Vaginal cones in stress incontinence treatment.

Jeanette Haslam explains the theory that underpins the use of vaginal cones in stress urinary incontinence and how this translates into practice.

A randomized controlled trial of the effectiveness of pelvic floor therapies for urodynamic stress and mixed incontinence.

Objectives: To assess the efficacy and cost-effectiveness of pelvic floor muscle therapies (PFMT) in women aged > or = 40 years with urodynamic stress incontinence (USI) and mixed UI.

Patients And Methods: In a three-arm randomized controlled trial in Leicestershire and Rutland UK, 238 community-dwelling women aged > or = 40 years with USI in whom previous primary behavioural intervention had failed were randomized to receive either intensive PFMT (79), vaginal cone therapy (80) or to continue with primary behavioural intervention (79) for 3 months. The main outcome measure was the frequency of primary UI episodes, and secondary measures were pad-test urine loss, patient perception of problem, assessment of PF function, voiding frequency, and pad usage.

Urinary incontinence: why women do not ask for help.

During the past decade, many medical conditions previously thought to be unmentionable are now being talked about more openly. Breast cancer, for example, has had a great deal of media attention, particularly when women in the public eye reveal that they have been diagnosed with it. This publicity helps to increase awareness of the condition.

Home treatment for women with stress urinary incontinence.

Urinary incontinence is an unpleasant, unwanted and distressing problem that is common among women in the UK. A recent study (Hunskarr et al, 2004) estimated that 10 million women in the UK suffer with urinary incontinence. Stress urinary incontinence (SUI) is the most common form, affecting four million women.

Nursing management of stress urinary incontinence in women.

Although urinary incontinence is not a subject spoken about in general conversation, it is a cause of concern for many people. Stress urinary incontinence is common, being reported by 16.8% of women (Hunskaar et al, 2002).