Effect of Non-invasive Transcutaneous Electrical Stimulation in Women With Stress Urinary Incontinence: A Prospective Study
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Background: Stress urinary incontinence (SUI) impacts the social, physical, and psychological well-being and quality of life of the patient. Several techniques exist for its management, including transcutaneous electrical stimulation (TES). Objects: We aimed to demonstrate the effects of TES on ultrasonographic variables and quality of life in women with SUI. Methods: This prospective study recruited 21 women who had been diagnosed with grade 1 or 2 SUI between July 2018 and March 2019. The exclusion criteria were pregnancy and a history of urogenital surgery. All participants were assessed at baseline and 8 weeks after intervention initiation. The bladder neck position (BNP), length of the urethra (LU), funneling index (FI), and rhabdosphincter thickness (RT) were measured. The Incontinence-Quality of Life (I-QOL) was used to assess incontinence-specific quality of life. Statistical significance level was set at p < 0.05. Results: Twenty-one patients with SUI used TES for 8 weeks. BNP and FI significantly decreased after intervention (p < 0.05). LU, anterior and posterior RT (indicators of external sphincter hypertrophy) significantly increased post-intervention (p < 0.05). The total I-QOL score increased from 64.81 to 71.86 after the intervention (p < 0.05). Conclusion: This intervention improved BNP, LU, FI, RT, and subjective indicators such as quality of life in women with SUI. Therefore, TES can be an effective non-surgical treatment method for improving SUI symptoms and quality of life in these patients.
Abstract
Background: Stress urinary incontinence (SUI) impacts the social, physical, and psychological well-being and quality of life of the patient. Several techniques exist for its management, including transcutaneous electrical stimulation (TES). Objects: We aimed to demonstrate the effects of TES on ultrasonographic variables and quality of life in women with SUI. Methods: This prospective study recruited 21 women who had been diagnosed with grade 1 or 2 SUI between July 2018 and March 2019. The exclusion criteria were pregnancy and a history of urogenital surgery. All participants were assessed at baseline and 8 weeks after intervention initiation. The bladder neck position (BNP), length of the urethra (LU), funneling index (FI), and rhabdosphincter thickness (RT) were measured. The Incontinence-Quality of Life (I-QOL) was used to assess incontinence-specific quality of life. Statistical significance level was set at p < 0.05. Results: Twenty-one patients with SUI used TES for 8 weeks. BNP and FI significantly decreased after intervention (p < 0.05). LU, anterior and posterior RT (indicators of external sphincter hypertrophy) significantly increased post-intervention (p < 0.05). The total I-QOL score increased from 64.81 to 71.86 after the intervention (p < 0.05). Conclusion: This intervention improved BNP, LU, FI, RT, and subjective indicators such as quality of life in women with SUI. Therefore, TES can be an effective non-surgical treatment method for improving SUI symptoms and quality of life in these patients.
참고문헌 (30)
- Abrams P, "The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society", Neurourol Urodyn, 21(2), pp.167~178 (2002)
- Buckley BS, "Prevalence of urinary incontinence in men, women, and children--current evidence: findings of the Fourth International Consultation on Incontinence", Urology, 76(2), pp.265~270 (2010)
- Hung HC, "Effect of pelvic-floor muscle strengthening on bladder neck mobility : a clinical trial", Phys Ther, 91(7), pp.1030~1038 (2011)
- Jha S, "Impact of pelvic floor muscle training on sexual function of women with urinary incontinence and a comparison of electrical stimulation versus standard treatment(IPSU trial) : a randomised controlled trial", Physiotherapy, 104(1), pp.91~97 (2018)
- Wyman JF, "Psychosocial impact of urinary incontinence in women", Obstet Gynecol, 70(3 Pt 1), pp.378~381 (1987)
- Syan R, "Guideline of guidelines : urinary incontinence", BJU Int, 117(1), pp.20~33 (2016)
- Sapsford R, "The pelvic floor : a clinical model for function and rehabilitation", Physiotherapy, 87(12), pp.620~630 (2001)
- DeLancey JO, "Structural support of the urethra as it relates to stress urinary incontinence : the hammock hypothesis", Am J Obstet Gynecol, 170(6), pp.1713~1720 (1994)
- Cassadó J, "Introital ultrasonography : a comparison of women with stress incontinence due to urethral hypermobility and continent women", BJU Int, 98(4), pp.822~828 (2006)
- Shek KL, "The urethral motion profile : a novel method to evaluate urethral support and mobility", Aust N Z J Obstet Gynaecol, 48(3), pp.337~342 (2008)
- Kuo HC, "Transrectal sonography of the female urethra in incontinence and frequency-urgency syndrome", J Ultrasound Med, 15(5), pp.363~370 (1996)
- Dietz HP, "The urethral pressure profile and ultrasound imaging of the lower urinary tract", Int Urogynecol J Pelvic Floor Dysfunct, 12(1), pp.38~41 (2001)
- Thompson JA, "Comparison of transperineal and transabdominal ultrasound in the assessment of voluntary pelvic floor muscle contractions and functional manoeuvres in continent and incontinent women", Int Urogynecol J Pelvic Floor Dysfunct, 18(7), pp.779~786 (2007)
- Miller JM, "Pelvic floor muscle contraction during a cough and decreased vesical neck mobility", Obstet Gynecol, 97(2), pp.255~260 (2001)
- Rud T, "Urethral pressure profile in continent women from childhood to old age", Acta Obstet Gynecol Scand, 59(4), pp.331~335 (1980)
- Klauser A, "Age-related rhabdosphincter function in female urinary stress incontinence : assessment of intraurethral sonography", J Ultrasound Med, 23(5), pp.631~637 (2004)
- Appell RA, "Electrical stimulation for the treatment of urinary incontinence", Urology, 51(2A Suppl), pp.24~26 (1998)
- Kobashi KC, "Stress urinary incontinence", Curr Opin Urol, 9(4), pp.285~290 (1999)
- Goode PS, "Effect of behavioral training with or without pelvic floor electrical stimulation on stress incontinence in women : a randomized controlled trial", JAMA, 290(3), pp.345~352 (2003)
- Giuseppe PG, "Sexual function in women with urinary incontinence treated by pelvic floor transvaginal electrical stimulation", J Sex Med, 4(3), pp.702~707 (2007)
- Krauss DJ, "Transcutaneous electrical nerve stimulator for stress incontinence", J Urol, 125(6), pp.790~793 (1981)
- Yokozuka M, "Effects and indications of sacral surface therapeutic electrical stimulation in refractory urinary incontinence", Clin Rehabil, 18(8), pp.899~907 (2004)
- Kim J, "Effects of transcutaneous electrical stimulation on physiological symptoms and psychological satisfaction in women with stress urinary incontinence : a preliminary study", Phys Ther Korea, 26(3), pp.67~75 (2019)
- Yang JM, "Discrimination of bladder disorders in female lower urinary tract symptoms on ultrasonographic cystourethrography", J Ultrasound Med, 21(11), pp.1249~1255 (2002)
- Nishibayashi M, "Bladder neck evaluation by perineal ultrasound before and after reconstructive surgery for pelvic organ prolapse", J Med Ultrason(2001), 36(4), pp.193~ (2009)
- McLean L, "Pelvic floor muscle training in women with stress urinary incontinence causes hypertrophy of the urethral sphincters and reduces bladder neck mobility during coughing", Neurourol Urodyn, 32(8), pp.1096~1102 (2013)
- Eriksen BC, "Changes in urodynamic measurements after successful anal electrostimulation in female urinary incontinence", Br J Urol, 59(1), pp.45~49 (1987)
- Hahn I, "A comparative study of pelvic floor training and electrical stimulation for the treatment of genuine female stress urinary incontinence", Neurourol Urodyn, 10(6), pp.545~554 (1991)
- Fall M, "Functional electrical stimulation : physiological basis and clinical principles", Int Urogynecol J, 5(5), pp.296~304 (1994)
- Delancey J, "Gross anatomy and cell biology of the lower urinary tract", pp.19~82 (2002), Incontinence Health Publications