Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

Pelvic floor muscle training with and without supplementary KAATSU for women with stress urinary incontinence - a randomized controlled pilot study

Research output: Contribution to journalJournal articleResearchpeer-review

DOI

  1. Effect of imipramine on urethral opening pressure: A randomized, double-blind, placebo-controlled crossover study in healthy women

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. High resolution manometry catheter, test retest reliability and the working mechanism of urethral bulking?

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Effect of imipramine on urethral opening pressure: A randomized, double-blind, placebo-controlled crossover study in healthy women

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Pelvic organ prolapse and urogynecological assessment in women with spinal cord injury

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Perioperative cardiovascular complications following urogynecological operations

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Prevalence of urinary incontinence in women with spinal cord injury

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. High resolution manometry catheter, test retest reliability and the working mechanism of urethral bulking?

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

AIMS: To explore if adding occlusion training of a thigh (KAATSU) to low-intensity pelvic floor muscle training (PFMT) could increase effect of PFMT in women with stress urinary incontinence (SUI).

METHODS: Single-blinded randomized controlled pilot study. Women with SUI and an ICIQ-UI-SF (International Consultation on Incontinence Questionnaire-Short form) score of ≥12 were randomized to a low-intensity PFMT program followed by KAATSU (KAATSU + PFMT) or to a low-intensity PFMT program without KAATSU (PFMT group), both performed four times a week for 12 weeks.

PRIMARY OUTCOME: Change in the ICIQ-UI-SF score at a 12-week follow-up.

SECONDARY OUTCOMES: a 3-day leakage diary, the PGI-I (Patient Global Index of Improvement scale), bother with KAATSU in a numeric rank scale and change in urethral opening pressure (UOP) measured with urethral pressure reflectometry (UPR) at rest, contraction and straining at the 12-week follow-up.

RESULTS: Forty-one women with SUI and an ICIQ-UI-SF of 13 (range 12-16) were included. Fourteen in the KAATSU + PFMT and 17 in the PFMT group completed the study. Both groups had a significant and clinically relevant improvement of the ICIQ-UI-SF score and decrease in number of incontinence episodes with no significant between group differences. UOP did not increase significantly in either group. Bother with KAATSU was low but seven of 14 women expressed dislike with KAATSU.

CONCLUSIONS: The added KAATSU protocol did not increase the effect of low-intensity PFMT and it was not well tolerated. While subjective effect was significant in both intervention groups this was not reflected in the UPR measures.

Original languageEnglish
JournalNeurourology and Urodynamics
Volume38
Issue number1
Pages (from-to)379-386
Number of pages8
ISSN0733-2467
DOIs
Publication statusPublished - Jan 2019

ID: 56130310