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February 28-March 01, 2019 | Paris, France
Palliative Care, Obstetrics and Gynecology
Stroke and Clinical Trials
International Conference on
Joint Event on
International Conference on
&
Journal of Research and Reports in Gynecology and Obstetrics | Volume: 3
Effects of transvaginal electrical pelvic floor muscle stimulation in women with stress urinary
incontinence
Ji-Hyun Kim, Hye-Seon Jeon, Oh-Yun Kwon, Eun-Young Park, Ui-Jae Hwang, Gyeong-Tae Gwak
and
Hyeo-Bin Yoon
Yonsei University, South Korea
S
tress urinary incontinence (SUI) a common women health
problem is an involuntary leakage of urine while sneezing,
coughing or physical exertion caused by insufficient strength
of the pelvic floor and sphincter muscles. Pelvic floor electrical
stimulation (PFES) have been applied to improve the symptoms
of thepeoplewithSUI. PFESactivates afferent fibers of pudendal
nerve and induces contractions of the pelvic floor muscles
(PFM) such as striated periurethral muscles and striated PFM.
The purpose of this study was to determine if the 8-week PFES
would be effective to improve the symptoms and satisfaction
of the females with SUI. Easy-K, specially designed PFES for the
people with SUI, was used in this study. They have used the
stimulator once a day for 20 minutes for each session at home.
Outcome data was collected at the baseline, 4 weeks and 8
weeks after the intervention. Intravaginal sonography was used
to measure the bladder neck angle, bladder neck movement,
funneling index, thickness of an anterior rhabdosphincter and a
posterior rhabdosphincter, urethral length, and urethral width.
Leavator ani muscle (LAM) contraction strength was assessed
by manual palpation. In addition, incontinence quality of life
(IQOL) and female sexual function index (FSFI) questionnaires
were used to obtain subjective information. The bladder neck
angle, funneling index and urethral width were significantly
decreased after intervention (p<.05). LAM contraction score,
urethral length and anterior and posterior rhabdosphicter
thickness were increased by the intervention (p<.05). However,
no significant changewas found in the bladder neckmovement.
Although total score of the IQOL did not improve, the score of
the ‘avoidance’ subscale of IQOL had significant improved and
FSFI had statistical difference in FSFI total score and ‘desire’
subscale (p<.05). In conclusion, 8-week use of a PFES improved
mechanical structures of the PFM as well as IQOL and conjugal
relationship.
e:
Kimjihyun012@naver.comRes Rep Gynaecol Obstet, Volume 3
DOI: 10.4066/2591-7366-C1-003