Lorenzo Gómez M F, Silva Abuín J M, García Criado F J, Geanini Yagüez A, Urrutia Avisrror M
Servicio y Cátedra de Urología, Hospital Universitario de Salamanca, Universidad de Salamanca.
Actas Urol Esp. 2008 Jun;32(6):629-36. doi: 10.1016/s0210-4806(08)73899-3.
We analyze the pelvic floor muscles treatment outcomes by using biofeedback (BFB) with electromyography with superficial electrodes in women diagnosed as having stress urinary incontinence (SUI). Besides, we compare this treatment with pelvic floor muscle exercises (PFME) plus vaginal electrostimulation.
85 women with stress urinary incontinence, aged 42 - 74 years. We divided the patients in two groups: Group 1 (N = 50): This patients carry out a perineal biofeedback with superficial electrodes without electrostimulation, and Group 2 (N = 35): This patients were treated with pelvis floor muscle exercices and vaginal electrostimulation. All patients carry out two session per week (of 30 minutes each one) during ten weeks. We assess the outcomes through international urinary incontinence questionnaires (IU-5 and ICIQ-SF) and urinary incontinence related quality of life test (King's questionnaire). Student t-test and Fisher Exact test were used, p < 0.05 was considered statistically significant.
No difference was found in the age average of both groups. 84% of patients of group 1 and 80% of patients of group 2 were cured with the treatment. We assumed they were cured when incontinence episodes not happened or they do not need to use absorbent materials. In the Group 1, 50% of patients in the fourth week and 84% in the tenth week were cured. In the Group 2, 71.42% of patients in the fourth week and 80% in the tenth week were cured. In the Group 2, eight patients (22.85%) complained side effects. Both groups improved the quality of life similarly.
Grade 1 and grade 2 stress urinary incontinence treatment by using perineal biofeedback with superficial electrodes electromyography is better or similar to more invasive treatments. Also pelvic floor muscle exercices plus vaginal electrostimulation have good outcomes although some patients complain side effects. Both conservative treatments are effective and feasible.
我们通过使用带有表面电极的肌电图生物反馈（BFB）来分析被诊断为压力性尿失禁（SUI）的女性盆底肌肉治疗效果。此外，我们将这种治疗方法与盆底肌肉锻炼（PFME）加阴道电刺激进行比较。
85例年龄在42 - 74岁的压力性尿失禁女性患者。我们将患者分为两组：第1组（N = 50）：这些患者进行不带电刺激的表面电极会阴生物反馈治疗，第2组（N = 35）：这些患者接受盆底肌肉锻炼和阴道电刺激治疗。所有患者在十周内每周进行两次治疗（每次30分钟）。我们通过国际尿失禁问卷（IU - 5和ICIQ - SF）以及尿失禁相关生活质量测试（国王问卷）来评估治疗效果。使用学生t检验和费舍尔精确检验，p < 0.05被认为具有统计学意义。
两组患者的平均年龄无差异。第1组84%的患者和第2组80%的患者经治疗后治愈。当尿失禁发作未发生或他们无需使用吸收材料时，我们认为他们已治愈。在第1组中，第四周50%的患者和第十周84%的患者治愈。在第2组中，第四周71.42%的患者和第十周80%的患者治愈。在第2组中，8名患者（22.85%）抱怨有副作用。两组患者的生活质量改善情况相似。
使用带有表面电极肌电图的会阴生物反馈治疗1级和2级压力性尿失禁的效果优于或类似于更具侵入性的治疗方法。此外，盆底肌肉锻炼加阴道电刺激也有良好效果，尽管一些患者抱怨有副作用。两种保守治疗方法均有效且可行。
