Therapeutic efficacy of biofeedback pelvic floor muscle exercise in women with dysfunctional voiding

Abstract Dysfunctional voiding (DV), a voiding dysfunction due to hyperactivity of the external urethral sphincter or pelvic floor muscles leading involuntary intermittent contractions during voiding, is not uncommon in neurologically normal women with lower urinary tract symptoms (LUTS). We aimed t...

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Autores principales:	Ching-Hsiang Chiang, Yuan-Hong Jiang, Hann-Chorng Kuo
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/444e92e4836f4cfc8a138fb7e3985d60
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spelling	oai:doaj.org-article:444e92e4836f4cfc8a138fb7e3985d602021-12-02T18:18:33ZTherapeutic efficacy of biofeedback pelvic floor muscle exercise in women with dysfunctional voiding10.1038/s41598-021-93283-92045-2322https://doaj.org/article/444e92e4836f4cfc8a138fb7e3985d602021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-93283-9https://doaj.org/toc/2045-2322Abstract Dysfunctional voiding (DV), a voiding dysfunction due to hyperactivity of the external urethral sphincter or pelvic floor muscles leading involuntary intermittent contractions during voiding, is not uncommon in neurologically normal women with lower urinary tract symptoms (LUTS). We aimed to investigate the therapeutic efficacy of biofeedback pelvic floor muscle training (PFMT) in female patients with DV and to identify the therapeutic efficacy. Thirty-one patients diagnosed with DV. All participates completed the 3-month biofeedback PFMT program, which was conducted by one experienced physiotherapist. At 3 months after treatment, the assessment of treatment outcomes included global response assessment (GRA), and the changes of clinical symptoms, quality of life index, and uroflowmetry parameters. 25 (80.6%) patients had successful outcomes (GRA ≥ 2), and clinical symptoms and quality of life index significantly improved after PFMT. Additionally, uroflowmetry parameters including maximum flow rate, voided volume, voiding efficiency, total bladder capacity, voiding time, and time to maximum flow rate significantly improved after PFMT treatment. Patients with the history of recurrent urinary tract infection in recent 1 year were found to have unsatisfied therapeutic outcomes. In conclusion, biofeedback PFMT is effective in female patients with DV with significant improvements in clinical symptoms, quality of life, and uroflowmetry parameters. The history of urinary tract infection in recent 1 year is a negative predictor of successful outcome.Ching-Hsiang ChiangYuan-Hong JiangHann-Chorng KuoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ching-Hsiang Chiang Yuan-Hong Jiang Hann-Chorng Kuo Therapeutic efficacy of biofeedback pelvic floor muscle exercise in women with dysfunctional voiding
description	Abstract Dysfunctional voiding (DV), a voiding dysfunction due to hyperactivity of the external urethral sphincter or pelvic floor muscles leading involuntary intermittent contractions during voiding, is not uncommon in neurologically normal women with lower urinary tract symptoms (LUTS). We aimed to investigate the therapeutic efficacy of biofeedback pelvic floor muscle training (PFMT) in female patients with DV and to identify the therapeutic efficacy. Thirty-one patients diagnosed with DV. All participates completed the 3-month biofeedback PFMT program, which was conducted by one experienced physiotherapist. At 3 months after treatment, the assessment of treatment outcomes included global response assessment (GRA), and the changes of clinical symptoms, quality of life index, and uroflowmetry parameters. 25 (80.6%) patients had successful outcomes (GRA ≥ 2), and clinical symptoms and quality of life index significantly improved after PFMT. Additionally, uroflowmetry parameters including maximum flow rate, voided volume, voiding efficiency, total bladder capacity, voiding time, and time to maximum flow rate significantly improved after PFMT treatment. Patients with the history of recurrent urinary tract infection in recent 1 year were found to have unsatisfied therapeutic outcomes. In conclusion, biofeedback PFMT is effective in female patients with DV with significant improvements in clinical symptoms, quality of life, and uroflowmetry parameters. The history of urinary tract infection in recent 1 year is a negative predictor of successful outcome.
format	article
author	Ching-Hsiang Chiang Yuan-Hong Jiang Hann-Chorng Kuo
author_facet	Ching-Hsiang Chiang Yuan-Hong Jiang Hann-Chorng Kuo
author_sort	Ching-Hsiang Chiang
title	Therapeutic efficacy of biofeedback pelvic floor muscle exercise in women with dysfunctional voiding
title_short	Therapeutic efficacy of biofeedback pelvic floor muscle exercise in women with dysfunctional voiding
title_full	Therapeutic efficacy of biofeedback pelvic floor muscle exercise in women with dysfunctional voiding
title_fullStr	Therapeutic efficacy of biofeedback pelvic floor muscle exercise in women with dysfunctional voiding
title_full_unstemmed	Therapeutic efficacy of biofeedback pelvic floor muscle exercise in women with dysfunctional voiding
title_sort	therapeutic efficacy of biofeedback pelvic floor muscle exercise in women with dysfunctional voiding
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/444e92e4836f4cfc8a138fb7e3985d60
work_keys_str_mv	AT chinghsiangchiang therapeuticefficacyofbiofeedbackpelvicfloormuscleexerciseinwomenwithdysfunctionalvoiding AT yuanhongjiang therapeuticefficacyofbiofeedbackpelvicfloormuscleexerciseinwomenwithdysfunctionalvoiding AT hannchorngkuo therapeuticefficacyofbiofeedbackpelvicfloormuscleexerciseinwomenwithdysfunctionalvoiding
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Therapeutic efficacy of biofeedback pelvic floor muscle exercise in women with dysfunctional voiding

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