Intravaginal stimulation randomized trial.
OBJECTIVE
The effectiveness of intravaginal electrical stimulation was compared to standard therapy in the treatment of genuine stress urinary incontinence and detrusor instability.


METHODS
A total of 57 women with urinary incontinence was evaluated with video urodynamics and voiding diaries before and after treatment. Of the women 18 with stress urinary incontinence were randomized to electrical stimulation or Kegel exercise and 38 with detrusor instability were randomized to anticholinergic therapy or electrical stimulation.


RESULTS
Of patients using electrical stimulation in the stress urinary incontinence group 66% improved and 72% of the patients with detrusor instability treated with electrical stimulation improved. These rates were not statistically significant when compared to traditional therapy.


CONCLUSIONS
Electrical stimulation is safe and at least as effective as properly performed Kegel and anticholinergic therapy in the treatment of stress urinary incontinence and detrusor instability.
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004599:Electric Stimulation Therapy / Q000295:instrumentation; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D010276:Parasympatholytics / Q000627:therapeutic use; D017773:Pelvic Floor; D011413:Propantheline / Q000627:therapeutic use; D001743:Urinary Bladder / Q000503:physiopathology; D014549:Urinary Incontinence / Q000534:rehabilitation / Q000628:therapy*; D014550:Urinary Incontinence, Stress / Q000534:rehabilitation / Q000628:therapy*; D014563:Urodynamics / Q000502:physiology; D014621:Vagina
D010276:Parasympatholytics; D011413:Propantheline