Pelvic floor rehabilitation in the treatment of mixed urinary incontinence among women
Abstract Background Mixed urinary incontinence (MUI) is a common underreported problem among females; it has a major effect on patients’ quality of life. Treatment may be difficult since a single modality cannot be enough to alleviate both the urge and the stress symptoms. Biofeedback-assisted pelvi...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2021-12-01
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| Series: | Egyptian Rheumatology and Rehabilitation |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43166-021-00087-w |
| _version_ | 1819037142189342720 |
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| author | Nehad Mohamed Elshatby Mohamed Hassan Imam Mohamed Shafik Shoukry Marwa Mohamed Hassan Emmanuel Kamal Aziz Saba |
| author_facet | Nehad Mohamed Elshatby Mohamed Hassan Imam Mohamed Shafik Shoukry Marwa Mohamed Hassan Emmanuel Kamal Aziz Saba |
| author_sort | Nehad Mohamed Elshatby |
| collection | DOAJ |
| description | Abstract Background Mixed urinary incontinence (MUI) is a common underreported problem among females; it has a major effect on patients’ quality of life. Treatment may be difficult since a single modality cannot be enough to alleviate both the urge and the stress symptoms. Biofeedback-assisted pelvic floor muscle training (PFMT) has a great role in strengthening the pelvic floor muscles especially when accompanied by electrical stimulation. Neuromodulation is another safe well-tolerated method that may improve symptoms of female voiding dysfunction. There are no previous studies that assessed the efficacy of biofeedback-assisted pelvic floor muscle training versus two different types of peripheral neuromodulation which are transcutaneous posterior tibial nerve stimulation (TPTNS) and anogenital neuromodulation in the treatment of mixed urinary incontinence among women. The aim of this work is to study the effectiveness of biofeedback-assisted pelvic floor muscle training with electrostimulation versus two different methods of peripheral neuromodulation techniques in the treatment of women with MUI. Patients were subjected to history taking, assessment questionnaires (Questionnaire for female Urinary Incontinence Diagnosis (QUID), Australian Pelvic Floor Questionnaire (PFQ), and International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form (ICIQ-UI-SF)), clinical examination, and manometric pressure assessment. The patients were allocated randomly into three groups. Group I received biofeedback-assisted pelvic floor muscle training and faradic electrical stimulation, group II received posterior tibial neuromodulation, and group III received anogenital neuromodulation. Results The present study included 68 non-virgin female patients with mixed urinary incontinence. Significant improvement was noticed in the three studied groups on the subjective and objective levels. No statistically significant difference was reported between the studied groups following the different types of intervention. Conclusions Biofeedback-assisted pelvic floor muscle training with electrostimulation is as effective as anogenital neuromodulation and posterior tibial neuromodulation in the treatment of mixed urinary incontinence among females. Trial registration PACTR, PACTR202107816829078 . Registered 29 July 2021 - Retrospectively registered. |
| first_indexed | 2024-12-21T08:16:43Z |
| format | Article |
| id | doaj.art-49eb5b8cdc9d41498a7683b7798fa85b |
| institution | Directory Open Access Journal |
| issn | 1110-161X 2090-3235 |
| language | English |
| last_indexed | 2024-12-21T08:16:43Z |
| publishDate | 2021-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Egyptian Rheumatology and Rehabilitation |
| spelling | doaj.art-49eb5b8cdc9d41498a7683b7798fa85b2022-12-21T19:10:32ZengSpringerOpenEgyptian Rheumatology and Rehabilitation1110-161X2090-32352021-12-0148111310.1186/s43166-021-00087-wPelvic floor rehabilitation in the treatment of mixed urinary incontinence among womenNehad Mohamed Elshatby0Mohamed Hassan Imam1Mohamed Shafik Shoukry2Marwa Mohamed Hassan3Emmanuel Kamal Aziz Saba4Present address: Faculty of Medicine, Department of Physical Medicine, Rheumatology and Rehabilitation, Alexandria UniversityPresent address: Faculty of Medicine, Department of Physical Medicine, Rheumatology and Rehabilitation, Alexandria UniversityDepartment of Genitourinary Surgery, Alexandria UniversityPresent address: Faculty of Medicine, Department of Physical Medicine, Rheumatology and Rehabilitation, Alexandria UniversityPresent address: Faculty of Medicine, Department of Physical Medicine, Rheumatology and Rehabilitation, Alexandria UniversityAbstract Background Mixed urinary incontinence (MUI) is a common underreported problem among females; it has a major effect on patients’ quality of life. Treatment may be difficult since a single modality cannot be enough to alleviate both the urge and the stress symptoms. Biofeedback-assisted pelvic floor muscle training (PFMT) has a great role in strengthening the pelvic floor muscles especially when accompanied by electrical stimulation. Neuromodulation is another safe well-tolerated method that may improve symptoms of female voiding dysfunction. There are no previous studies that assessed the efficacy of biofeedback-assisted pelvic floor muscle training versus two different types of peripheral neuromodulation which are transcutaneous posterior tibial nerve stimulation (TPTNS) and anogenital neuromodulation in the treatment of mixed urinary incontinence among women. The aim of this work is to study the effectiveness of biofeedback-assisted pelvic floor muscle training with electrostimulation versus two different methods of peripheral neuromodulation techniques in the treatment of women with MUI. Patients were subjected to history taking, assessment questionnaires (Questionnaire for female Urinary Incontinence Diagnosis (QUID), Australian Pelvic Floor Questionnaire (PFQ), and International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form (ICIQ-UI-SF)), clinical examination, and manometric pressure assessment. The patients were allocated randomly into three groups. Group I received biofeedback-assisted pelvic floor muscle training and faradic electrical stimulation, group II received posterior tibial neuromodulation, and group III received anogenital neuromodulation. Results The present study included 68 non-virgin female patients with mixed urinary incontinence. Significant improvement was noticed in the three studied groups on the subjective and objective levels. No statistically significant difference was reported between the studied groups following the different types of intervention. Conclusions Biofeedback-assisted pelvic floor muscle training with electrostimulation is as effective as anogenital neuromodulation and posterior tibial neuromodulation in the treatment of mixed urinary incontinence among females. Trial registration PACTR, PACTR202107816829078 . Registered 29 July 2021 - Retrospectively registered.https://doi.org/10.1186/s43166-021-00087-wMixed urinary incontinenceBiofeedbackNeuromodulationPelvic floor muscle trainingRehabilitation |
| spellingShingle | Nehad Mohamed Elshatby Mohamed Hassan Imam Mohamed Shafik Shoukry Marwa Mohamed Hassan Emmanuel Kamal Aziz Saba Pelvic floor rehabilitation in the treatment of mixed urinary incontinence among women Egyptian Rheumatology and Rehabilitation Mixed urinary incontinence Biofeedback Neuromodulation Pelvic floor muscle training Rehabilitation |
| title | Pelvic floor rehabilitation in the treatment of mixed urinary incontinence among women |
| title_full | Pelvic floor rehabilitation in the treatment of mixed urinary incontinence among women |
| title_fullStr | Pelvic floor rehabilitation in the treatment of mixed urinary incontinence among women |
| title_full_unstemmed | Pelvic floor rehabilitation in the treatment of mixed urinary incontinence among women |
| title_short | Pelvic floor rehabilitation in the treatment of mixed urinary incontinence among women |
| title_sort | pelvic floor rehabilitation in the treatment of mixed urinary incontinence among women |
| topic | Mixed urinary incontinence Biofeedback Neuromodulation Pelvic floor muscle training Rehabilitation |
| url | https://doi.org/10.1186/s43166-021-00087-w |
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