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[A study on the self-regulation of stress urinary incontinence in middle-aged and elderly women].

The aim of the present study is to develop a urinary incontinence self-regulation program so that women in their middle-aged and elderly women with stress urinary incontinence (SUI) can acquire an ability to voluntarily regulate pelvic muscle contraction and prevent urinary incontinence. For this purpose, the state how the patients with SUI self-regulate their urinary incontinence using pelvic muscle exercise was assessed and the affecting factors on it were analyzed. The subjects of the study were 85 women aged over 35 who were diagnosed as having SUI. The questionnaire consists of the state of self-regulation using pelvic muscle exercise and affecting factors such as the degree of urinary incontinence, psychological and social effect of SUI, and demographic and clinical characteristics. The results are following; (1) The negative attitude and behavior against SUI significantly decreased as patients practiced pelvic muscle exercise. (2) Forty-one percent of patients considered the pelvic muscle exercise difficult, and those who considered it difficult showed significantly less effect. (3) Those patients who had mild urinary incontinence, less psychological and social effect of SUI and who considered the pelvic muscle exercise not difficult tended to achieve better results by the exercise. (4) Over ninety percent of patients answered that they were eager to practice self-regulate program if they could overcome SUI.