| Rehabilitation versus drug therapy for urge urinary incontinence: long-term outcomes. | |
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MedLine Citation:
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PMID: 17549429 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The objective of this study was to compare the residual effect of a 3-month rehabilitation treatment and a standard drug treatment for urge urinary incontinence (UUI) 21 months post intervention. Forty-four women (ages 27-68 years) who were diagnosed with overactive bladder (OAB) were divided into 2 treatment groups over 3 months: 24 women received rehabilitation (REH) and 20 women were treated with medication (MED) (oxybutynin ER). Outcomes measures included frequency of urination, quality of life (QoL), and number of side effects (no/SE), which were measured upon entry into the study (entry), completion of the intervention (3 months), and at follow-up 3 and 21 months after completion of treatment. In the follow-up period, there was a significant group-time interaction effect on freq/day and freq/night (p < 0.01). At the end of follow-up, the mean number of no/SE was significantly greater in the MED group compared to the REH group (3.3 +/- 0.5 vs 2.4 +/- 0.4; p < 0.05). A significant negative association was found between the urinary symptoms and the I-QoL at the 21-month follow-up (r (p) = -0.45 to-0.57, p < 0.05). In the long-term, the REH patients maintained and even improved the achievements of the intervention period while the MED patients deteriorated to baseline values in urinary frequency. The suggestion for future work is to investigate the effect of each REH treatment component on UUI symptoms. |
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Authors:
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Rachel Kafri; Jeffrey Shames; Meir Raz; Michal Katz-Leurer |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article Date: 2007-06-05 |
Journal Detail:
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Title: International urogynecology journal and pelvic floor dysfunction Volume: 19 ISSN: - ISO Abbreviation: Int Urogynecol J Pelvic Floor Dysfunct Publication Date: 2008 Jan |
Date Detail:
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Created Date: 2007-11-28 Completed Date: 2008-03-18 Revised Date: 2011-08-18 |
Medline Journal Info:
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Nlm Unique ID: 9514583 Medline TA: Int Urogynecol J Pelvic Floor Dysfunct Country: England |
Other Details:
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Languages: eng Pagination: 47-52 Citation Subset: IM |
Affiliation:
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Rehabilitation and Physical Therapy Centre, Maccabi Healthcare Services, Hasachlav 12, 75429, Rishon LeZion, Israel. kafri_r@mac.org.il |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Female Follow-Up Studies Humans Mandelic Acids / therapeutic use* Middle Aged Muscarinic Antagonists / therapeutic use* Physical Therapy Modalities* Quality of Life Treatment Outcome Urinary Bladder, Overactive / drug therapy*, rehabilitation* Urinary Incontinence, Urge / drug therapy* |
| Chemical | |
Reg. No./Substance:
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0/Mandelic Acids; 0/Muscarinic Antagonists; 5633-20-5/oxybutynin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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