Non-operative methods in the treatment of female genuine stress incontinence of urine

The use of three different non-operative techniques for the treatment of female genuine urinary stress incontinence has bem assessd by objective means. One hundred and four patients complaining of stms incontinence werc allocated at random to four groups. Sixty-five per cmt of patients treated with pelvic floor exercises were significantly improved after 3 months, interfercntial therapy was effective in 32 per cent of cases. Oestrogcn treatment was initially bcncficiPl in 12 per cent of patients but rccurrcna of symptoms occurred won after stopping the treatment. The control group of patients did not show any significant changes according to perineal pad weight testing, which was used for the objective assessment of incontinence. Long tcnn follow up of these patients, after 9 months from commencing treatment still showed that pelvic floor excrciscs are the most effective nonsurgical treatment for this condition.