Electrostimulation as a conservative treatment for urinary incontinence in women
Keywords:
electrostimulation, urinary incontinence, womenAbstract
Introduction. Due to the increasing population of women in senium, urinary incontinence (UI) has become a more and more significant problem. UI is not a chronic illness but a symptom that occurs in the clinical syndrome of various aetiology. Therefore, it requires a diverse diagnostic and therapeutic management.
Aim of the study. The aim of the current study was to evaluate the effectiveness of a six-week conservative treatment of urinary stress incontinence (USI) using the transvaginal electrical stimulation (TVES) method.
Material and methods. The therapeutic group consisted of women who underwent the urogynecological examination. The aim of this examination was an objective evaluation of the severity and type of UI. All the patients completed the Gaudenz questionnaire and the Polish version of I-QoL survey before and after the therapy. Treatment took place on an outpatient basis, with the use of a NeuroTracTM device produced by Verity Medical Ltd. (UK). A vaginal electrode was applied according to the producer’s instructions and then the intensity of stimulation that caused an evident spasm and was accepted by the patient was determined. The parameters of muscle stimulation were selected individually: the frequency range from 10 to 40 Hz, impulse width from 200 to 250 μs, run time/decontraction in configuration of 15 s/30s, for 20 minutes. The treatment lasted for 6 weeks, twice a week on average.
Conclusions. TVES contributes significantly to the decrease in voiding frequency, nocturia, daily uncontrolled urine leak and leads to a reduced use of sanitary protection. TVES improves life quality in USI patients, has a psycho-sociological effect and reduces social embarrassment.
References
1. McLennan MT, Leong FC, Steele AC. Evaluation of urinary incon- tinence and voiding dysfunction in women. Mo Med. 2007;104(1): 77-81.
2. Dmochowski RR. Urinary incontinence: proper assessment and ava- ilable treatment options. J Womens Health. 2005;14(10):906-16.
3. Rechberger T, Jakowicki JA. Nietrzymanie moczu u kobiet – patologia, diagnostyka, leczenie. Lublin: BiFolium; 2005.
4. Bø K, Kvarstein B, Nygaard I. Lower urinary tract symptoms and pelvic floor muscle exercise adherence after 15 years. Obstet Gynecol. 2005; 105(5 Pt 1):999-1005.
5. Hay-Smith EJ, Bø K, Berghmans LC, Hendriks HJ, de Bie RA, van Waalwijk van Doorn ES. WITHDRAWN: Pelvic floor muscle training for urinary incontinence in women. Cochrane Database Syst Rev. 2007;18(1):CD001407.
6. Hay-Smith EJ, Dumoulin C. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev. 2006;25(1):CD005654.
7. Konstantinidou E, Apostolidis A, Kondelidis N, Tsimtsiou Z, Hat- zichristou D, Ioannides E. Short-term efficacy of group pelvic floor training under intensive supervision versus unsupervised home trai- ning for female stress urinary incontinence: a randomized pilot study. Neurourol Urodyn. 2007;26(4):486-91.
8. Parkkinen A, Karjalainen E, Vartiainen M, Penttinen J. Physiothe- rapy for female stress urinary incontinence: individual therapy at the outpatient clinic versus home-based pelvic floor training: a 5-year follow-up study. Neurourol Urodyn. 2004;23(7):643-8.
9. Dannecker C, Wolf V, Raab R, Hepp H, Anthuber C. EMG-biofee- dback assisted pelvic floor muscle training is an effective therapy of stress urinary or mixed incontinence: a 7-year experience with 390 patients. Arch Gynecol Obstet. 2005;273(2):93-7.
10. Bent AF, Sand PK, Ostergard DR, Brubaker L. Transvaginal electrical stimulation in the treatment of genius stress incontinence and detrusor instability. Int Urogynecol J Pelvic Floor Dysfunction. 1993;4:9-13.
11. Eriksen BC, Eik-Nes SH. Long-term electrostimulation of the pelvic floor: primary therapy in female stress incontinence? Urol Int. 1989; 44(2):90-5.
12. Ayse D, Turhanoglu A, Akay F, Bayhan G, Karabulut Z, Sahin H, Erddogan F, Bircan KJ. Transvaginal electrical stimulation in female genuine stress incontinence. Phys Ther Sci. 2000;12:75-9.
13. Eriksen BC, Eik-Nes SH. Long-term electrostimulation of the pelvic floor: primary therapy in female stress incontinence? Urol Int. 1989; 44(2):90-5.
14. Wall LL, Davidson TG. The role of muscular reeducation by physical therapy in the treatment of genuine stress urinary incontinence. Obstet Gynecol Surv. 1992;47(5):322-31.
15. Neumann PB, Grimmer KA, Deenadayalan Y. Pelvic floor muscle training and adjunctive therapies for the treatment of stress urinary incontinence in women: a systematic review. BMC Women’s Health. 2006;6:11.
