婦女尿失禁的復健治療

Rehabilitation Therapy for Women with Urinary Incontinence

10.6315/2005.33(4)01

方建中(Ted Fang)；呂怡慧(Yi-Hui Lu)；邱然偉(Jan-Wei Chiu)；楊翠芬(Tsui-Fen Yang)；張玲君(Ling-Chun Chang)；詹瑞棋(Rai-Chi Chan)；余堅忍(Kem-Jem Yu)

尿失禁 ； 凱格爾運動 ； 生物回饋訓練 ； 電刺激 ； urine incontinence ； Kegel's exercise ； biofeedback training ； electric stimulation

台灣復健醫學雜誌

33卷4期（2005 / 12 / 01）

191 - 196

繁體中文

Urinary incontinence is a very common but also very debilitating problem for older women. It has been estimated that the incidence of urinary incontinence among women older than 65 of age is about 30-60%. The management includes surgical therapy and conservative treatment such as drug therapy and rehabilitation. Rehabilitation therapy offers an alternative intervention for patients who are afraid of invasive surgery or experience intolerable side effects from drugs. This study evaluated the clinical efficacy of rehabilitation therapy for urinary incontinence. We collected a total of 30 patients. Fifteen had stress urinary incontinence, 2 had urge urinary incontinence, 5 had mixed urinary incontinence, 3 had neurogenic bladders and 5 had other urinary tract abnormalities. After obtaining a careful medical history and urinary diary, we performed a comprehensive physical examination for definite diagnosis. These patients received a 2 month rehabilitation including pelvic floor exercises, electrical stimulation, biofeedback and behavior therapy. A subjective severity scale and vaginal manometry were used before and at the end of treatment to assess the therapeutic outcome. In this study, increased pelvic floor muscle strength was noted on vaginal manometry after 2 months of pelvic floor exercise training (p value ＜ 0.05). Of the 22 patients with urinary incontinence, 86% reported improvement on subjective severity scale. In conclusion, rehabilitation therapy is a non-invasive and effective treatment for patients with mild to moderate urinary incontinence.

Urinary incontinence is a very common but also very debilitating problem for older women. It has been estimated that the incidence of urinary incontinence among women older than 65 of age is about 30-60%. The management includes surgical therapy and conservative treatment such as drug therapy and rehabilitation. Rehabilitation therapy offers an alternative intervention for patients who are afraid of invasive surgery or experience intolerable side effects from drugs. This study evaluated the clinical efficacy of rehabilitation therapy for urinary incontinence. We collected a total of 30 patients. Fifteen had stress urinary incontinence, 2 had urge urinary incontinence, 5 had mixed urinary incontinence, 3 had neurogenic bladders and 5 had other urinary tract abnormalities. After obtaining a careful medical history and urinary diary, we performed a comprehensive physical examination for definite diagnosis. These patients received a 2 month rehabilitation including pelvic floor exercises, electrical stimulation, biofeedback and behavior therapy. A subjective severity scale and vaginal manometry were used before and at the end of treatment to assess the therapeutic outcome. In this study, increased pelvic floor muscle strength was noted on vaginal manometry after 2 months of pelvic floor exercise training (p value ＜ 0.05). Of the 22 patients with urinary incontinence, 86% reported improvement on subjective severity scale. In conclusion, rehabilitation therapy is a non-invasive and effective treatment for patients with mild to moderate urinary incontinence.