INTRODUCTION AND HYPOTHESIS: The purpose of this study was to determine pelvic floor muscle (PFM) function in hospitalized elderly women with urinary incontinence (UI). METHODS: A cross-sectional study was performed using data of 704 patients, routinely collected by means of a clinical UI assessment. RESULTS: Only 25.5% of the patients were able to perform normal PFM contractions (Oxford grading scale score ≥3); 74.5% were unable to contract their PFM or showed weak PFM activity without circular contraction or elevation of the vagina. Vulvovaginal mucosal dystrophy was noted in 84% of the patients. A significant positive correlation of PFM function was found to cognitive status (MMSE score), mobility (Tinetti performance score), and history of previous PFM training; a negative correlation of PFM function was found to patients' age and vulvovaginal mucosal dystrophy, and no significant correlation to body mass index, parity, or history of hysterectomy. CONCLUSIONS: Targeted clinical UI assessment including digital vaginal palpation should be performed in all incontinent elderly women in order to detect PFM dysfunction and to optimize therapeutic measures.
INTRODUCTION AND HYPOTHESIS: The purpose of this study was to determine pelvic floor muscle (PFM) function in hospitalized elderly women with urinary incontinence (UI). METHODS: A cross-sectional study was performed using data of 704 patients, routinely collected by means of a clinical UI assessment. RESULTS: Only 25.5% of the patients were able to perform normal PFM contractions (Oxford grading scale score ≥3); 74.5% were unable to contract their PFM or showed weak PFM activity without circular contraction or elevation of the vagina. Vulvovaginal mucosal dystrophy was noted in 84% of the patients. A significant positive correlation of PFM function was found to cognitive status (MMSE score), mobility (Tinetti performance score), and history of previous PFM training; a negative correlation of PFM function was found to patients' age and vulvovaginal mucosal dystrophy, and no significant correlation to body mass index, parity, or history of hysterectomy. CONCLUSIONS: Targeted clinical UI assessment including digital vaginal palpation should be performed in all incontinent elderly women in order to detect PFM dysfunction and to optimize therapeutic measures.
Authors: Joachim W Thüroff; Paul Abrams; Karl-Erik Andersson; Walter Artibani; Christopher R Chapple; Marcus J Drake; Christian Hampel; Andreas Neisius; Annette Schröder; Andrea Tubaro Journal: Eur Urol Date: 2010-11-24 Impact factor: 20.096
Authors: J P Theofrastous; J F Wyman; R C Bump; D K McClish; D M Elser; D Robinson; J A Fantl Journal: Neurourol Urodyn Date: 1997 Impact factor: 2.696
Authors: M C P Slieker-ten Hove; A L Pool-Goudzwaard; M J C Eijkemans; R P M Steegers-Theunissen; C W Burger; M E Vierhout Journal: Neurourol Urodyn Date: 2009 Impact factor: 2.696