Treatment of urinary incontinence in cystic fibrosis

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• 作者：McVean ; R.J. ; Orr ; A. ; Webb ; A.K. ; Bradbury ; A. ; Kay ; L. ; Philips ; E. ; Dodd ; M.E.
• 关键词：Urinary incontinence ; Women ; Pelvic floor muscle exercises ; Questionnaire survey
• 刊名：Journal of Cystic Fibrosis
• 出版年：2003
• 出版时间：December, 2003
• 年：2003
• 卷：2
• 期：4
• 页码：171-176
• 全文大小：91.9 K

文摘

Background: Urinary incontinence (UI) is a newly recognised problem in cystic fibrosis. Whilst prevalence is well documented, there are no reports of assessment and treatment of the problem. Methods: A previous study reports the prevalence of UI in women with CF to be 51/75 (68 % ). Nineteen women subsequently requested help for the problem and were referred to a physiotherapist specialising in women's health. A digital assessment was performed to measure pelvic floor muscle strength and endurance. An individualised programme of pelvic floor muscle exercises (PFME) was taught based on the assessment. A questionnaire addressed issues of assessment and treatment. Results: 12 women were assessed. The median (range) age, FEV1 % predicted and BMI were 20.9 (19.3–46.1) years, 45.9 (14.8–82.7) and 20.5 (16.1–26.0), respectively. The median strength of the pelvic floor muscle was moderate (Oxford Scale grade 3) with a hold time (endurance) of 5 s. At reassessment (median time 13.1 weeks), there was an improvement in endurance (P