Transvaginal Electrical Stimulation for Female Urinary Incontinence

Brubaker, Linda; Benson, J. Thomas; Bent, Alfred E.; Clark, Amanda; Shott, Susan

doi:10.1097/00006254-199801000-00013

Cited by 27 publications

(47 citation statements)

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“…Forty-six papers (75.4%) reported using an incontinence-specific QOL measures alone, 3 (4.9%) reported a generic health outcome only, and 12 (19.7%) reported using both types of measure. Ten (16.4%) of the papers used an incontinence-specific QOL measure for which there was neither a reference, nor information about the development or testing of the measure [7,[9][10][11][12][13][14][15][16][17], and one paper used a single question extracted from a validated measure [18]. Forty-seven (77.0%) papers used one of eight previously published incontinence-specific QOL measure (Table 2), of which the most commonly used were IIQ (reported in 19 papers), I-QoL (12 papers) and UDI (nine papers).…”

Section: Stage 1: Review Of Measures Used In Clinical Trialsmentioning

confidence: 99%

Incontinence-specific quality of life measures used in trials of treatments for female urinary incontinence: a systematic review

et al. 2005

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This systematic review examined the use of incontinence-specific quality of life (QOL) measures in clinical trials of female incontinence treatments, and systematically evaluated their quality using a standard checklist. Of 61 trials included in the review, 58 (95.1%) used an incontinence-specific QOL measure. The most commonly used were IIQ (19 papers), I-QoL (12 papers) and UDI (9 papers). Eleven papers (18.0%) used measures which were not referenced or were developed specifically for the study. The eight QOL measures identified had good clinical face validity and measurement properties. We advise researchers to evaluate carefully the needs of their specific study, and select the QOL measure that is most appropriate in terms of validity, utility and relevance, and discourage the development of new measures. Until better evidence is available on the validity and comparability of measures, we recommend that researchers consider using IIQ or I-QOL with or without UDI in trials of incontinence treatments.

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Section: Stage 1: Review Of Measures Used In Clinical Trialsmentioning

confidence: 99%

Incontinence-specific quality of life measures used in trials of treatments for female urinary incontinence: a systematic review

et al. 2005

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“…All trials [34,[38][39][40][41] reported significant improvement in UUI as compared to before treatment. Of three studies [38][39][40] that compared VES to sham, two reported significant reduction in UUI with VES as compared to sham [38,39] but one study [40] showed no difference. Two trials reported improvement in urinary frequency [38,40] compared to before treatment though this was not significantly different from sham [40].…”

Section: Vaginal Electrical Stimulationmentioning

confidence: 99%

“…Five randomized controlled trials [34,[38][39][40][41] involving 318 women with UUI and MUI evaluated the efficacy of vaginal electrical stimulation (VES, Table 3). All trials [34,[38][39][40][41] reported significant improvement in UUI as compared to before treatment.…”

Section: Vaginal Electrical Stimulationmentioning

confidence: 99%

“…The potential for study-level bias exists as two of these studies [40,41] did not have adequate allocation concealment. Some blinding of subjects, therapists, or assessors did occur in three of these trials [34,38,39]. Although the outcomes measures for these trials were systematically measured, outcome bias may also be present as no trials reported an intent-to-treat analysis.…”

Section: Vaginal Electrical Stimulationmentioning

confidence: 99%

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Pelvic floor muscle training for urgency urinary incontinence in women: a systematic review

2012

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The objective of this study is to evaluate the effectiveness of existing physiotherapy modalities for the treatment of urge urinary incontinence (UUI). A systematic review was performed for primary studies of physiotherapy techniques for UUI published in English between 1996 and August 2010 in major electronic databases. Only randomized clinical trials that reported outcomes separately for women with UUI were included. Outcomes assessed were reduction in UUI, urinary frequency, and nocturia. Data from 13 full-text trials including the modalities of pelvic floor muscles exercises with or without biofeedback, vaginal electrical stimulation, magnetic stimulation, and vaginal cones were analyzed. The methodologic quality of these trials was fair. Significant improvement in UUI was reported for all physiotherapy techniques except vaginal cone therapy. There are insufficient data to determine if pelvic physiotherapy improves urinary frequency or nocturia. Evidence suggests that physiotherapy techniques may be beneficial for the treatment of UUI.

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“…Intravaginal electrical stimulation (IES) has been clinically shown to be effective in the treatment of patients with stress urinary incontinence (SUI) and detrusor instability (DI) [10]. IES using frequencies below 12 Hz stimulates the pudendal nerve, which may inhibit the detrusor muscle and reduce involuntary contractions [11,12].…”

Section: Introductionmentioning

confidence: 99%

Effect of intravaginal electrical stimulation on pelvic floor muscle strength

2005

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The aim of this study was to evaluate the effect of intravaginal electrical stimulation (IES) on pelvic floor muscle (PFM) strength in patients with mixed urinary incontinence (MUI). Between January 2001 and February 2002, 40 MUI women (mean age: 48 years) were studied. Urge incontinence was the predominant symptom; 92.5% also presented mild stress urinary incontinence (SUI). Selection criteria were clinical history and urodynamics. Pre-treatment urodynamic study showed no statistical differences between the groups. Ten percent of the women in each group had involuntary detrusor contractions. Patients were randomly distributed, in a double-blind study, into two groups. Group G1 (n=20), effective IES, and group G2 (n=20), sham IES, with follow-up at 1 month. The following parameters were studied: (1) clinical questionnaire, (2) examiner's evaluation of perineal muscle strength, (3) objective evaluation of perineal muscle by perineometry, (4) vaginal weight test, and (5) urodynamic study. The IES protocol consisted of three 20-min sessions per week over a 7-week period using a Dualpex Uro 996 at 4 Hz. There was no statistically significant difference in the demographic data of both groups. The number of micturitions per 24 h after treatment was reduced significantly in both groups. Urge incontinence, present in all patients before treatment, was reduced to 15% in G1 and 31.5% in G2 post-treatment. The subjective evaluation of PFM strength demonstrated a significant improvement in G1. Objective evaluation of PFM force by perineometer showed a significant improvement in maximum peak contraction post-treatment in both groups. In the vaginal weight test, there was a significant increase in average number of cone retentions post-treatment in both groups. With regard to satisfaction level, after treatment, 80% of the patients in G1 and 65% of the patients in G2 were satisfied. There was no statistically significant difference between the groups. There was a significant improvement in PFM strength from both effective and sham electrostimulation, questioning the effectiveness of electrostimulation as a monotherapy in treating MUI.

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Transvaginal Electrical Stimulation for Female Urinary Incontinence

Cited by 27 publications

References 0 publications

Incontinence-specific quality of life measures used in trials of treatments for female urinary incontinence: a systematic review

Incontinence-specific quality of life measures used in trials of treatments for female urinary incontinence: a systematic review

Pelvic floor muscle training for urgency urinary incontinence in women: a systematic review

Effect of intravaginal electrical stimulation on pelvic floor muscle strength

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