Therapeutic massage in women with stress urinary incontinence: a pilot study.

I. Wilk, Elżbieta Rajkowska-Rabon, Marta Sobiech, Gabriela Kołodyńska, B. Nowak, W. Doroszkiewicz, W. Andrzejewski, K. Kassolik
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Abstract

Background: Stress incontinence affects 25–60% of women of all ages and causes constant discomfort, significantly lowering quality of life. The most common causes of urinary incontinence are weakened sphincter muscles or bladder failure. Aim of the study: The aim of this study was to assess the effectiveness of therapeutic massage therapy for stress urinary incontinence and to determine whether therapeutic massage can restore the normal function of the bladder sphincters. Material and methods: The study involved eleven women with a diagnosis of primary stress urinary incontinence, aged 50–79 years. The women attended therapeutic massage sessions twice a week for four weeks. A sanitary pad test was performed before starting and immediately after ending the therapy to verify its effectiveness. Results: In eight women, the amount of urine that leaked decreased after therapy. This result was statistically significant (p = 0.02). In three cases, urine leakage was reduced to zero. Conclusions: Therapeutic massage, acting locally, improves the function of the bladder sphincters, their flexibility and the ability to contract and relax. Massage eliminates or significantly reduces the symptoms of stress urinary incontinence.
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治疗性按摩对女性压力性尿失禁:一项初步研究。
背景:压力性尿失禁影响25-60%的所有年龄段的女性,引起持续的不适,显著降低生活质量。尿失禁最常见的原因是括约肌减弱或膀胱衰竭。研究目的:本研究的目的是评估治疗性按摩治疗应激性尿失禁的有效性,并确定治疗性按摩是否可以恢复膀胱括约肌的正常功能。材料和方法:研究纳入了11名诊断为原发性压力性尿失禁的女性,年龄50-79岁。这些女性每周参加两次治疗性按摩,持续四周。在治疗开始前和结束后立即进行卫生巾测试,以验证其有效性。结果:8例患者经治疗后漏尿量减少。该结果具有统计学意义(p = 0.02)。其中3例尿漏减少到零。结论:局部按摩治疗可改善膀胱括约肌功能、柔韧性及收缩舒张能力。按摩可以消除或显著减轻压力性尿失禁的症状。
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