Comparison between the Effects of Vaginal Cones and Behavioral Intervention Program on Stress Urinary Incontinence

This study's purpose was to compare the efficacy of the behavioral intervention program and vaginal cones on stress urinary incontinence.: In this single-blind randomized clinical trail 60 eligible women aged 25-65 years with stress urinary incontinence randomly divided in two groups, behavioral intervention program(n=30) and vaginal cones(n=30). Women in behavioral intervention instructed pelvic floor exercise and bladder control strategies. Women in vaginal cones group were allocated to using vaginal cones, women in both group were followed up every two week. They were treated for 8 week. The subjective changes in severity of SUI were measured using a Detection SUI Severity Questionnaire and leakage index and 3-day urinary dairy. The objective changes were measured using pad test. Data analyzed by statistic methods (chi-square, Mann-Whitney, t student test, paired t test, Wilcoxon test with spss software. Characteristic of both study groups was comparable. 51 women who completed this study, 25 in vaginal cones group, 26 in behavioral intervention program. The changes in three parameters after 8 week intervention, leakage rate on pad test, leakage index, severity of SUI were statistically significant in both group(p<0/001). Changes in leakage rate on pad test, leakage index in behavioral intervention program were statistically significant higher than vaginal cones (p=0/006, p= 0/025). Severity of SUI wasnt significantly difference between two group after 8 week (p=0/08). vaginal cones and Behavioral intervention program both are effective to treatment of mild to moderate SUI, in comparison of effectiveness, cost and side effects behavioral intervention program is superior to vaginal cones in treatment of mild to moderate stress urinary incontinence.