What is it about?
Introduction: Urinary incontinence (UI), according to the Committee of the International Continence Society Standards, is defined as any involuntary urine loss associated to exertion conditions. This urine loss can be called Stress Urinary Incontinence (SUI) and when the detrusor muscle becomes inactive. Material and methods: The goal of this study was verifying intravaginal electrical stimu- lation effects on bladder floor mobility, pelvic floor muscles´ width, their contraction ability and the quality of life of 40 women whose age ranged from 35 to 55 and who were diag- nosed with Stress Urinary Incontinence disorder. They were split into two groups: Geletro (underwent 16 perineal electrical stimulation sessions) and control group, Gc (no interven- tion). The variables were respectively evaluated by the following instruments: transvaginal ultrassonography (Toshiba trademark), Phenix electromyographic biofeedback and King´s Health Questionnaire. Results: The results were bladder floor mobility reduction (O% = -9,13%, p=0,0930), width increase on pelvic floor muscles (O% = 11,64%, p= 0,2924), both not significant, muscle strength increase due to biofeedback (O% =60,49%, p= 0,0001) and to AFA* (O% = 24,53%, p=0,0001), and significant decrease of all questionnaire scores: DOM 1 (O% = -50,00%, p = 0,000), DOM 2 (O% = -55,14%, p= 0,005), DOM 3 (O% =-74,98 %, p= 0,002), DOM 4 (O% = -73,87%, p= 0,002), DOM 5 (O% = -68,91%, p= 0,001), DOM 6 (O% = -85,90%, p= 0,000), DOM 7 (O% = -72,48%, p= 0,014), DOM 8 (O% =-71,88 %, p= 0,030), DOM 9 (O% =-73,29 %, p= 0,023). Conclusions: The Geletro group in comparison to the Gc showed that intravaginal electri- cal stimulation improved the pelvic floor anatomically and functionally and also the quality of life of Geletro group. Stress Urinary Incontinence improvement could only be subjec- tively demonstrated.
Featured Image
Why is it important?
The goal of this research was investigating the pos- sibility of specific perineal contraction training using ES as a treatment modality for women who present SUI and that can promote PFM strengthening, and therefore in- fluencing the bladder neck mobility as well as interfering in these women´s quality of life.
Perspectives
Intravaginal electrical stimulation was identified as a good resource to lowering bladder neck mobility, in- creasing PFM´s width and contraction ability of PFM of those subjects in the experimental group (Geletro) who underwent ES sessions, besides increasing perception and recruitment of PFM muscle fibers. There was de- crease on scores in Quality of Life questionnaire which showed improvement of Geletro´s QL. It is not possible to show SUI improvement objectively, but Table of Geletro´s symptomatology showed that SUI symptom was subjectively reduced.
Professor Estelio Henrique Martin Dantas
Universidade Tiradentes / Universidade Federal do Estado do Rio de Janeiro
Read the Original
This page is a summary of: The effect of intravaginal electrical stimulation on the quality of life and changes in function and anatomy of pelvic floor in women with stress urinary incontinence, Advances in Rehabilitation, March 2012, Termedia Sp. z.o.o.,
DOI: 10.2478/rehab-2013-0024.
You can read the full text:
Contributors
The following have contributed to this page
