Effect of transcutaneous electrical stimulation on morphological characteristics of women with stress urinary incontinence

Abstract Background: Stress urinary incontinence is an involuntary leakage of urine due to a weak pelvic floor and weak sphincter when the intra-abdominal pressure increases. Its symptoms are known to improve upon electrical stimulation of the pelvic floor. This study aimed to determine the effects of transcutaneous electrical stimulation on ultrasonography variables, such as the bladder neck position (BNP), length of the urethra (LU), funneling index (FI), and posterior (PRT) and anterior rhabdosphincter thickness (ART), and the Incontinence Quality of Life scores. It also investigated the association between the relative changes in the two.Methods: Twenty-one patients with stress urinary continence were included and subjected to transcutaneous electrical stimulation for eight weeks. Ultrasonography was used to measure the BNP, LU, FI, ART, and PRT. Data were analyzed at rest and during the Valsalva maneuver and the difference (△) between them was evaluated.Results: The BNP during the Valsalva maneuver and the △BNP decreased significantly. The LU during the Valsalva maneuver increased after eight weeks. The FI during the Valsalva maneuver and the △FI changed significantly. The ART and PRT and the total quality of life score significantly increased after eight weeks (p<.05). The LU during the Valsalva maneuver positively correlated with the total quality of life (r=0.630; p=.002), psychosocial impact subscale (r=0.705; p=.000), and social embarrassment subscale (r=0.488; p=.025) scores. The correlations between the PRT and the avoidance and limiting behavior subscale score (r=0.624; p=.002) and between the △FI and the social embarrassment subscale score (r=-0.515; p=.0.20) were significant.Conclusions: Transcutaneous electrical stimulation can improve the BNP, ART, and PRT, along with the subjective indicators, in women with stress urinary continence. Improving stress urinary continence symptoms can ameliorate women’s social and psychological self-esteem.

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Burch Retropubic Urethropexy for Genuine Stress Urinary Incontinence: A Review of Eight Cases

The Journal of South Asian Federation of Menopause Societies ◽

10.5005/jp-journals-10032-1121 ◽

2017 ◽

Vol 5 (2) ◽

pp. 129-132

Author(s):

Disha A Rajput ◽

Shalini M Valecha ◽

Manisha Sarwade ◽

Shrikant Dhumale

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Urinary Continence ◽

Urgency Incontinence ◽

Patient’S Satisfaction ◽

Satisfaction Index ◽

Genuine Stress Urinary Incontinence

ABSTRACT Introduction Urinary incontinence (UI) is more common than any other chronic disease with the prevalence of approximately 23 and 55%. Among the various forms of UI, stress incontinence (SUI) is the most common (49%), with urgency incontinence (UUI) representing 21% and mixed type (MUI) at 29%. As it affects the quality-of-life of women, the restoration of urinary continence is one of the greatest challenges. Aim To review the cases of genuine SUI treated surgically by Burch retropubic urethropexy. Results We have managed surgically eight cases of genuine SUI by Burch retropubic urethropexy. On 1-year follow-up, none of the patients had any urinary complaints. All had responded well to surgery and patient's satisfaction index was good. Conclusion Since SUI is the commonest among incontinences, it is a challenge to diagnose and treat to improve quality-of-life of patients. Burch retropubic urethropexy is the gold standard treatment for SUI, especially if other indications exist for abdominal surgery. Even in the present era of less invasive vaginal procedures, results are comparable. How to cite this article Rajput DA, Valecha SM, Sarwade M, Dhumale S. Burch Retropubic Urethropexy for Genuine Stress Urinary Incontinence: A Review of Eight Cases. J South Asian Feder Menopause Soc 2017;5(2):129-132.

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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 ◽

10.2478/rehab-2013-0024 ◽

2012 ◽

Vol 26 (1) ◽

pp. 5-11

Author(s):

Carneiro Erica ◽

Araùjo Nazete ◽

Cader Samaria ◽

Fonseca Aluizio ◽

Bittencourt Leila ◽

...

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Electrical Stimulation ◽

Stress Urinary Incontinence ◽

Pelvic Floor ◽

Pelvic Floor Muscles ◽

Detrusor Muscle ◽

Intravaginal Electrical Stimulation ◽

Urine Loss

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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Rehabilitation treatment in patients with urinary incontinence

Archives of Public Health ◽

10.3889/aph.2020.5609 ◽

2020 ◽

Vol 12 (3) ◽

pp. 1-10

Author(s):

Cvetanka Gjerakaroska-Savevska ◽

Erieta Nikolikj-Dimitrova ◽

Valentina Koevska ◽

Biljana Mitrevska ◽

Marija Gocevska ◽

...

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Pelvic Floor ◽

Behavioral Therapy ◽

Pelvic Floor Muscle ◽

Urinary Continence ◽

Rehabilitation Treatment ◽

The Individual

Urinary incontinence is the inability to control urination with spectrum of disturbances from periodical urinary leaks to complete inability to retain urine. It occurs more often in elderly and in women. Urinary incontinence has a great impact on general health and may reduce the quality of life. There are several types: stress urinary incontinence, urgent urinary incontinence, neurogenic urinary incontinence, overflow urinary incontinence. Stress urinary incontinence is the most frequent one and is due to pelvic floor muscle weakness. For assessment and treatment of these patients the individual approach is warranted. The treatment of these patients includes medications, behavioral therapy, biofeedback, pelvic floor muscle training, electrical stimulation, magnetic stimulation and surgery. Non-surgical treatment might be effective to prevent surgery. Rehabilitation treatment with pelvic floor exercises and physical modalities for patients with urinary incontinence is important for recovery of the urinary continence and improvement of quality of life in these patients.

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Effect of Surface Electrical Stimulation in a Seated Position on Pelvic Floor Muscle Functions, Urinary Leakage, and Quality of Life in Women With Stress Urinary Incontinence

10.21203/rs.3.rs-120216/v1 ◽

2020 ◽

Author(s):

Ui-jae Hwang ◽

Min-seok Lee ◽

Sung-hoon Jung ◽

Young-shin Kim ◽

Oh-yun Kwon

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Electrical Stimulation ◽

Stress Urinary Incontinence ◽

Pelvic Floor ◽

Pelvic Floor Muscle ◽

Control Group ◽

Urinary Leakage ◽

Effect Of Surface

Abstract BackgroundThe aim of this study was to demonstrate the effect of surface electrical stimulation in a seated position (SESSP), as pelvic floor muscle (PFM) training, on PFM functions (time to reach maximal pressure [TRMP], muscle strength, power and endurance), urinary leakage and quality of life in patients with stress urinary incontinence (SUI). MethodsWomen with SUI were randomized into an SESSP group (n = 18) or control group (n = 18). Quality of life were assessed by the Incontinence Quality of Life Questionnaire (I-QOL). Ultra-short pad test results and PFM functions were measured by perineometer. Changes in the outcomes were assessed before and 8 weeks after SESSP training. ResultsThirty-three participants were included in the analysis. There were significant differences in I-QOL (avoidance and limiting behaviors, psychosocial impacts, social embarrassment and total score) in between (SESSP vs. control group) and within (pre vs. post) group analyses. Significant increases in PFM strength, power, and endurance, and significant decreases in the TRMP and pad weight, were observed between (SESSP vs. control group) and within (pre vs. post) groups. ConclusionSESSP in a seated position can be recommended to improve QOL, urinary leakage, and PFM functions in SUI patients.Trial registrationCurrent Controlled Trials KCT0003357 (the date of registration: 2018.11.16) and retrospectively registered

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Effect of surface electrical stimulation in a seated position on pelvic floor muscle functions, urinary leakage, and quality of life in women with stress urinary incontinence

10.21203/rs.2.18787/v1 ◽

2019 ◽

Author(s):

Ui-jae Hwang ◽

Min-seok Lee ◽

Young-shin Kim ◽

Sung-hoon Jung ◽

Oh-yun Kwon

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Electrical Stimulation ◽

Stress Urinary Incontinence ◽

Pelvic Floor ◽

Pelvic Floor Muscle ◽

Control Group ◽

Urinary Leakage ◽

Effect Of Surface

Abstract Background The aim of this study was to demonstrate the effect of surface electrical stimulation in a seated position (SESSP), as pelvic floor muscle (PFM) training, on PFM functions (time to reach maximal pressure [TRMP], muscle strength, power and endurance), urinary leakage and quality of life in patients with stress urinary incontinence (SUI).Methods Women with SUI were randomized into an SESSP group (n = 18) or control group (n = 18). Quality of life were assessed by the Incontinence Quality of Life Questionnaire (I-QOL). Ultra-short pad test results and PFM functions were measured by perineometer. Changes in the outcomes were assessed before and 8 weeks after SESSP training.Results Thirty-three participants were included in the analysis. There were significant differences in I-QOL (avoidance and limiting behaviors, psychosocial impacts, social embarrassment and total score) in between (SESSP vs. control group) and within (pre vs. post) group analyses. Significant increases in PFM strength, power, and endurance, and significant decreases in the TRMP and pad weight, were observed between (SESSP vs. control group) and within (pre vs. post) groups.Conclusion SESSP in a seated position can be recommended to improve QOL, urinary leakage, and PFM functions in SUI patients. Trial registration Current Controlled Trials KCT0003357 (the date of registration: 2018.11.16) and retrospectively registered.

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An interview with 40 patients with stress urinary incontinence after uro-gynaecological rehabilitation

Urologia Journal ◽

10.1177/039156039606300313 ◽

1996 ◽

Vol 63 (3) ◽

pp. 338-341

Author(s):

G. Olivo ◽

A. Calisti ◽

G. Carluccio ◽

G. Poletti ◽

A. Lotto

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Electrical Stimulation ◽

Surgical Treatment ◽

Stress Urinary Incontinence ◽

Pelvic Floor ◽

Functional Electrical Stimulation ◽

Female Urinary Incontinence ◽

Pelvic Floor Exercises

Uro-gynaecological rehabilitation is a sequential therapeutic cocktail of biofeedback, functional electrical stimulation and kinesitherapy of the pelvic floor. Results of an interview with 40 female patients after uro-gynaecological rehabilitation are reported, in order to evaluate the effectiveness of the treatment on the quality of life, the popularity of this method, its acceptability and the difficulty of the pelvic floor exercises. In our experience uro-gynaecological rehabilitation has several positive aspects compared to traditional surgical treatment; in selected cases of female urinary incontinence, this method is therefore proposed as a valid therapeutic alternative.

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Percutaneous versus Transcutaneous Electrical Stimulation of the Posterior Tibial Nerve in Idiopathic Overactive Bladder Syndrome with Urinary Incontinence in Adults: A Systematic Review

Healthcare ◽

10.3390/healthcare9070879 ◽

2021 ◽

Vol 9 (7) ◽

pp. 879

Author(s):

Aida Agost-González ◽

Isabel Escobio-Prieto ◽

Azahara M. Pareja-Leal ◽

María Jesús Casuso-Holgado ◽

María Blanco-Diaz ◽

...

Keyword(s):

Systematic Review ◽

Urinary Incontinence ◽

Electrical Stimulation ◽

Overactive Bladder ◽

Tibial Nerve ◽

Scientific Evidence ◽

Transcutaneous Electrical Stimulation ◽

Posterior Tibial Nerve ◽

Posterior Tibial

Background: Percutaneous electrical stimulation and transcutaneous electrical stimulation (PTNS and TTNS) of the posterior tibial nerve are internationally recognized treatment methods that offer advantages in terms of treating patients with overactive bladder (OAB) who present with urinary incontinence (UI). This article aims to analyze the scientific evidence for the treatment of OAB with UI in adults using PTNS versus TTNS procedures in the posterior tibial nerve. Methods: A systematic review was conducted, between February and May 2021 in the Web of Science and Scopus databases, in accordance with the PRISMA recommendations. Results: The research identified 259 studies, 130 of which were selected and analyzed, with only 19 used according to the inclusion requirements established. The greatest effectiveness, in reducing UI and in other parameters of daily voiding and quality of life, was obtained by combining both techniques with other treatments, pharmacological treatments, or exercise. Conclusions: TTNS has advantages over PTNS as it is more comfortable for the patient even though there is equality of both therapies in the outcome variables. More research studies are necessary in order to obtain clear scientific evidence.

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“I just wear it and I become normal”: a qualitative study of Tanzanian women’s experiences with long-term vaginal pessary use for stress urinary incontinence

BMJ Open ◽

10.1136/bmjopen-2020-040009 ◽

2021 ◽

Vol 11 (1) ◽

pp. e040009

Author(s):

Karina Holm Nissen ◽

Benjamin C Shayo ◽

Vibeke Rasch ◽

Gileard G Masenga ◽

Ditte Søndergaard Linde

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Women’S Experiences ◽

Women's Experiences ◽

Vaginal Pessary ◽

Cost Effective Treatment ◽

Long Term Treatment

IntroductionPrevious research has shown that vaginal pessaries are a cost-effective treatment for women worldwide suffering from stress urinary incontinence. However, little is known about African women’s experiences with vaginal pessary use. The aim of this study was to understand the experiences of vaginal pessary use among Tanzanian women who had received long-term pessary treatment for stress urinary incontinence.Methods15 semi-structured, individual interviews were conducted over a 2-month period in 2019 with Tanzanian women living in the Kilimanjaro Region who suffered from stress urinary incontinence and who had been using a pessary for at least 18 months. The interview transcripts were analysed using qualitative content analysis.ResultsThe primary motivation for seeking treatment were discomfort from symptoms, social consequences and low quality of life. Perceived benefits from pessary use included improved quality of life with reacquired abilities to perform daily activities, participate in social gatherings, feeling symptom relief and improved sexual relations. Further, some women saw pessary treatment as superior to other locally available treatment options. Perceived barriers for pessary use included shame, husband’s disapproval, limited access to treatment and lack of knowledge among the women as well as healthcare personnel.ConclusionVaginal pessaries are well-perceived as a long-term treatment method among Tanzanian women suffering from stress urinary incontinence. This method may have potential to be implemented large scale in Tanzania if combined with basic health education.

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