2021, Number 10
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Ginecol Obstet Mex 2021; 89 (10)
Results of electrotherapy with biofeedback in women with stress urinary incontinence with a history of anti-incontinence surgery
Salinas-Salinas JA, Rodríguez-Colorado ES, Gorbea-Chávez V, Granados-Martínez V, Ramírez-Isarraraz C
Language: Spanish
References: 23
Page: 790-801
PDF size: 203.92 Kb.
ABSTRACT
Objective: To analyze the outcomes in patients with and without a history of antiincontinence
surgery treated with electrotherapy and biofeedback. In addition, to assess
with a validated questionnaire in Spanish the reduction of incontinence episodes and
their impact on quality of life.
Materials and Methods: A retrospective cohort study was carried out in two
groups of patients: one with stress urinary incontinence with previous surgical treat-
ment and the other without this history. Both groups were administered electrotherapy
with biofeedback in 8 and 12 sessions. Severity was assessed with the Sandvik Severity
Index and symptom reduction with the visual analog scale and the improvement perceived
by the patient. Quality of life was assessed with the King's Health Questionnaire
validated in Spanish.
Results: The situation of 68 patients was analyzed: 20 with a history of incontinence
surgery and 48 without this history. Both groups reported a decrease in the number of
incontinence episodes after the eighth session. In both groups there was a statistically
significant increase in the King's Health Questionnaire score in domains II, III and IV.
In the group without the history of anti-incontinence surgery, the score of domains V
and VII increased.
Conclusions: Electrotherapy associated with biofeedback in patients with stress
urinary incontinence, with and without previous surgical treatment, showed no difference
in outcomes.
REFERENCES
Weber AM, Abrams P, Brubaker L, Cundiff G, Davis G, Dmochowski RR, Fischer J, Hull T, Nygaard I, Weidner AC. The standardization of terminology for researchers in female pelvic floor disorders. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12 (3): 178-86. doi: 10.1007/pl00004033.
Schreiner L, Santos TG, Souza AB, Nygaard CC, Silva Filho IG. Electrical stimulation for urinary incontinence in women: a systematic review. Int Braz J Urol 2013; 39 (4): 454-64. doi: 10.1590/S1677-5538.IBJU.2013.04.02.
Dmochowski R, Lynch CM, Efros M, Cardozo L. External electrical stimulation compared with intravaginal electrical stimulation for the treatment of stress urinary incontinence in women: A randomized controlled noninferiority trial. Neurourol Urodyn. 2019; 38 (7): 1834-43. doi: 10.1002/ nau.24066.
Velázquez Magaña M, Bustos López HH, Rojas Poceros G, Oviedo Ortega G, Neri Ruz ES, Sánchez Castrillo C. Prevalencia y calidad de vida en mujeres con incontinencia urinaria. Estudio en población abierta [Prevalence and quality of life in women with urinary incontinence. A population base study]. Ginecol Obstet Mex 2007 Jun;75(6):347-56. Spanish.
Hunskaar S, Arnold EP, Burgio K, Diokno AC, Herzog AR, Mallett VT. Epidemiology and natural history of urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2000; 11 (5): 301-19. doi: 10.1007/s001920070021.
Dumoulin C, Cacciari LP, Hay-Smith EJC. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev 2018; 10 (10): CD005654. doi: 10.1002/14651858.CD005654.pub4.
Maher RM, Caulfield B. A novel externally applied neuromuscular stimulator for the treatment of stress urinary incontinence in women. A pilot study. Neuromodulation 2013; 16 (6): 590-4; discussion 594. doi: 10.1111/j.1525- 1403.2012.00509.x
Bø K, Sherburn M. Evaluation of female pelvic-floor muscle function and strength. Phys Ther 2005; 85 (3): 269-82.
Moroni RM, Magnani PS, Haddad JM, Castro Rde A, Brito LG. Conservative treatment of stress urinary incontinence: A systematic review with meta-analysis of randomized controlled trials. Rev Bras Ginecol Obstet 2016; 38 (2): 97-111. doi: 10.1055/s-0035-1571252
Terlikowski R, Dobrzycka B, Kinalski M, Kuryliszyn-Moskal A, Terlikowski SJ. Transvaginal electrical stimulation with surface-EMG biofeedback in managing stress urinary incontinence in women of premenopausal age: a doubleblind, placebo-controlled, randomized clinical trial. Int Urogynecol J 2013; 24 (10): 1631-8. doi: 10.1007/s00192- 013-2071-5.
Demirtürk F, Akbayrak T, Karakaya IC, Yüksel I, Kirdi N, Demirtürk F, Kaya S, Ergen A, Beksac S. Interferential current versus biofeedback results in urinary stress incontinence. Swiss Med Wkly 2008; 138 (21-22): 317-21.
Bae S, Lee KW, Jeong HC, Park BH, Bae WJ, Lee YS, Han CH, Kang SH, Kim SW. Effects of low-frequency intravaginal electrical stimulation on female urinary incontinence, quality of life, and urinary symptoms: A pilot study. Low Urin Tract Symptoms 2020; 12 (1): 25-32. doi: 10.1111/luts.12278
Sandvik H, Seim A, Vanvik A, Hunskaar S. A severity index for epidemiological surveys of female urinary incontinence: comparison with 48-hour pad-weighing tests. Neurourol Urodyn 2000; 19 (2): 137-45. doi: 10.1002/(sici)1520- 6777(2000)19:2<137::aid-nau4>3.0.co;2-g.
Stewart F, Berghmans B, Bø K, Glazener CM. Electrical stimulation with non-implanted devices for stress uri nary incontinence in women. Cochrane Database Syst Rev 2017; 12 (12): CD012390. doi: 10.1002/14651858. CD012390.pub2.
Badia Llach X, Castro Díaz D, Conejero Sugrañes J. Validez del cuestionario King's Health para la evaluación de la calidad de vida en pacientes con incontinencia urinaria. Grupo King's [Validity of the King's Health questionnaire in the assessment of quality of life of patients with urinary incontinence. The King's Group]. Med Clin (Barc) 2000; 114 (17): 647-52. doi: 10.1016/s0025-7753(00)71390-x.
Shamliyan TA, Kane RL, Wyman J, Wilt TJ. Systematic review: randomized, controlled trials of nonsurgical treatments for urinary incontinence in women. Ann Intern Med 2008; 148 (6): 459-73. doi: 10.7326/0003-4819-148- 6-200803180-00211
Imamura M, Abrams P, Bain C, Buckley B, Cardozo L, Cody J, Cook J, Eustice S, Glazener C, Grant A, Hay-Smith J, Hislop J, Jenkinson D, Kilonzo M, Nabi G, N'Dow J, Pickard R, Ternent L, Wallace S, Wardle J, Zhu S, Vale L. Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence. Health Technol Assess 2010; 14 (40): 1-188, iii-iv. doi: 10.3310/hta14400
Fürst MC, Mendonça RR, Rodrigues AO, Matos LL, Pompeo AC, Bezerra CA. Long-term results of a clinical trial comparing isolated vaginal stimulation with combined treatment for women with stress incontinence. Einstein (Sao Paulo) 2014; 12 (2): 168-74. doi: 10.1590/s1679-45082014ao2866
Wang S, Lv J, Feng X, Wang G, Lv T. Efficacy of Electrical Pudendal Nerve Stimulation in Treating Female Stress Incontinence. Urology 2016; 91: 64-9. doi: 10.1016/j. urology.2016.02.027
Amaro JL, Oliveira Gameiro MO, Padovani CR. Treatment of urinary stress incontinence by intravaginal electrical stimulation and pelvic floor physiotherapy. Int Urogynecol J Pelvic Floor Dysfunct 2003; 14 (3): 204-8; discussion 208. doi: 10.1007/s00192-003-1061-4
Alves PG, Nunes FR, Guirro EC. Comparison between two different neuromuscular electrical stimulation protocols for the treatment of female stress urinary incontinence: a randomized controlled trial. Rev Bras Fisioter 2011; 15 (5): 393-8. doi: 10.1590/s1413-35552011005000010
Brubaker L, Benson JT, Bent A, Clark A, Shott S. Transvaginal electrical stimulation for female urinary incontinence. Am J Obstet Gynecol 1997; 177 (3): 536-40. doi: 10.1016/ s0002-9378(97)70142-x
Bø K. Pelvic floor muscle strength and response to pelvic floor muscle training for stress urinary incontinence. Neurourol Urodyn 2003; 22 (7): 654-8. doi: 10.1002/nau.10153