Vaginal cone use in passive and active phases in patients with stress urinary incontinence

• Autor(a) principal: Haddad, Jorge Milhem
• Data de Publicação: 2011
• Outros Autores: Ribeiro, Ricardo Muniz, Bernardo, Wanderley Marques, Abrão, Maurício Simões, Baracat, Edmund Chada
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Clinics
• Texto Completo: https://www.revistas.usp.br/clinics/article/view/19554
• topic: Urinary Incontinence; Physical Therapy; Ultrasonography; Pelvic Floor; Muscle Dysfunction

OBJECTIVE: To evaluate vaginal cone therapy in two phases, passive and active, in women with stress urinary incontinence. METHODS: A prospective study was conducted at the Department of Obstetrics and Gynecology, São Paulo University, Brazil. Twenty-four women with a clinical and urodynamic diagnosis of stress urinary incontinence were treated with vaginal cones in a passive phase (without voluntary contractions of the pelvic floor) and an active phase (with voluntary contractions), each of which lasted three months. Clinical complaints, a functional evaluation of the pelvic floor, a pad test, and bladder neck mobility were analyzed before and after each phase. RESULTS: Twenty-one patients completed the treatment. The reduction in absolute risk with the pad test was 0.38 (p