[The impact assessment of pelvic floor exercises to reduce symptoms and quality of life of women with stress urinary incontinence]

Stress urinary incontinence (SUI) has an independent will, uncontrolled leakage of urine from the bladder during exercise, sneezing, coughing, laughing, bending or lifting heavy objects. It leads to an increase in abdominal pressure, resulting in a failure of muscular-ligamentous. This problem affects both women and men. Can lead to serious mental disorders such as depression, low self-esteem and dignity, decline in social status, deterioration of mood, anxiety and a decrease in sexual activity. In the treatment of SUI used surgical and conservative treatment, among others, in the form of pelvic floor exercises.

The aim of study was to evaluate the effect of pelvic muscle exercise intensity and the frequency of the occurrence of outflow of urine and quality of life in women with SUI.

The study was conducted on a group of 30 women with a mean age of 46±4.23 years diagnosed with SUI. To carry out the study served its own questionnaire consisting of two parts, a total of 33 questions. All subjects have undergone training the muscles of the pelvic floor which consists of two stages. The first lasted four weeks, and consisted of a set of six exercises, in the second stage of the women received outline home exercise. Statistical analysis was performed using the statistical package PQStat ver.

Regular pelvic floor muscle training resulted in in a 90% reduction in the frequency of women need to use the toilet during the day, and 93% of respondents get up less often, or not at all used the toilet at night. 30% of respondents declared reduce the outflow of urine during physical activity, and 17% during sneezing and wearing purchases. It has been found to reduce the need to use panty liners. 30% of women observed an improvement in the professional sphere, 28% in the sexual sphere and 21% in the social sphere and family.

After completion of treatment observed a reduction in the number of uncontrolled micturition which contributed to the comfort of the surveyed women. After a series of exercises was noted improvement in interpersonal relations, in private life and professional life and an increased sense of satisfaction among patients.

Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego. 2016 Mar [Epub]

Ireneusz Jurczak, Maja Chrzęszczyk

University of Social Sciences of Lodz, Poland., Health care facility "MEDICALL" of Piotrkow Trybunalski, Poland.