A Trial of Continence Pessary vs. Behavioral Therapy vs. Combined Therapy for Stress Incontinence
Extracted findings (4)
Cognitive behavioral therapy for psychosis
improvementAt 3 months, significantly more women in the behavioral therapy group had no bothersome stress incontinence symptoms compared to the pessary group (49% vs 33%, p=0.006), with higher treatment satisfac
Effect: improvement; 49% vs 33%
By 12 months, there were no statistically significant differences between behavioral therapy and pessary on any outcome measure, with overall success rates of 32% (PGI-I), 36% (PFDI), and 35% (bladder
Effect: null; 32% PGI-I success, 36% PFDI success, 35% bladder diary success across all groups
Combination therapy (pessary + behavioral) was not superior to single-modality therapy because, although it was better than pessary alone on PGI-I (53% vs 40%, p=0.02) and PFDI (44% vs 33%, p=0.05), i
Effect: null; 53% PGI-I, 44% PFDI for combined group
Continence pessary
adverseThe pessary group had significantly higher attrition (26% at 3 months) compared to behavioral therapy (15%) and combined therapy (12%), with vaginal discharge reported by 16% of pessary users. Only 45
Effect: adverse; 26% dropout at 3 months for pessary vs 15% behavioral vs 12% combined