Transcutaneous Electrical Nerve Stimulator for Stress Incontinence

Krauss, Dennis J.; Lilien, Otto M.

doi:10.1016/s0022-5347(17)55205-2

Cited by 25 publications

(7 citation statements)

References 17 publications

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“…Whether the application of TENS to sacral dermatomes has a mode of action similar to direct sacral root stimulation is at present unknown. Perianal TENS has been used to good effect in the treatment of stress incontinence following prostatectomy, the authors reporting an increase in sphincter electrical activity in some patients, although it is of interest that there was no significant change in the urethral pressure profile measured during stimulation [20].…”

Section: Mode Of Action Of Tensmentioning

confidence: 99%

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TENS: A treatment option for bladder dysfunction

1996

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To ascertain the mode of action and benefits of transcutaneous electrical nerve stimulation (TENS) in detrusor overactivity, stress incontinence and interstitial cystitis, an English-language literature search using Medline (1984-1995) was undertaken with detrusor instability, incontinence, interstitial cystitis, neuromodulation, transcutaneous electrical nerve stimulation and urodynamics as keywords and the material so identified was reviewed. The mode of action of TENS and optimal stimulation parameters in bladder dysfunction remain unclear. Lack of strict selection criteria and deficient reporting of subjective and objective outcomes precluded full assessment of therapeutic efficacy. A beneficial effect was evident in some studies of detrusor overactivity and interstitial cystitis. A trial of TENS in detrusor overactivity and interstitial cystitis refractory to conventional therapy would seem justified. Continued experimental research and further clinical studies will lead to refinement of the treatment modality.

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Section: Mode Of Action Of Tensmentioning

confidence: 99%

“…The use of TENS in men with stress incontinence following simple or radical prostatectomy has been described with 75% having some improvement in continence [20]. The benefit persisted for 7 months after discontinuation of stimulation in 1 of the men.…”

Section: Stress Incontinencementioning

confidence: 99%

TENS: A treatment option for bladder dysfunction

1996

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“…Recently, the Easy-K (Alphamedic Co., Ltd., Daegu, Korea) device was designed for contracting the PFM by electrical stimulation using cutaneous perivaginal electrodes in the sitting position. Previous studies suggest that TES is effective in treating urinary incontinence and can be performed using cutaneous electrodes in the perivaginal region [21,22].…”

Section: Introductionmentioning

confidence: 99%

Effect of transcutaneous electrical stimulation on morphological characteristics of women with stress urinary incontinence

Kim¹,

Park²,

Hwang³

et al. 2020

Preprint

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Background: Stress urinary incontinence is an involuntary leakage of urine due to a weak pelvic floor and weak sphincter when the intra-abdominal pressure increases. Its symptoms are known to improve upon electrical stimulation of the pelvic floor. This study aimed to determine the effects of transcutaneous electrical stimulation on ultrasonography variables, such as the bladder neck position (BNP), length of the urethra (LU), funneling index (FI), and posterior (PRT) and anterior rhabdosphincter thickness (ART), and the Incontinence Quality of Life scores. It also investigated the association between the relative changes in the two.Methods: Twenty-one patients with stress urinary continence were included and subjected to transcutaneous electrical stimulation for eight weeks. Ultrasonography was used to measure the BNP, LU, FI, ART, and PRT. Data were analyzed at rest and during the Valsalva maneuver and the difference (△) between them was evaluated.Results: The BNP during the Valsalva maneuver and the △BNP decreased significantly. The LU during the Valsalva maneuver increased after eight weeks. The FI during the Valsalva maneuver and the △FI changed significantly. The ART and PRT and the total quality of life score significantly increased after eight weeks (p<.05). The LU during the Valsalva maneuver positively correlated with the total quality of life (r=0.630; p=.002), psychosocial impact subscale (r=0.705; p=.000), and social embarrassment subscale (r=0.488; p=.025) scores. The correlations between the PRT and the avoidance and limiting behavior subscale score (r=0.624; p=.002) and between the △FI and the social embarrassment subscale score (r=-0.515; p=.0.20) were significant.Conclusions: Transcutaneous electrical stimulation can improve the BNP, ART, and PRT, along with the subjective indicators, in women with stress urinary continence. Improving stress urinary continence symptoms can ameliorate women’s social and psychological self-esteem.

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“…Previous studies reported the effects of surface electrical stimulation in the supine or hook-lying position for treating urinary incontinence, which can be performed with placement of cutaneous electrodes in the perivaginal or sacral region [7,11,12]. Because PFM contraction in sitting or upright position was more di cult than hook-lying and supine position by vaginal squeeze pressure data [13], symptoms related to SUI could be occur mostly in sitting and standing.…”

Section: Introductionmentioning

confidence: 99%

Effect of Surface Electrical Stimulation in a Seated Position on Pelvic Floor Muscle Functions, Urinary Leakage, and Quality of Life in Women With Stress Urinary Incontinence

Hwang

Lee²,

Jung

et al. 2020

Preprint

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BackgroundThe aim of this study was to demonstrate the effect of surface electrical stimulation in a seated position (SESSP), as pelvic floor muscle (PFM) training, on PFM functions (time to reach maximal pressure [TRMP], muscle strength, power and endurance), urinary leakage and quality of life in patients with stress urinary incontinence (SUI). MethodsWomen with SUI were randomized into an SESSP group (n = 18) or control group (n = 18). Quality of life were assessed by the Incontinence Quality of Life Questionnaire (I-QOL). Ultra-short pad test results and PFM functions were measured by perineometer. Changes in the outcomes were assessed before and 8 weeks after SESSP training. ResultsThirty-three participants were included in the analysis. There were significant differences in I-QOL (avoidance and limiting behaviors, psychosocial impacts, social embarrassment and total score) in between (SESSP vs. control group) and within (pre vs. post) group analyses. Significant increases in PFM strength, power, and endurance, and significant decreases in the TRMP and pad weight, were observed between (SESSP vs. control group) and within (pre vs. post) groups. ConclusionSESSP in a seated position can be recommended to improve QOL, urinary leakage, and PFM functions in SUI patients.Trial registrationCurrent Controlled Trials KCT0003357 (the date of registration: 2018.11.16) and retrospectively registered

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Transcutaneous Electrical Nerve Stimulator for Stress Incontinence

Cited by 25 publications

References 17 publications

TENS: A treatment option for bladder dysfunction

TENS: A treatment option for bladder dysfunction

Effect of transcutaneous electrical stimulation on morphological characteristics of women with stress urinary incontinence

Effect of Surface Electrical Stimulation in a Seated Position on Pelvic Floor Muscle Functions, Urinary Leakage, and Quality of Life in Women With Stress Urinary Incontinence

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