Subjective and objective effects of intravaginal electrical myostimulation and biofeedback in patients with genuine stress urinary incontinence

Details

Serval ID
serval:BIB_4BE7C70890BA
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Subjective and objective effects of intravaginal electrical myostimulation and biofeedback in patients with genuine stress urinary incontinence
Journal
British Journal of Urology
Author(s)
Meyer  S., Dhenin  T., Schmidt  N., De Grandi  P.
ISSN
0007-1331 (Print)
Publication state
Published
Issued date
06/1992
Volume
69
Number
6
Pages
584-8
Notes
Journal Article --- Old month value: Jun
Abstract
A group of 36 patients (18 premenopausal and 18 postmenopausal), all suffering from genuine stress urinary incontinence, underwent conservative treatment with 6 sessions of intravaginal electromyostimulation followed by 6 sessions of biofeedback; 89% of patients reported an improvement, 5.5% considered themselves cured and 5.5% reported no change. Intravaginal pressure measured before and after therapy increased by an average of 11 cm H2O in premenopausal patients and 17 cm H2O in the postmenopausal group. Intravaginal pressure increased in all patients and, according to maximal urethral closure pressure, this increasing intravaginal pressure was observed even in patients with low pressure urethras. The urodynamic factors studied were functional length, maximum urethral closing pressure and pressure transmission, together with urethral surface at rest and during stress, and residual surface. No significant changes were noted before and after treatment. The excellent subjective results contrast with the absence of improvement in these values.
Keywords
Adult *Biofeedback (Psychology) Electric Stimulation Therapy/*methods Female Humans Middle Aged Pressure Prospective Studies Urethra/physiopathology Urinary Incontinence, Stress/physiopathology/*therapy Urodynamics
Pubmed
Web of science
Create date
25/01/2008 16:39
Last modification date
20/08/2019 15:00
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