[HTML][HTML] Efficacy of biofeedback and electrostimulation-assisted pelvic floor muscle training between women with mild and moderate to severe stress urinary�…

JC Hwang, FJ Sun, TH Su, HH Lau�- Journal of clinical medicine, 2022 - mdpi.com
JC Hwang, FJ Sun, TH Su, HH Lau
Journal of clinical medicine, 2022mdpi.com
Background: To evaluate the efficacy of biofeedback and electrical stimulation-assisted
pelvic floor muscle training (PFMT) between women with mild and moderate to severe stress
urinary incontinence (SUI). Methods: This retrospective cohort study was conducted at a
single center from 2014 to 2021. We included 57 patients with urodynamically proven SUI
who underwent a biofeedback and electrical stimulation-assisted PFMT. They were
categorized into mild and moderate to severe SUI. One-hour pad test from 2 to 10 g was�…
Background
To evaluate the efficacy of biofeedback and electrical stimulation-assisted pelvic floor muscle training (PFMT) between women with mild and moderate to severe stress urinary incontinence (SUI).
Methods
This retrospective cohort study was conducted at a single center from 2014 to 2021. We included 57 patients with urodynamically proven SUI who underwent a biofeedback and electrical stimulation-assisted PFMT. They were categorized into mild and moderate to severe SUI. One-hour pad test from 2 to 10 g was defined as mild SUI, and ≥11 g was defined as moderate to severe SUI.
Results
Fifty-seven patients were reviewed during the study period. Incontinence-related symptoms of distress, including the UDI-6, ISI, and VAS, all significantly improved in the mild SUI group (p = 0.001, p = 0.001 and p = 0.010, respectively), while only UDI-6 and VAS statistically improved in the moderate to severe SUI group (p = 0.027 and p = 0.010, respectively). There was significant improvement in IIQ-7 in the mild SUI group during serial treatments, but only in Session 6 in the moderate to severe SUI group. After 18 sessions of treatment, the UDI-6, ISI, and IIQ-7 scores showed significantly greater improvements in the mild SUI group compared to the moderate to severe SUI group (p = 0.003, p = 0.025, and p = 0.002, respectively).
Conclusions
Although biofeedback and electrical stimulation-assisted PFMT is an effective treatment option for SUI, it is more beneficial for patients with mild SUI and a 1-h pad weight ≤ 10 g urine leak.
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