Document Detail


Treatment of urinary stress incontinence by intravaginal electrical stimulation and pelvic floor physiotherapy.
MedLine Citation:
PMID:  12955344     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Treatment of urinary stress incontinence (USI) by intravaginal electrical stimulation (IES) and pelvic floor physiotherapy represents an alternative to other therapies. The purpose of this work was to evaluate the effectiveness of this treatment inpatients with urinary incontinence. From January 1998 to May 2000, 30 women (mean age 54 years) were studied. All patients had USI and 70% urge incontinence; average follow-up was 7 months. Selection criteria were based on clinical history, objective evaluation of perineal musculature by perineometry, and urodynamics. The treatment protocol consisted of three sessions of IES per week for 14 weeks using INNOVA equipment. Physiotherapy was initiated in the fifth week of IES. A significant decrease in the number of micturitions and urgency was observed after treatment ( P<0.01). The pad test showed a reduction in urinary leakage from 13.9 to 5.9 g after treatment ( P<0.01). Objective evaluation of perineal muscle strength showed a significant improvement in all patients after treatment ( P<0.01). A positive correlation was observed between maximum flow rate (Qmax) and all three variables: urethral pressure profile at rest and on straining (stop test), and abdominal leak-point pressure (ALPP). A positive correlation was also observed between ALPP and the stop test. Over 100 different surgical and conservative treatments have been tried to manage USI. The majority of these procedures reveal that despite progress already made in this area, there is no ideal treatment. Satisfactory results can be achieved with this method, especially with patients who are reluctant to undergo surgery because of personal or clinical problems.
Authors:
João Luiz Amaro; Mônica O Oliveira Gameiro; Carlos Roberto Padovani
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Publication Detail:
Type:  Clinical Trial; Journal Article     Date:  2003-04-23
Journal Detail:
Title:  International urogynecology journal and pelvic floor dysfunction     Volume:  14     ISSN:  -     ISO Abbreviation:  Int Urogynecol J Pelvic Floor Dysfunct     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-09-04     Completed Date:  2004-02-11     Revised Date:  2011-08-18    
Medline Journal Info:
Nlm Unique ID:  9514583     Medline TA:  Int Urogynecol J Pelvic Floor Dysfunct     Country:  England    
Other Details:
Languages:  eng     Pagination:  204-8; discussion 208     Citation Subset:  IM    
Affiliation:
Faculty of Medicine, São Paulo State University (UNESP), CEP: 18618-970 Botucatu, São Paulo, Brazil. jamaro@fmb.unesp.br
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MeSH Terms
Descriptor/Qualifier:
Electric Stimulation Therapy*
Exercise Therapy*
Female
Follow-Up Studies
Humans
Middle Aged
Muscle Contraction
Pelvic Floor*
Time Factors
Treatment Outcome
Urinary Incontinence, Stress / therapy*
Vagina

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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