaire, incontinence quality of life scale and Beck depression inventory. Patients were questioned in terms of fecal incontinence, sexual dysfunction and treatment satisfaction as a secondary outcome parameters. Results: Thirty patients were able to complete the treatment. In the evaluations made at the 8th and 12th weeks, all of the primary outcome parameters improved in both groups (p<.001), and no statistically significant difference was found between the groups (p>.05). There was also improvement in secondary outcome parameters in both groups. Conclusion: In the treatment of SUI, it was determined that individualized exercise program might be continued as a home program after BF was used as a single session to teach the exercises correctly in PFMT.