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...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Nehad Mohamed Elshatby, Mohamed Hassan Imam, Mohamed Shafik Shoukry, Marwa Mohamed Hassan, Emmanuel Kamal Aziz Saba
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Mixed urinary incontinence Biofeedback Neuromodulation Pelvic floor muscle training Rehabilitation Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/49eb5b8cdc9d41498a7683b7798fa85b
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:49eb5b8cdc9d41498a7683b7798fa85b
record_format	dspace
spelling	oai:doaj.org-article:49eb5b8cdc9d41498a7683b7798fa85b2021-12-05T12:07:54ZPelvic floor rehabilitation in the treatment of mixed urinary incontinence among women10.1186/s43166-021-00087-w1110-161X2090-3235https://doaj.org/article/49eb5b8cdc9d41498a7683b7798fa85b2021-12-01T00:00:00Zhttps://doi.org/10.1186/s43166-021-00087-whttps://doaj.org/toc/1110-161Xhttps://doaj.org/toc/2090-3235Abstract 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.Nehad Mohamed ElshatbyMohamed Hassan ImamMohamed Shafik ShoukryMarwa Mohamed HassanEmmanuel Kamal Aziz SabaSpringerOpenarticleMixed urinary incontinenceBiofeedbackNeuromodulationPelvic floor muscle trainingRehabilitationDiseases of the musculoskeletal systemRC925-935ENEgyptian Rheumatology and Rehabilitation, Vol 48, Iss 1, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Mixed urinary incontinence Biofeedback Neuromodulation Pelvic floor muscle training Rehabilitation Diseases of the musculoskeletal system RC925-935
spellingShingle	Mixed urinary incontinence Biofeedback Neuromodulation Pelvic floor muscle training Rehabilitation Diseases of the musculoskeletal system RC925-935 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
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.
format	article
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
title	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_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_sort	pelvic floor rehabilitation in the treatment of mixed urinary incontinence among women
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/49eb5b8cdc9d41498a7683b7798fa85b
work_keys_str_mv	AT nehadmohamedelshatby pelvicfloorrehabilitationinthetreatmentofmixedurinaryincontinenceamongwomen AT mohamedhassanimam pelvicfloorrehabilitationinthetreatmentofmixedurinaryincontinenceamongwomen AT mohamedshafikshoukry pelvicfloorrehabilitationinthetreatmentofmixedurinaryincontinenceamongwomen AT marwamohamedhassan pelvicfloorrehabilitationinthetreatmentofmixedurinaryincontinenceamongwomen AT emmanuelkamalazizsaba pelvicfloorrehabilitationinthetreatmentofmixedurinaryincontinenceamongwomen
_version_	1718372188934897664

Pelvic floor rehabilitation in the treatment of mixed urinary incontinence among women

Ejemplares similares