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Does electrical stimulation of the pelvic floor make any change in urodynamic parameters? When to expect a cure and improvement in women with stress urinary incontinence?
Clin Exp Obstet Gynecol 2004; 31(4):274-8CE

Abstract

OBJECTIVE

Our study aimed at determining the effects of pelvic floor electrical stimulation assessed by the number of leakages per day recorded in a voiding diary over 90 days of treatment and urodynamic parameters.

STUDY DESIGN

This prospective study was carried out with 34 patients presenting stress urinary incontinence who were treated and evaluated by voiding diaries and urodynamic tests. The primary outcome measure was the number of leakages during the 90 days of treatment. Urodynamic tests were performed before and after treatment.

RESULTS

In our series, average and maximum flow rates and residual urine volume were within normal range in all subjects before and after treatment. Maximum urethral closure pressure and functional profile length on urethral pressure profiles did not change after treatment. In the cystometry, bladder capacities at the first (p < 0.0082) and maximum sensations (p < 0.01) improved significantly after treatment. During the 90 days of treatment, we observed a gradual drop in the number of leakages. This decrease began around day 22. It dropped in half around day 45, tending to zero close to day 90 of treatment (p < 0.01).

CONCLUSIONS

The number of incontinent leakage dropped to half around the 8th week, and on average, there was a tendency of the patients to be cured after the 12th week of treatment. At urodynamic studies we observed a significant increase in bladder capacity at the first desire to void and in the maximum cystometric capacity.

Authors+Show Affiliations

Department of Urogynecology and Vaginal Surgery, Gynecology Discipline, Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, Brazil.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15672965

Citation

Castro, R A., et al. "Does Electrical Stimulation of the Pelvic Floor Make Any Change in Urodynamic Parameters? when to Expect a Cure and Improvement in Women With Stress Urinary Incontinence?" Clinical and Experimental Obstetrics & Gynecology, vol. 31, no. 4, 2004, pp. 274-8.
Castro RA, Girão MJ, Arruda RM, et al. Does electrical stimulation of the pelvic floor make any change in urodynamic parameters? When to expect a cure and improvement in women with stress urinary incontinence? Clin Exp Obstet Gynecol. 2004;31(4):274-8.
Castro, R. A., Girão, M. J., Arruda, R. M., Takano, C. C., Sartori, M. G., Martins, S. R., ... Rodrigues de Lima, G. (2004). Does electrical stimulation of the pelvic floor make any change in urodynamic parameters? When to expect a cure and improvement in women with stress urinary incontinence? Clinical and Experimental Obstetrics & Gynecology, 31(4), pp. 274-8.
Castro RA, et al. Does Electrical Stimulation of the Pelvic Floor Make Any Change in Urodynamic Parameters? when to Expect a Cure and Improvement in Women With Stress Urinary Incontinence. Clin Exp Obstet Gynecol. 2004;31(4):274-8. PubMed PMID: 15672965.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Does electrical stimulation of the pelvic floor make any change in urodynamic parameters? When to expect a cure and improvement in women with stress urinary incontinence? AU - Castro,R A, AU - Girão,M J B C, AU - Arruda,R M, AU - Takano,C C, AU - Sartori,M G F, AU - Martins,S R, AU - Baracat,E C, AU - Rodrigues de Lima,G, PY - 2005/1/28/pubmed PY - 2005/6/29/medline PY - 2005/1/28/entrez SP - 274 EP - 8 JF - Clinical and experimental obstetrics & gynecology JO - Clin Exp Obstet Gynecol VL - 31 IS - 4 N2 - OBJECTIVE: Our study aimed at determining the effects of pelvic floor electrical stimulation assessed by the number of leakages per day recorded in a voiding diary over 90 days of treatment and urodynamic parameters. STUDY DESIGN: This prospective study was carried out with 34 patients presenting stress urinary incontinence who were treated and evaluated by voiding diaries and urodynamic tests. The primary outcome measure was the number of leakages during the 90 days of treatment. Urodynamic tests were performed before and after treatment. RESULTS: In our series, average and maximum flow rates and residual urine volume were within normal range in all subjects before and after treatment. Maximum urethral closure pressure and functional profile length on urethral pressure profiles did not change after treatment. In the cystometry, bladder capacities at the first (p < 0.0082) and maximum sensations (p < 0.01) improved significantly after treatment. During the 90 days of treatment, we observed a gradual drop in the number of leakages. This decrease began around day 22. It dropped in half around day 45, tending to zero close to day 90 of treatment (p < 0.01). CONCLUSIONS: The number of incontinent leakage dropped to half around the 8th week, and on average, there was a tendency of the patients to be cured after the 12th week of treatment. At urodynamic studies we observed a significant increase in bladder capacity at the first desire to void and in the maximum cystometric capacity. SN - 0390-6663 UR - https://www.unboundmedicine.com/medline/citation/15672965/Does_electrical_stimulation_of_the_pelvic_floor_make_any_change_in_urodynamic_parameters_When_to_expect_a_cure_and_improvement_in_women_with_stress_urinary_incontinence L2 - http://www.diseaseinfosearch.org/result/3797 DB - PRIME DP - Unbound Medicine ER -