Long-term effect of treatment of female XXXX in general practice.

@entity1 @entity322 @entity3142
BACKGROUND: @entity322 in @entity1 can be treated successfully by the general practitioner. However, little is known about the long-term effects of conservative treatment. AIM: To evaluate the long-term effect of treatment of female @entity322 by the general practitioner (pelvic floor exercises, and bladder training) in female @entity322 . METHOD: A total of 88 @entity1 , aged between 20 and 65, who had participated in a controlled trial between 1987 and 1990, were contacted to participate in a five-year follow-up study. @entity3142 and urge @entity322 were treated by means of pelvic floor exercises and bladder training respectively, while a mixed @entity322 was treated by bladder training followed by pelvic floor exercises. The outcome measures were a constructed scale for the severity of the @entity322 , a seven-day bladder chart, and a questionnaire concerning @entity1 ' opinions. All @entity1 were evaluated by an independent researcher. RESULTS: Compared with the one-year follow-up, the number of continent @entity1 remained the same, but a significantly greater number of @entity1 worsened. Forty per cent of the @entity1 stayed in the same category of severity, while 45% moved into the contiguous categories. The weekly frequency of wet episodes increased significantly, with a mean increase of 2.65 episodes. @entity1 with mixed @entity322 were especially prone to relapse in the long-term. Compliance with the exercises had a positive influence on the outcomes, with 67% of the @entity1 expressing satisfaction with the results. CONCLUSIONS: Despite a decline in the effect of conservative treatment in the long-term, the majority of the @entity1 are satisfied with their treatment. @entity1 compliance is the key to long-term success.
