Incontrol medical intensity trial#

8 Surgery soon became the first choice of treatment, however, and not until the 1980s was there renewed interest in physical therapies. In 1948 Kegel reported a cure rate of 84% after training of the pelvic floor muscles for women with various types of incontinence. 5, 6 This withdrawal may be a threat to women’s general health and wellbeing as regular moderate physical activity is important in the prevention of osteoporosis, high blood pressure, coronary heart disease, depression, and anxiety. 3, 4 Genuine stress incontinence may lead to withdrawal from regular physical and fitness activities. Urinary incontinence is a socially embarrassing condition, causing withdrawal from social situations and reduced quality of life. 1 Risk factors for genuine stress incontinence are inherently weak connective tissue, vaginal delivery, obesity, strenuous work, and old age. Genuine stress incontinence is urodynamically proved involuntary loss of urine when the intravesical pressure exceeds that of the urethra with no simultaneous detrusor contraction. 2 The most common type of urinary incontinence in women is stress incontinence, defined as the involuntary loss of urine during coughing, sneezing, or physical exertion such as sporting activities or sudden change in position. 2 Although only a quarter of all women with this problem seek help, 2 the approximate annual cost of the condition in the United States has been estimated at $11.2 billion in the community and $5.2 billion in nursing homes. Prevalence rates in women between 15 and 64 years of age vary from 10% to 30%. Urinary incontinence is defined by the International Continence Society as “a condition in which involuntary loss of urine is a social or hygienic problem and is objectively demonstrable.” 1 Urinary incontinence is more common in women than in men and affects women of all ages.

Incontrol medical intensity trial#

All participants in the research group contributed throughout the trial period with inclusion, exclusion, assessments, and treatments. He carried out the more advanced statistical analyses, thoroughly revised the manuscript several times, and wrote details on statistical analyses. IH advised on the study design and was responsible for stratification and randomisation procedures and planned and supervised all the statistical analysis. He has revised the manuscript thoroughly several times, specifically the results from urodynamic investigations. In addition, he was the physician in one of the five centres and assessed the patients himself. He supervised the other physicians in the inclusion and exclusion procedures, urodynamic assessment, and pad testing.

He was responsible for the planning and administration of the inclusion and exclusion criteria and was head of all urodynamic investigations. TT was in the planning group with KB from the beginning of the study. She initiated and planned the study, supervised the physicians and physical therapists, administered the whole trial, and wrote the manuscript. Contributors: KB was the main investigator.