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Treatment of urinary incontinence (stress-incontinence of urine) at a descensus of vagina and bladder

Journal: Unpublished MSc thesis Wiener Schule für Osteopathie, Date: 2006/01, Pages: 110, type of study: randomized controlled trial

Free full text   (https://www.osteopathicresearch.org/s/orw/item/3054)

Keywords:

urinary incontinence [14]
stress incontinence [6]
female [394]
women [348]
osteopathic manipulative treatment [3113]
OMT [3091]
randomized controlled trial [763]
WSO [433]

Abstract:

Topic: This study investigates urinary incontinence at a descensus of vagina and bladder, after ruling out any medical problems, like tumours or inflammatory diseases, like infections of the urinary tract, as well as urge incontinence or hormonal disorders. Question: Improvement of urinary incontinence through three osteopathic treatments at a four to six weeks interval. Parameter: Quality of Life-questionnaire for the subjective evaluation, as well as the PAD-test for assessing the quantity of urine lost. Method: Treatment with global osteopathic techniques, which are connected to the pathology of stress incontinence of urine. Two groups, test group and control group, were formed by random selection. Only the test group was treated. The control group got a placebo treatment. Results: The questionnaire was divided into two sections: a) Questions concerning the function of the bladder b) Influence of the involuntary loss of urine onto situations of the daily life. In the evaluation of the test group, all women noted a significant improvement concerning the frequency and the amount of loss of urine. These data also corresponded to the results of the PAD-test. The involuntary loss of urine was reported to be less disturbing. In the control group, only one woman reported an improvement of the amount of urine loss. All 16 questions concerning the influence of involuntary loss of urine onto situations of the daily life were graded better by the test group. The result of the control group was not a single definite one, neither in one nor in the other direction. The results of the PAD-test of the test group showed an improvement by 67% compared to the 0,3% of the control group. Conclusion: A significant improvement of stress incontinence of urine could be achieved by oesteopathic techniques. The outcome of the study has to be regarded as successful and should be integrated into classical medicine.


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