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Randomized Controlled Trial
. 2014 Apr;12(2):168-74.
doi: 10.1590/s1679-45082014ao2866.

Long-term results of a clinical trial comparing isolated vaginal stimulation with combined treatment for women with stress incontinence

[Article in English, Portuguese]
Maria Cláudia Bicudo Fürst  1 , Rafaela Rosalba de Mendonça  1 , Alexandre Oliveira Rodrigues  1 , Leandro Luongo de Matos  1 , Antônio Carlos Lima Pompeo  1 , Carlos Alberto Bezerra  1
Affiliations
Randomized Controlled Trial

Long-term results of a clinical trial comparing isolated vaginal stimulation with combined treatment for women with stress incontinence

[Article in English, Portuguese]
Maria Cláudia Bicudo Fürst et al. Einstein (Sao Paulo). 2014 Apr.

Abstract
in English, Portuguese

Objective: To determine the efficacy of stress urinary incontinence treatments adding pelvic floor muscle training to vaginal electrical stimulation.

Methods: Forty-eight women with stress urinary incontinence were randomized into 2 groups: 24 underwent isolated vaginal electrical stimulation, and 24 vaginal electrical stimulation plus pelvic floor muscle training. History, physical examination, voiding diary, perineum strength test, and urodynamic study were assessed. Comparisons were made for adherence to treatment, muscle strength improvement, urinary symptoms, and degree of satisfaction immediately, 12 and 96 months after treatment.

Results: Patients' degree of satisfaction on vaginal electrical stimulation, and on vaginal electrical stimulation plus pelvic floor muscle training immediately, 12 and 96 months post treatment, were, respectively: 88.2% versus 88.9% 64.7% versus 61.1% and 42.9% versus 28.6% (p>0.05).

Conclusion: Vaginal electrical stimulation associated to pelvic floor muscle training did not show better results than vaginal electrical stimulation alone.

Objetivo: Determinar a eficácia da eletroestimulação vaginal combinada com treinamento muscular do assoalho pélvico para o tratamento da incontinência urinária de esforço.

Métodos: Um total de 48 mulheres com incontinência urinária de esforço foi randomizado em 2 grupos, sendo 24 submetidas a eletroestimulação vaginal isolada e 24 a eletroestimulação vaginal e treinamento muscular do assoalho pélvico. Foram avaliados anamnese, exame físico, diário miccional, força perineal e urodinâmica. Compararam-se a adesão ao tratamento, a melhora da força muscular perineal e dos sintomas urinários, e o grau de satisfação imediatamente, 12 e 96 meses após o tratamento.

Resultados: O grau de satisfação das pacientes no grupo da eletroestimulação isolada e do segundo grupo, imediatamente, com 12 e com 96 meses foi, respectivamente, 88,2% versus 88,9% 64,7% versus 61,1% e 42,9% versus 28,6% (p>0,05).

Conclusão: A eletroestimulação vaginal associada ao treinamento muscular do assoalho pélvico não foi mais eficaz do que a eletroestimulação isolada.

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Conflict of interest statement

Conflict of interest: none.

Figures

Figure 1
Figure 1. Follow-up assignment
VES: vaginal electrical stimulation; PFMT: pelvic floor muscle training.
Figure 2
Figure 2. Voiding dairy
VES: vaginal electrical stimulation; PFMT: pelvic floor muscle training; 95%CI: 95% confidence interval.
Figure 3
Figure 3. Satisfaction levels over all follow-up periods
VES: vaginal electrical stimulation; PFMT: pelvic floor muscle training.
See this image and copyright information in PMC

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