Treatment of female urinary incontinence with EMG-controlled biofeedback home training.
The aim of the study was to evaluate the efficacy of pelvic floor training with EMG-controlled home biofeedback in the treatment of stress and mixed incontinence in women. Subjects were recruited from the urodynamic outpatient clinic and performed pelvic muscle training with an EMG-controlled biofeedback device for 20 minutes daily for 6 months. The number of pads used per day, the number of incontinence and urgency episodes, voiding frequency, maximum urethral closure pressure, functional urethral length and pressure/transmission ratio during stress were assessed before and after treatment. Thirty-three patients (13 with stress and 20 with mixed incontinence) completed the study. There was a significant decrease in the number of pads used per day, the number of incontinence and urgency episodes, and the voiding frequency. Twenty-eight patients (85%) reported that they were cured or improved. Urodynamic parameters did not change significantly. It was concluded that home pelvic floor training with EMG-controlled biofeedback is efficient in 85% of patients in alleviating the symptoms of genuine stress and mixed incontinence without causing side effects.
Hirsch
A
A
Ludwig-Maximilians-Universitaet, Muenchen, Germany.
Weirauch
G
G
Steimer
B
B
Bihler
K
K
Peschers
U
U
Bergauer
F
F
Leib
B
B
Dimpfl
T
T
D001676:Biofeedback, Psychology / Q000379:methods*; D004576:Electromyography; D005069:Evaluation Studies as Topic; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D017773:Pelvic Floor / Q000502:physiology*; D014549:Urinary Incontinence / Q000517:prevention & control* / Q000534:rehabilitation; D014550:Urinary Incontinence, Stress / Q000517:prevention & control / Q000534:rehabilitation; D014563:Urodynamics / Q000502:physiology