Esteban Fuertes M, Salinas Casado J, Bravo de Rueda Acinelli C, Aristizabal Agudelo J M, Virseda Chamorro M, Salman Moh'd S, Resel Estévez L
Unidad de Urodinámica, Hospital Universitario San Carlos, Universidad Complutense, Madrid.
Actas Urol Esp. 1996 Jun;20(6):551-9.
A series of 126 patients, 98 women (78%) and 29 male (22%), average 50.2 years old, with different types of urinary incontinence (incontinence at cough, urge-incontinence, post-prostatectomy incontinence and nocturnal enuresis), has been treated with periferic electrostimulation to evaluate the clinical value of this type of treatment. Extrahospitalary management with electrostimulation by vaginal in 39 cases (30.9%) or rectal in 87 cases (69.1%) electrodes was performed. Frequencies has been different in urge-incontinence (10 Hz) and urinary incontinence at coughing (50 Hz). Average treatment duration was 3.3 months. Incontinence intensity decreased significantly with electrostimulation treatment (51-62%). Non statistical differences between other parameters (age, sex, clinical features, clinical incompetence type, cistocele grade) was observed. Positive results in larger period treatment (over 3 months) was obtained (p < 0.005). Best results were obtained with 10 Hz and 50 Hz frequencies (p < 0.05). Therapeutic results, good tolerance (89%), easy application for the patient and absence of secondary effects could made electrostimulation as an alternative therapy in all type of urinary incontinence.
对126例患者进行了治疗,其中98例女性(78%),29例男性(22%),平均年龄50.2岁,患有不同类型的尿失禁(咳嗽性尿失禁、急迫性尿失禁、前列腺切除术后尿失禁和夜间遗尿),采用外周电刺激来评估这种治疗方法的临床价值。采用阴道电极进行院外电刺激治疗39例(30.9%),直肠电极治疗87例(69.1%)。急迫性尿失禁(10Hz)和咳嗽性尿失禁(50Hz)的频率不同。平均治疗持续时间为3.3个月。电刺激治疗后尿失禁强度显著降低(51%-62%)。在其他参数(年龄、性别、临床特征、临床功能不全类型、膀胱膨出分级)之间未观察到统计学差异。在较长时间治疗(超过3个月)中获得了阳性结果(p<0.005)。10Hz和50Hz频率获得了最佳结果(p<0.05)。治疗效果良好、耐受性高(89%)、患者易于应用且无副作用,使得电刺激可作为所有类型尿失禁的一种替代治疗方法。