Department of Neurological Physiotherapy Rehabilitation, Guneysu Vocational School of Physical Therapy and Rehabilitation, Recep Tayyip Erdogan University, Rize, Turkey.
The Faculty of Medicine, Department of Gynecology and Obstetrics, Recep Tayyip Erdogan University, Rize, Turkey.
World J Urol. 2024 Jul 21;42(1):423. doi: 10.1007/s00345-024-05126-7.
The present study aims to investigate the effects of external neuromuscular electrical stimulation (NMES) on urinary symptoms, pelvic floor muscle strength (PFMS), quality of life (QoL), sexual function, perception of subjective improvement (PSI), and satisfaction in urgency urinary incontinence (UUI).
The randomized sham-controlled study design was employed in this study. Women aged 18-65 years, who were diagnosed with UUI, were randomly allocated into the NMES (external NMES + lifestyle advice, n = 15) and sham groups (sham NMES + lifestyle advice, n = 15). Both groups performed the application for 30 min, three days a week for eight weeks. Urinary symptoms were evaluated by using the International Incontinence Consultation Questionnaire-Short Form (ICIQ-SF) and a 3-day bladder diary. PFMS was assessed using the Modified Oxford Scale (MOS), QoL using the King's Health Questionnaire (KHQ), and sexual function using the Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ-12). The PSI and satisfaction were questioned.
There was a higher level of decrease in the ICIQ-SF score, the mean number of voids/night and UI, all scores related to the KHQ (excluding interpersonal relationships), and a higher level of increase in maximum voiding volume, MOS scores, PISQ-12-emotional, PISQ-12-physical, and PISQ-12-total scores in the NMES group when compared to the sham group (p < 0.05). PSI and satisfaction were at higher levels in the NMES group than in the sham group (p < 0.05).
External NMES was an effective and complementary method in reducing urinary symptoms and improving PFMS, QoL, sexual function, PSI, and satisfaction level in women with UUI.
NCT04727983.
本研究旨在探讨外部神经肌肉电刺激（NMES）对急迫性尿失禁（UUI）患者的尿症状、盆底肌强度（PFMS）、生活质量（QoL）、性功能、主观改善感知（PSI）和满意度的影响。
本研究采用随机假对照设计。将年龄在 18-65 岁之间、被诊断为 UUI 的女性随机分配至 NMES 组（外部 NMES+生活方式建议，n=15）和假 NMES 组（假 NMES+生活方式建议，n=15）。两组均接受 30 分钟的应用治疗，每周 3 天，共 8 周。尿症状通过国际尿失禁咨询问卷-简短版（ICIQ-SF）和 3 天膀胱日记进行评估。PFMS 使用改良牛津量表（MOS）进行评估，QoL 使用 King's 健康问卷（KHQ）进行评估，性功能使用盆腔器官脱垂/尿失禁性功能问卷（PISQ-12）进行评估。询问了 PSI 和满意度。
与假 NMES 组相比，NMES 组的 ICIQ-SF 评分、平均夜间排尿次数和 UI 次数、除人际关系外的所有 KHQ 评分、最大排尿量、MOS 评分、PISQ-12-情感、PISQ-12-身体和 PISQ-12-总分均有更高程度的降低（p<0.05）。NMES 组的 PSI 和满意度均高于假 NMES 组（p<0.05）。
与假 NMES 相比，外部 NMES 是一种有效且互补的方法，可降低 UUI 女性的尿症状，改善 PFMS、QoL、性功能、PSI 和满意度。
NCT04727983。
