Medical Management of Post Menopausal  Stress Urinary Incontinence

Dr Priyanka Singh; Dr Ashutosh Mishra; Dr Kamlesh Verma; Dr Apeksha Vishnoi

Volume : II, Issue : V, May - 2013

Medical Management of Post Menopausal Stress Urinary Incontinence

Dr Priyanka Singh, Dr Ashutosh Mishra, Dr Kamlesh Verma, Dr Apeksha Vishnoi

Abstract :

Objectives: To compare the efficacy of pelvic exercises, vaginal estrogen and Duloxetine in the management of post menopausal stress incontinence. Methods: The study was conducted on 160 post menopausal patients with confirmed stress incontinence who were randomly divided into 4 groups of 40 patients each. Group A served as control, B treated with pelvic exercises, C with estrogen and exercises and D with Duloxetine. These groups were compared using appropriate statistical tools in regard to subjective and objective assessment for improvement of symptoms. Results: Pelvic exercises did not result in subjective improvement (p=0.15) but objective improvement was significant (p=0.0001). Pelvic exercises with estrogen produced both subjective and objective improvement (p=0.0001). Duloxetine produced highly significant subjective and objective improvement (p=0.0001). Study conducted at: Department of Obstetrics and Gynecology, Artemis Health Institute, Gurgaon, Haryana, India from June 2010 to December 2011. CONCLUSION: Pelvic exercises and Duloxetine produced statistically significant improvement in stress incontinence while estrogen did not.