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Pelvic floor electrical stimulation for the treatment of urge and mixed urinary incontinence in women.
Urology. 1997 Dec; 50(6):934-40.U

Abstract

OBJECTIVES

To determine the efficacy of daily or every-other-day electrical stimulation in treating detrusor instability (urge) or urge plus genuine stress (mixed) urinary incontinence in women.

METHODS

A multicenter, prospective, nonrandomized study enrolled subjects with urge and mixed urinary incontinence assigned to daily or every-other-day treatments (15 minutes twice daily) using pelvic floor stimulation. Outcome measures assessed were (1) leakage episodes, nocturnal episodes, voiding frequency, total voids, and pad count, and (2) patient subjective assessment and quality of life.

RESULTS

Seventy-two subjects were enrolled. Sixty-eight subjects completed the 20-week protocol: 33 treated daily and 35 treated every other day. The entire study group (n = 68) experienced a significant decrease in total leaks (P < 0.001), nocturnal episodes (P = 0.001), pad count (P = 0.002), and total voids (P = 0.003) and on visual analog scales. Sixty-nine percent (n = 46) of subjects with urge or mixed incontinence were cured or improved by at least 50%, with 28% (n = 19) being cured. There were no significant differences between daily and every-other-day users. Nonresponse was correlated with number of previous therapies (P < 0.001) and number of vaginal deliveries (P = 0.007). Overall, subjects were 93% compliant with device use, and 72% (n = 47) were satisfied with the therapy.

CONCLUSIONS

Twenty weeks of pelvic floor electrical stimulation therapy is effective in treating urge and mixed urinary incontinence, regardless of daily or every-other-day treatments.

Authors+Show Affiliations

Midway Hospital, St. Paul, Minnesota, USA.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)

Comparative Study
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

9426726

Citation

Siegel, S W., et al. "Pelvic Floor Electrical Stimulation for the Treatment of Urge and Mixed Urinary Incontinence in Women." Urology, vol. 50, no. 6, 1997, pp. 934-40.
Siegel SW, Richardson DA, Miller KL, et al. Pelvic floor electrical stimulation for the treatment of urge and mixed urinary incontinence in women. Urology. 1997;50(6):934-40.
Siegel, S. W., Richardson, D. A., Miller, K. L., Karram, M. M., Blackwood, N. B., Sand, P. K., Staskin, D. R., & Tuttle, J. P. (1997). Pelvic floor electrical stimulation for the treatment of urge and mixed urinary incontinence in women. Urology, 50(6), 934-40.
Siegel SW, et al. Pelvic Floor Electrical Stimulation for the Treatment of Urge and Mixed Urinary Incontinence in Women. Urology. 1997;50(6):934-40. PubMed PMID: 9426726.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pelvic floor electrical stimulation for the treatment of urge and mixed urinary incontinence in women. AU - Siegel,S W, AU - Richardson,D A, AU - Miller,K L, AU - Karram,M M, AU - Blackwood,N B, AU - Sand,P K, AU - Staskin,D R, AU - Tuttle,J P, PY - 1998/1/14/pubmed PY - 1998/1/14/medline PY - 1998/1/14/entrez SP - 934 EP - 40 JF - Urology JO - Urology VL - 50 IS - 6 N2 - OBJECTIVES: To determine the efficacy of daily or every-other-day electrical stimulation in treating detrusor instability (urge) or urge plus genuine stress (mixed) urinary incontinence in women. METHODS: A multicenter, prospective, nonrandomized study enrolled subjects with urge and mixed urinary incontinence assigned to daily or every-other-day treatments (15 minutes twice daily) using pelvic floor stimulation. Outcome measures assessed were (1) leakage episodes, nocturnal episodes, voiding frequency, total voids, and pad count, and (2) patient subjective assessment and quality of life. RESULTS: Seventy-two subjects were enrolled. Sixty-eight subjects completed the 20-week protocol: 33 treated daily and 35 treated every other day. The entire study group (n = 68) experienced a significant decrease in total leaks (P < 0.001), nocturnal episodes (P = 0.001), pad count (P = 0.002), and total voids (P = 0.003) and on visual analog scales. Sixty-nine percent (n = 46) of subjects with urge or mixed incontinence were cured or improved by at least 50%, with 28% (n = 19) being cured. There were no significant differences between daily and every-other-day users. Nonresponse was correlated with number of previous therapies (P < 0.001) and number of vaginal deliveries (P = 0.007). Overall, subjects were 93% compliant with device use, and 72% (n = 47) were satisfied with the therapy. CONCLUSIONS: Twenty weeks of pelvic floor electrical stimulation therapy is effective in treating urge and mixed urinary incontinence, regardless of daily or every-other-day treatments. SN - 0090-4295 UR - https://www.unboundmedicine.com/medline/citation/9426726/Pelvic_floor_electrical_stimulation_for_the_treatment_of_urge_and_mixed_urinary_incontinence_in_women_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090-4295(97)00484-6 DB - PRIME DP - Unbound Medicine ER -