PELVIC FLOOR MYOELECTROSTIMULATION IN THE TREATMENT OF FEMALE URINARY INCONTINENCE
- Authors: SEROV V.N1, APOLIKHINA I.A2, KUBITSKAYA Y.V1, ZHELEZNYAKOVA A.I2
-
Affiliations:
- Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia
- I.M. Sechenov First Moscow State Medical University, Ministry of Health and Social Development of Russia
- Issue: No 7-2 (2011)
- Pages: 51-55
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/246621
- ID: 246621
Cite item
Abstract
Objective. To evaluate the efficiency of pelvic floor myoelectrostimulation using a BioBravo apparatus in patients with decreased pelvic floor muscle tone concurrent with and without moderate and mild stress urinary incontinence (UI). Subjects and methods. Pelvic floor myoelectrostimulation was performed in 28 women aged 28 to 52 years. Group 1 comprised 16 women with decreased pelvic floor muscle tone and symptoms of mild and moderate UI, who complained about urine loss during different types of exercise. In 12 women included into Group 2, lower pelvic floor muscle tone was not accompanied by the symptoms of UI. Objectivization of complaints, rating of symptoms, and monitoring the efficiency of performed therapy were done, by analyzing the voiding diaries filled out by each patient within 3 days before and after therapy and by carrying out an hour pad test. Quality of life in patients with UI was assessed using an Incontinence Quality of Life questionnaire, the Patient Global Impression of Severity Scale, and the Patient Global Impression of Improvement Scale. Results. An increase in the indices by more than 50% of the baseline level was noted in 14 (87.5%) and 12 (100%) women in Groups 1 and 2, respectively. The vast majority of the patients showed improvement 4-5 weeks posttherapy. Conclusion. The ease to use this treatment modality, the absence of its complications, and its low cost make it possible to regard it as the most promising method for a certain group of patients with UI and to recommend the use of portable electrostimulators in the outpatient setting and their self-use.
Full Text
About the authors
V. N SEROV
Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia
I. A APOLIKHINA
I.M. Sechenov First Moscow State Medical University, Ministry of Health and Social Development of Russia
Yu. V KUBITSKAYA
Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia
Email: bormotin@nm.ru
A. I ZHELEZNYAKOVA
I.M. Sechenov First Moscow State Medical University, Ministry of Health and Social Development of Russia
References
- Аполихина И.А. Клиническая эпидемиология, дифференциальная диагностика и консервативное лечение недержания мочи у женщин: Автореф. дис.. д-ра мед. наук. - М., 2006.
- Лоран О.Б. Эпидемиология, этиология, патогенез, диагностика недержания мочи // Пленум Правления Рос. общества урологов: Материалы. - М., 2001. -С. 21-41.
- Пушкарь Д.Ю. Диагностика и лечение сложных форм недержания мочи у женщин // Акуш. и гин. - 2000. -№ 1. - С. 3- 7.
- Савицкий А.Г. Роль нестабильности мочевого пузыря в патогенезе симптома недержания мочи при напряжении у женщин // Журн. акуш. и жен. бол. - 2000. -№ 4. - С. 41- 46.
- Улащик В.С., Лукомский И.В. Общая физиотерапия: Учебник. - Минск: Книжный дом, 2005. -С. 125- 126.
- Berghmans L.C.M., Hendriks H.J.M., Bo K. et al. // Br. J. Urol. - 1998. -Vol. 82. - P. 181-191.
- Bo K. // Acta Obstet. Gynecol. Scand. - 1998.-Vol. 77 (suppl. 168). - P. 3-11.
- Dannecker C., Wolf V., Raab R. // Arch. Gynecol. Obstet. - 2005. - Vol. 273, № 2. - P. 93-97.
- Lorenzo Gomez M.E., Silva Abuin J.M., Garcia Criado F.J. et al. // Actas Urol. Esp. - 2008.- Vol. 32, № 6. -P. 629-636.
- Neumann P.B., Grimmer K.A., Deenadayalan Y. // BMC Women’s Health. - 2006. - Vol. 28. - P. 6-11.
- Pauliina A., Jorma P., Paula I., Olavi A. // Acupunct. Electrother. Res. - 2002.- Vol. 27, № 1. - P. 37-44.
- Perrigot M., Pichon B., Peskine A., Vassilev K.//Ann. Readapt. Med. Phys. - 2008.- Vol. 51, № 6. - P. 478-490.
- Sebastio N., Ferri E., Meli S. et al. // Acta Biomed. Ateneo Parmense. - 2000.- Vol. 71, № 1-2. - P. 49-52.
- Shamliyan T.A., Kane R.L., Wyman J., Wilt T.J. // Ann. Intern. Med. - 2008.- Vol. 148, № 6. - P. 459-473.
- Wilson L., Brown J.S., Shin G.P. et al. // Obstet. and Gynecol. - 2001.- Vol. 98. - P. 398.