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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Incontinent women |
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| Measure | Description | Time Frame |
|---|---|---|
| Patients reported outcome regarding their urinary incontinence | 2003-2009 (up to 6 years) |
| Measure | Description | Time Frame |
|---|---|---|
| Physiotherapists reported outcome after finishing the pelvic floor muscle training | 2003-2008 (up to 5 years) | |
| need of incontinence surgery after conservative treatment in the follow up of at least 2 years | follow up of at least 2 years after physiotherapy that was performed between 2003-2008 |
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Inclusion Criteria:
Exclusion Criteria:
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women from a tertiary referral center with urodynamically proven incontinence willig to perform physiotherapy
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| Name | Affiliation | Role |
|---|---|---|
| Cornelia Betschart, MD | University Hospital of Zürich | Principal Investigator |
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| ID | Term |
|---|---|
| D014550 | Urinary Incontinence, Stress |
| D053202 | Urinary Incontinence, Urge |
| ID | Term |
|---|---|
| D014549 | Urinary Incontinence |
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D059411 | Lower Urinary Tract Symptoms |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |