Santos Patrícia Fernandes Diniz, Oliveira Emerson, Zanetti Miriam Raquel Diniz, Arruda Raquel Martins, Sartori Marair Gracio Ferreira, Girão Manoel João Batista Castello, Castro Rodrigo Aquino
Setor de Uroginecologia e Cirurgia Vaginal, Departamento de Ginecologia, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
Rev Bras Ginecol Obstet. 2009 Sep;31(9):447-52. doi: 10.1590/s0100-72032009000900005.
to compare the effects of functional electrostimulation of the pelvic floor and therapy with cones in women with stress urinary incontinence (SUI).
randomized clinical study for which 45 patients with SUI were selected. The effects of functional electrostimulation of the pelvic floor were evaluated in the SUI treatment of 24 women, with the use of clinical data (micturition diary, pad test and a questionnaire about quality of life - I-QoL). The patients were submitted to two 20' weekly sessions for four consecutive months, under the supervision of a physiotherapist. The electrode used had 10 cm length and 3.5 cm width with a double metallic ring and a cylindrical shape, positioned in the medium third of the vagina. The electric parameters used were: intensity varying from 10 to 100 mA and 50 Hz of fixed frequency, with pulse duration of 1 ms. Also, we evaluated 21 patients who were submitted to vaginal cone treatment. The cone therapy was done with two 45 minute sessions per week. The cones' weight varied from 20 to 100 gr.
there was no difference between the outcomes of electrostimulation of the pelvic floor and the vaginal cones for the treatment of SUI (p>0.05). After four months, there was a significant improvement in the I-QoL index of the patients treated both with electrostimulation (40.3 versus 82.9) or with the cones (47.7 versus 84.1). There was a significant decrease in pad weight in both groups, measured before and after the treatment (28.5 and 32 g versus 2.0 and 3.0 g for the electrostimulation and cone group, respectively). Finally, there was a significant decrease in the number of urinary leakage evaluated by the micturition diary in both groups (p<0.0001).
both electrostimulation and vaginal cones were effective in the treatment of women with SUI.
比较功能性盆底电刺激与阴道球囊治疗对压力性尿失禁（SUI）女性的效果。
一项随机临床研究，选取了45例SUI患者。通过临床数据（排尿日记、护垫试验及生活质量问卷—I-QoL）评估功能性盆底电刺激对24例女性SUI治疗的效果。患者在物理治疗师的监督下，连续四个月每周接受两次20分钟的治疗。使用的电极长10 cm，宽3.5 cm，呈双金属环圆柱形，置于阴道中三分之一处。使用的电参数为：强度从10至100 mA变化，固定频率50 Hz，脉冲持续时间1 ms。此外，我们评估了21例接受阴道球囊治疗的患者。球囊治疗每周进行两次，每次45分钟。球囊重量从20至100克不等。
盆底电刺激与阴道球囊治疗SUI的结果无差异（p>0.05）。四个月后，接受电刺激（40.3对82.9）或球囊治疗（47.7对84.1）的患者I-QoL指数均有显著改善。两组治疗前后测量的护垫重量均显著下降（电刺激组和球囊组分别为28.5和32克对2.0和3.0克）。最后，两组通过排尿日记评估的漏尿次数均显著减少（p<0.0001）。
电刺激和阴道球囊治疗SUI女性均有效。
