A population based, randomized, controlled trial of conservative treatment for urinary incontinence in women

Background. Urinary incontinence remains a hidden and inadequately treated problem in a high proportion of women.Methods. Ninety women 50–74 years of age were recruited to a population-based, randomized, controlled clinical trial of conservative treatment for urinary incontinence, with delayed treatment for the control group. The study was performed in general practice in three north-Norwegian municipalities, in cooperation with two local departments of gynecology. Three patients were found protocol deviant and analysis was based on 87 patients.Intervention. Local estrogen, physiotherapy and electrostimulation combined with close follow-up.Main outcome measures. 1. Change in severity of incontinence from start of treatment (index range 0–8). 2. Change in impact from start of treatment (index range 0–4). 3. Quantitative measures in relation to micturition. 4. Criteria based classification into cured, improved, unchanged, worse.Results. Treatment reduced severity (index change 1.8 in the intervention group v...