بررسی تأثیر استفاده از دستگاه کیگل ماستر و ورزش کیگل بر بی‌اختیاری ادراری زنان در سنین باروری و مقایسه آنان

Background: Urinary incontinence is one of the most common complaints in women that can has serious influence on the quality of their lives. The purpose of the present study is to evaluate the effect of Kegel exercise with and without Kegelmaster device on the Stress Urinary Incontinence (SUI) in women and making a comparison between these two methods.Methods: A randomized clinical trial was performed on 91 women with the complaint of urinary stress incontinence. They were randomly assigned into two groups. In the case group ( n= 41), Kegel master device was  used and in the control group ( n= 50), Kegel exercises were done. For data analysis Mann-Witney, Wilcoxson, independent t and pair t tests were used. SPSS V.11 was also used. Results: In this study, 85 women out of 91 women finished the study(46 in the control group and 39 in the case group).Strength of pelvic floor muscles, capability to participate in the social activities, score of quality of life according to 3 world questionnaires of  IQOL(Incontinence – quality of life),  IIQ (Impact Questionnaire Incontinence), and UDA(Urogenital Distress Inventory) were not different between the 2 groups 1 and 3 months after interventions, but severity of urinary incontinence showed significant difference between the two groups( p= 0.007).Pair t test showed a significant improvement in both groups in regard to strength of pelvic floor muscles (p=0.000), capability to participate in the social activities (p=0.000), severity of urinary incontinence (p=0.000) and the number of involuntary urine passage(p=0.000) 3 months after intervention according to IQOL score(p=0.000), UDI score (p=0.000), IIQ score(p=0.000).Conclusion: Pelvic floor exercise with or without special devices are effective for improvement of urinary incontinence in women, but these 2 methods are not apparently different from each other.