Effects of a disposable home electro-stimulation device (Pelviva) for the treatment of female urinary incontinence: a randomised controlled trial

Oldham, Jacqueline; Herbert, Julia; Garnett, Jane; Roberts, Stephen A

doi:10.1007/s00404-021-06179-4

Cited by 5 publications

(5 citation statements)

References 20 publications

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“…Nors DDRP laikomi pirmosios eilės pasirinkimu (Aoki et al, 2017;Bø, 2020;Oldham et al, 2021), gydant įtampos šlapimo nelaikymą, tačiau vis dar diskutuojama dėl kitų intervencijų, tokių kaip elektrostimuliacijos (Bø, 2020), funkcinė magnetinės stimuliacijos (Dudonienė et al, 2023;Lukanović et al, 2021) veiksmingumo. Šlapimo nelaikymui sumažinti gali būti vartojami vaistai, švirkščiamos tūrinės medžiagos, botulino toksino injekcijos (Hagen et al, 2020).…”

Section: įVadasunclassified

Efcacy of Electrostimulation and Pelvic Floor Muscle Exercises in the Treatment of Stress Urinary Incontinence in Women: Randomised Controlled Trial

Nepaitė-Stabingė,

Katinė,

Karkauskienė

et al. 2023

Reabilitacijos mokslai

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Background. Pelvic ﬂoor muscle training (PFMT) is the most commonly used physiotherapy method in the treatment of female stress incontinence; pelvic ﬂoor muscles (PFM) can be trained not only with exercise but also with electrostimulation. The aim. To determine the efcacy of four weeks of pelvic ﬂoor muscle exercises and electrical stimulation in the treatment of stress urinary incontinence in women. Methods. The study involved 24 subjects who were randomly divided into two groups: pelvic ﬂoor muscle training (PFMT) and pelvic ﬂoor muscle exercises combined with electrostimulation (PFMES). Before and after the interventions, women’s quality of life (QoL) was assessed according to the International Incontinence Counselling Questionnaire – Short Form. Perineometry with Pelvexiser perineometer was used to measure pelvic ﬂoor muscle strength, endurance and vaginal resting pressure. Results. Both interventions signifcantly reduced urinary incontinence episodes and improved the subjects’ quality of life. PFM strength improved after the interventions in the PFMT group from 12.33±3.37 to 19.97±3.38 mmHg (p=0.0008, d=2.26) and in the PFMES group from 8.31±2.41 to 11.84 ±2.78 mmHg (p=0.003, d=2.6). PFM endurance improved in the PFMT group from 3.50±1.15 to 4.53±1.12 s (p=0.03, d=0.9), and in PFMES from 2.92±0.47 to 3.67±0, 52 s (p=0.001, d=1.45). Resting vaginal pressure in the PFMT group improved from 5.3±0.85 to 6.44±1.03 mmHg (p=0.005, d=1.25) and in the PFMES group from 4.4±0.70 to 6.14± 1.47 mmHg (p=0.001, d=1.5). Conclusions. PFMT and PFMES interventions signifcantly improved subjects’ PMF strength, endurance, resting vaginal pressure, and quality of life. Both applied interventions can be applied in the treatment of stress urinary incontinence, as they were safe and well tolerated by the patients. The trial is registered at ClinicalTrials.gov Identifer: NCT05871281. Keywords: female, strength, endurance, incontinence, questionnaire.

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Section: įVadasunclassified

Efcacy of Electrostimulation and Pelvic Floor Muscle Exercises in the Treatment of Stress Urinary Incontinence in Women: Randomised Controlled Trial

Nepaitė-Stabingė,

Katinė,

Karkauskienė

et al. 2023

Reabilitacijos mokslai

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“…The disorder denominated urinary incontinence (UI) has been diagnosed amongst 25-45% of women worldwide [1,2]. Pathologically, UI possesses various etiologies and predisposing factors, such as obesity, pregnancy, childbirth, smoking, age/menopause, and genetics.…”

Section: Introductionmentioning

confidence: 99%

“…UI negatively affects the quality of life of those that are affected by this problem, which consequently places a burden on health services [3]. The disease is classified into three basic types: stress urinary incontinence (SUI), related to increased abdominal pressure; urge urinary incontinence (UUI), related to overactive bladder; mixed urinary incontinence (MUI), related to involuntary leakage associated with urgency and exertion [2,3]. Although it is known that coronavirus disease (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has a wide range of clinical manifestations such as respiratory muscle weakness and generalized fatigue, there are rare, documented cases in the scientific literature that associate the disease with UI [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Possible association of urinary incontinence with post-COVID-19: a report of three cases

Sousa,

Estevam,

Silva

et al. 2023

J Infect Dev Ctries

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Introduction: The disorder denominated urinary incontinence (UI) has been diagnosed amongst 25–45% of women worldwide. Muscle weakness is one of the more notable symptoms, which is exhibited in the acute form of coronavirus disease 2019 (COVID-19) that compromises the respiratory musculature. Accordingly, this report aims to delineate three cases in women with UI possibly associated with post-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Case reports: Three elderly Brazilian women expressed UI symptomology post-COVID-19 recovery. In the investigation reports, there was no documented acute impairment or hospitalization post-COVID-19. Nevertheless, some form of UI derived from muscle weakness was detected and treated by physiotherapy in these patients. The patient 1 (P1) was classified as mixed urinary incontinence (MUI) based on the presented symptomology during the filling phase and urinary leakage on exertion. Intravaginal probing suggested neural integrity. The P2 and P3 were classified as stress urinary incontinence (SUI), related to increased abdominal pressure. In all the three cases, there were benefits from physical therapy treatment. Conclusions: This case report is relevant in improving our understanding and lead to future research about the possibility of clinical variations as UI after infection by SARS COV 2 contributing to greater awareness in the diagnostic workup and allowing for earlier treatment and management. It is concluded that the surveillance of the distinct symptomologies associated with the SARS-CoV-2 infection is fundamental, because there is no adequate corroboratory evidence in the scientific literature, for the cases of pelvic floor muscles weakness that causes UI.

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“…A responsividade do PISQ-IR já foi avaliada e comprovada 81,82 . Após tratamento cirúrgico ou conservador houve melhora A aplicabilidade do PISQ-IR vem sendo comprovada em diversos estudos 33,83,84,85,86,87,88,89,90,91…”

Section: Discussionunclassified

“…Outro estudo avaliou o impacto da auto-aplicação domiciliar de eletroestimulação vaginal, com dispositivo descartável (Pelviva®). Houve melhora na função sexual de mulheres SA, especificamente do score SA-CI90 .Em paciente com IA o PISQ-IR foi utilizado na avaliação do impacto do tratamento com eletroestimulação do nervo tibial percutânea versus placebo. Em comparação ao placebo a eletroestimulação percutânea não resultou em melhora significativa nos sintomas, número de episódios de incontinência ou função sexual91 .Esses estudos ressaltam a importância do uso de questionários de sexualidade específicos para DAP na avaliação de pacientes com essas disfunções.…”

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Tradução e validação em português do questionário Impacto do Prolapso de Órgãos Pélvicos, da Incontinência Urinária e da Incontinência Fecal na Função Sexual Feminina

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A Professora Dra. Aparecida Maria Pacetta, pelo exemplo de médica, professora e mulher, por todos os ensinamentos, pelo incentivo, por acreditar em mim quando eu duvidava, pela amizade e pela inestimável contribuição no desenvolvimento desta tese.A meu orientador Professor Dr. Jorge Milhem Haddad, pela oportunidade, confiança e valiosas contribuições.Ao Professor Edmund Chada Baracat, pela oportunidade e sugestões para a tese.À amiga Helga Marquezini Monaco, que iniciou e desenvolveu boa parte desse projeto, e, gentilmente me cedeu.À amiga Thaís Vilela Peterson Ambar, por dividir generosamente seus conhecimentos, por ser um exemplo de profissional e pela amizade. Aos amigos do Setor de Uroginecologia e Assoalho Pélvico da Disciplina deGinecologia do HC-FMUSP pelo companheirismo e auxílio na coleta de dados. Ao Professor Dr. Sérgio Nahas pela parceria no desenvolvimento deste projeto.Aos funcionários do ambulatório de Uroginecologia e Fisiologia Anorretal, por todo auxílio e dedicação.Aos Residentes de Ginecologia e Obstetrícia, pelo auxílio.Aos professores da pós-graduação que muito contribuíram para minha formação como pesquisadora. Normatização adotadaEsta dissertação ou tese está de acordo com as seguintes normas, em vigor no momento desta publicação:Referências: adaptado de "International Committee of Medical Journals Editors" (Vancouver).

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Effects of a disposable home electro-stimulation device (Pelviva) for the treatment of female urinary incontinence: a randomised controlled trial

Cited by 5 publications

References 20 publications

Efcacy of Electrostimulation and Pelvic Floor Muscle Exercises in the Treatment of Stress Urinary Incontinence in Women: Randomised Controlled Trial

Efcacy of Electrostimulation and Pelvic Floor Muscle Exercises in the Treatment of Stress Urinary Incontinence in Women: Randomised Controlled Trial

Possible association of urinary incontinence with post-COVID-19: a report of three cases

Tradução e validação em português do questionário Impacto do Prolapso de Órgãos Pélvicos, da Incontinência Urinária e da Incontinência Fecal na Função Sexual Feminina

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