Urinary Incontinence
Conditions
Keywords
Urinary incontinence, Pelvic floor muscle training
Brief summary
Urinary incontinence (UI) is a common and worldwide problem.Although pelvic floor muscle training(PFMT) is the standard recommendation for conservative treatment but some patients had difficulty doing PFMT. They could not locate the pelvic floor muscles, and so could not perform the PFMT properly or increase intensity of the exercise. The authors hypothesized that rectal balloon training(RBT) may improve patients' pelvic floor recognition as well as it is another option of progressive strengthening of pelvic floor muscle. This study's aim is to combine RBT with PFMT using the water-filled balloons of Foley catheters
Detailed description
This study's aim is to combine RBT with PFMT using the water-filled balloons of Foley catheters. The catheter would be inserted into the rectum and used as a tool to help the patient recognize the pelvic floor muscles. The advantages of Foley catheters are that they are cheap, safe for contacting the mucosa, easy for self-insertion, and can be reused. Furthermore, we can increase the load of exercise by increasing the amount of water pushing into the balloon, and can use that as a tool for progressive resistive exercise.
Interventions
Subjects in combined RBT and PFMT group are taught for foley catheter insertion technique. The catheter is inserted into the rectum until the lower end of the balloon is 1 cm inside from the anus. Then the balloon is blown with clean water starting at 10 cc. Then the volume is progress to 15 cc in 3rd week and 20 cc in 5th week
Standard pelvic floor muscle exercise (Pelvic floor muscle training;PFMT) is assigned for 6 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Female * Age 25 - 70 years * Have urinary incontinence problem * Follow command * Informed consent
Exclusion criteria
* Previous surgical correction of UI * Use medications for treating overactive bladder symptoms * Impaired recent and/or recall memory * Brain and/or Spinal cord lesion * Untreated Urinary tract infection * Anal lesion which contradicted for inserting instrument * Prolapsed rectum * Prolapsed uterus * History of pelvic injury * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pelvic floor muscle strength | Change from baseline in pelvic floor muscle strength at 6 weeks | Pelvic floor muscle strength will be assessed by biofeedback and recorded in unit of mmHg. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical symptoms | At the first time then 6 weeks later | Clinical symptoms are assessed from questionaire and one-hour pad test |