Clinical trial NCT01445834: Age-stratified Outcome of Pelvic Floor Muscle Exercise for Urinary Incontinence
Official title: Retrospective Study About the Age-stratified Outcome of Pelvic Floor Muscle Exercise for Stress (SUI), Mixed (MUI) and Urgency Urinary Incontinence (UUI) 2003-2008
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Stress Urinary Incontinence
Urge Urinary Incontinence
Keywords: outcome of pelvic floor muscle physiotherapy
female
stress urinary incontinence
urgency urinary incontinence
mixed urinary incontinence
Lead sponsor: University of Zurich
Sponsor class: OTHER
First posted: 2011-10-04
Enrollment: 150
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 99
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Time perspective: RETROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: women from a tertiary referral center with urodynamically proven incontinence willig to perform physiotherapy

Brief summary: In this retrospective study the outcome of pelvic floor muscle training in 150 women will be tested regarding patients reported satisfaction and achievement of the incontinence improvement.

Comparison of two age groups, controlled for BMI, parity and previous incontinence operations.

Detailed description: Pelvic floor muscle exercise is an established conservative treatment for female urinary incontinence. Up to now, the investigators don't know whether treatment outcome in elderly women is as good as in younger premenopausal women. The International Incontinence Society states 2009: "There is no good evidence to date to suggest that "healthy" older women with urinary incontinence do not benefit from pelvic floor muscle training as much as younger women".

In this retrospective study the investigators analyze patient charts from 2003-2008 regarding subjective patients and physiotherapists reported outcome after physiotherapy as well as for objective parameters like the need of an incontinence surgery in the follow-up of at least 2 years.

Eligibility criteria are age younger than 50 years (premenopausal) and age older than 65 years and a urodynamically proven urinary incontinence. As incontinence forms the investigators include in this study the following three form: stress urinary incontinence, mixed urinary incontinence and urgency urinary incontinence.

Eligibility criteria: Inclusion Criteria:

* premenopausal women (\<50 years) with urodynamically proven urinary incontinence
* postmenopausal women (\>65 years) with urodynamically proven urinary incontinence
* 9 sessions of pelvic floor muscle exercise in a professional kinesiological setting inbetween 2003-2008
* follow up regarding need of incontinence operation up to June 2011

Exclusion Criteria:

* women aged 50-65 years with urodynamically proven urinary incontinence
* stool incontinence

Primary outcomes:
measure: Patients reported outcome regarding their urinary incontinence
timeFrame: 2003-2009 (up to 6 years)
Secondary outcomes:
measure: Physiotherapists reported outcome after finishing the pelvic floor muscle training
timeFrame: 2003-2008 (up to 5 years)
measure: need of incontinence surgery after conservative treatment in the follow up of at least 2 years
timeFrame: follow up of at least 2 years after physiotherapy that was performed between 2003-2008
Other outcomes:
Locations:
Study officials:
affiliation: University Hospital of Zürich
name: Cornelia Betschart, MD
role: PRINCIPAL_INVESTIGATOR
References: