The authors report some preliminary data on objective monitoring of the efficacy of rehabilitative treatment of female urinary incontinence. Ten patients suffering from stress urinary incontinence were evaluated: a free flowmetric test was executed in each patient and the flow-rate acceleration parameter (ā in ml/sec2) was taken into account before (T0) and after (T1) rehabilitative treatment, namely the ratio between maximum flow (Qmax) and the time of maximum flow. It is well known that vescical instability is translated in clinical terms into micturitional emergencies and in flowmetric terms it may be translated into a curve characterised by high flow acceleration. The incontinent patients examined were all unstable at the start of rehabilitative treatment and the flow-rate acceleration parameter levels were high at T0. After rehabilitative training of the sequential type with manometric BFB techniques associated with surface EMG, patients were re-evaluated and all showed a significant fall in ā on the flow-rate reading (control) and likewise reported improved urinary symptoms with reduced incontinence. From the preliminary results reported herein can be inferred that the simple evaluation of free spontaneous flow (in particular the evaluation of flow-rate acceleration) before and after perineal rehabilitation may be useful in monitoring simply, rapidly and objectively (even if indirectly) the benefits of the neuromuscular training.
|Number of pages||4|
|Publication status||Published - 1995|
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