Results of preoperative electrical stimulation of pelvic floor muscles in the continence status following radical retropubic prostatectomy

Abstract 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 stimulation 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 diagnosed with Stress Urinary Incontinence disorder. They were split into two groups: Geletro (underwent 16 perineal electrical stimulation sessions) and control group, Gc (no intervention). 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 (Δ% = -9,13%, p=0,0930), width increase on pelvic floor muscles (Δ% = 11,64%, p= 0,2924), both not significant, muscle strength increase due to biofeedback (Δ% =60,49%, p= 0,0001) and to AFA* (Δ% = 24,53%, p=0,0001), and significant decrease of all questionnaire scores: DOM 1 (Δ% = -50,00%, p = 0,000), DOM 2 (Δ% = -55,14%, p= 0,005), DOM 3 (Δ% =-74,98 %, p= 0,002), DOM 4 (Δ% = -73,87%, p= 0,002), DOM 5 (Δ% = -68,91%, p= 0,001), DOM 6 (Δ% = -85,90%, p= 0,000), DOM 7 (Δ% = -72,48%, p= 0,014), DOM 8 (Δ% =-71,88 %, p= 0,030), DOM 9Δ% =-73,29 %, p= 0,023) Conclusions: The Geletro group in comparison to the Gc which showed that intravaginal electrical stimulation improved the pelvic floor anatomically and functionally and also the quality of life of Geletro group. Stress Urinary Incontinence improvement could only be subjectively demonstrated.

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MP12-08 NOXIOUS ELECTRICAL STIMULATION OF PELVIC FLOOR INDUCES TRANSIENT DYSFUNCTIONAL VOIDING IN RABBITS

The Journal of Urology ◽

10.1016/j.juro.2015.02.783 ◽

2015 ◽

Vol 193 (4S) ◽

Author(s):

Amy D. Dobberfuhl ◽

Sara Spettel ◽

Catherine Schuler ◽

Robert M. Levin ◽

Andrew H. Dubin ◽

...

Keyword(s):

Electrical Stimulation ◽

Pelvic Floor ◽

Dysfunctional Voiding ◽

Stimulation Of

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Electrical stimulation of the pelvic floor in the treatment of patients with urinary incontinence after radical prostatectomy

Urologicheskie vedomosti ◽

10.17816/uroved6410-13 ◽

2016 ◽

Vol 6 (4) ◽

pp. 10

Author(s):

Salman Kh Al-Shukri ◽

Irina A Ananiy ◽

Refat E Amdiy ◽

Igor V Kuzmin

Keyword(s):

Urinary Incontinence ◽

Electrical Stimulation ◽

Radical Prostatectomy ◽

Pelvic Floor ◽

Stimulation Of

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The Glazer Intrapelvic Surface Electromyography (SEMG) Protocol in a Case of Male Urinary Incontinence and a Case of Female Hypoactive Sexual Desire Disorder

Biofeedback ◽

10.5298/1081-5937-40.2.5 ◽

2012 ◽

Vol 40 (2) ◽

pp. 80-95 ◽

Cited By ~ 2

Author(s):

Claudia R. Hacad ◽

Howard I. Glazer

Keyword(s):

Urinary Incontinence ◽

Pelvic Floor ◽

Sexual Desire ◽

Surface Electromyography ◽

Pelvic Floor Muscle ◽

Radical Retropubic Prostatectomy ◽

Functional Restoration ◽

Hypoactive Sexual Desire Disorder ◽

Retropubic Prostatectomy ◽

Desire Disorder

This paper presents two cases of the clinical application of a valid and reliable method of pelvic floor muscle evaluation (Glazer Protocol) using a computerized surface electromyography (SEMG) device. The authors present a male patient with urinary incontinence post–radical retropubic prostatectomy (RRP) and a female patient with hypoactive sexual desire disorder (HSDD) and primary dyspareunia. Radical retropubic prostatectomy is a surgical removal of the prostate through the abdomen. Dyspareunia refers to painful sexual intercourse. Intrapelvic SEMG evaluations were conducted before and after pelvic floor muscle training (PFMT) with biofeedback. Intrapelvic sensors were used with a fixed sequence of voluntary pelvic floor activities and continuous real-time recorded SEMG measures to determine electrophysiological abnormalities and their potential role in the symptomatic presentation. This analysis lead to the development of an individualized pelvic floor muscle SEMG biofeedback program for each patient, aimed at symptomatic relief and functional restoration.

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Neuromodulation of the Pudendal Nerve Assisted by 3D Printed: A New Method of Neuromodulation for Lower Urinary Tract Dysfunction

Frontiers in Neuroscience ◽

10.3389/fnins.2021.619672 ◽

2021 ◽

Vol 15 ◽

Author(s):

Yinjun Gu ◽

Tingting Lv ◽

Chen Jiang ◽

Jianwei Lv

Keyword(s):

Electrical Stimulation ◽

Pelvic Floor ◽

Pudendal Nerve ◽

Operation Time ◽

Perineal Pain ◽

Lower Urinary Tract Dysfunction ◽

Implanted Electrodes ◽

Neural Modulation ◽

3D Printed ◽

Stimulation Of

Electrical stimulation of peripheral nerves by implanted electrodes is an effective treatment for certain pelvic floor diseases. As well as intravesical electrical stimulation, this predominantly includes stimulation of the sacral nerve, tibial nerve, and pudendal nerve. The pudendal nerve is one of the main nerves that stimulate pelvic floor muscles, external urethral meatus, and the anal sphincter and pelvic organs, and it may have effects on frequent urination, urgency, dysuria, and perineal pain. It is difficult to locate because of its anatomical course, however, leading to difficulties fixing the electrode, which increases the difficulty of pudendal nerve electrical stimulation in clinical practice. In the current study 3D printed navigation was used to solve these problems. Combined with autopsy data and patient pelvic and nerve data, a personalized design was generated. Neural modulation of the pudendal nerve was achieved by implanting the lead with the guidance of 3D printed navigation. 3D printed navigation can maximize the phase II conversion rate, reduce the difficulty of surgery, shorten the operation time, reduce damage to additional organs and blood vessels, and increase the accuracy of electrode implantation, and it can be performed while the patient is awake. It is an accurate, reversible, efficient, and minimally invasive surgery.

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