Effect of anal electrostimulation with the 'Incontan' device in women with urinary incontinence.
An integrated, automatic electrical stimulator has been developed to treat urinary incontinence. A group of 121 women with either stress-, motor urge- or mixed incontinence was selected for treatment, but 23 discontinued the treatment within 3 months and were excluded from the study. In the study group of 98 women, anal stimulation was applied for an average of 9 months (range 3-36 months). Between 9 and 36 months after the treatment was completed, 91% were either continent or had improved significantly, but in 9% the stimulation had no effect. Significant improvement occurred on clinical and urodynamic testing. There were no serious side-effects. Intra-anal electrostimulation therapy provides an alternative to surgery in patients with stress incontinence, and could be the first choice of treatment in women with combined stress and motor urge incontinence.
D000328:Adult; D000368:Aged; D001003:Anal Canal; D004599:Electric Stimulation Therapy / Q000009:adverse effects / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009126:Muscle Relaxation; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000628:therapy*; D014551:Urinary Tract / Q000503:physiopathology; D014554:Urination; D014563:Urodynamics