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Research Papers - Electrical Stimulation

Does electrical stimulation help incontinence?

All round improvement in incontinence levels, sexual function and quality of life. J Sex Med 2010. Feb 2. Sexual function and quality of life in women with urinary incontinence treated by a complete pelvic floor rehabilitation program (biofeedback, functional electrical stimulation, pelvic floor exercises and vaginal cones) Rivalta M and others.

Transvaginal pelvic floor electrical stimulation was found to be a safe and effective therapy for genuine stress incontinence. Am J Obstet Gynecol. 1995 Jul;173(1):72-9. Pelvic floor electrical stimulation in the treatment of genuine stress incontinence: a multicenter, placebo-controlled trial.Sand PK, Richardson DA, Staskin DR, Swift SE, Appell RA, Whitmore KE, Ostergard DR .

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. J Urol. 1996 Jan;155(1):127-30. Intravaginal stimulation randomized trial.Smith JJ 3rd.  

(Electrical stimulation) can be applied either as a weak long-term stimulation at home, as a short-term maximal stimulation in clinic, hospital or home treatment. Approximately 50%-75% of incontinent patients are either cured or improved and the adverse effects are sparse. Electrostimulation seems to be valuable in the treatment of incontinence . Ugeskr Laeger. 1994 Apr 11;156(15):2214-6.Electrostimulation of the pelvic floor muscles in urinary incontinence. Tjelum KB, Lose G, Abel I, Pedersen LM.

Transvaginal electrical stimulation's [..] benefit to women with mixed and urge incontinence is well established. Curr Opin Urol. 1998 Jul;8(4):279-82. Results of behavioral treatment for urinary incontinence in women.Gray M, Marx R.

TES was found to be a safe and effective therapy for selected patients affected by mild to moderate UI. J Sex Med. 2007 May;4(3):702-7. Epub 2006 Oct 11. Sexual function in women with urinary incontinence treated by pelvic floor transvaginal electrical stimulation.Giuseppe PG, Pace G, Vicentini C.

Electrical nerve stimulation is effective and safe for overactive bladder. Zhonghua Fu Chan Ke Za Zhi. 2004 Dec;39(12):801-3. A clinical study of pelvic floor electrical stimulation in treatment of overactive bladder Lin LS, Song YF, Song J, Chen MF.

Transvaginal electrical stimulation of the pelvic floor is an effective and safe treatment to women with SUI without sphincter deficiency, with significant reduction of the frequency of urinary leakage. Rev Assoc Med Bras. 2003 Oct-Dec;49(4):401-5. Epub 2004 Feb 4. Transvaginal electrical stimulation of the pelvic floor in the treatment of stress urinary incontinence: clinical and ultrasonographic assessment. Herrmann V, Potrick BA, Palma PC, Zanettini CL, Marques A, Netto Júnior NR.

ES had the greatest subjective reduction rate of OAB (overactive bladder) and was the most effective of the three treatments. BAPFMT (biofeedback assisted pelvic floor muscle training) was more effective than PFMT (pelvic floor muscle training). Urology. 2004 Jan;63(1):61-6. Single-blind, randomized trial of pelvic floor muscle training, biofeedback-assisted pelvic floor muscle training, and electrical stimulation in the management of overactive bladder. Wang AC, Wang YY, Chen MC.

Electrical stimulation resulted in a gradual decrease in the number of urinary leakage episodes and increase in maximum cystometric capacity in first desire to void and in urinary volume. Clin Exp Obstet Gynecol. 2003;30(4):220-2.Clinical and urodynamic evaluation of women with detrusor instability before and after functional pelvic floor electrostimulation. Arruda RM, Castro RA, Sartori MG, Takano CC, Baracat EC, Rodrigues de Lima G, Girão MJ.

Satisfactory results can be achieved with this method, especially with patients who are reluctant to undergo surgery because of personal or clinical problems . Int Urogynecol J Pelvic Floor Dysfunct. 2003 Aug;14(3):204-8; discussion 208. Epub 2003 Apr 23. Treatment of urinary stress incontinence by intravaginal electrical stimulation and pelvic floor physiotherapy.Amaro JL, Oliveira Gameiro MO , Padovani CR.

Cure rate was 45% in the active device group and 7.7% in the dummy device group. [..]Electrical stimulation is effective for the treatment of stress incontinence. J Urol. 1997 Dec;158(6):2127-31. Pelvic floor electrical stimulation in the treatment of stress incontinence: an investigational study and a placebo controlled double-blind trial.Yamanishi T, Yasuda K, Sakakibara R, Hattori T, Ito H, Murakami S.
 


How often and how long to overcome incontinence?

The number of incontinent leakage dropped to half around the 8th week, and on average, there was a tendency of the patients to be cured after the 12th week of treatment. At urodynamic studies we observed a significant increase in bladder capacity at the first desire to void and in the maximum cystometric capacity. Clin Exp Obstet Gynecol. 004; 31(4):274-8. Does electrical stimulation of the pelvic floor make any change in urodynamic parameters? When to expect a cure and improvement in women with stress urinary incontinence? Castro RA, Girão MJ, Arruda RM, Takano CC, Sartori MG, Martins SR, Baracat EC, Rodrigues de Lima G.

Twenty weeks of pelvic floor electrical stimulation therapy is effective in treating urge and mixed urinary incontinence, regardless of daily or every-other-day treatments. Urology. 1997 Dec;50(6):934-40. Pelvic floor electrical stimulation for the treatment of urge and mixed urinary incontinence in women. Siegel SW, Richardson DA, Miller KL, Karram MM, Blackwood NB, Sand PK, Staskin DR, Tuttle JP.

It was concluded that a minimum of 14 weeks of pelvic floor stimulation was necessary before significant objective improvements were seen. Body mass index and patient compliance may affect success .Int Urogynecol J Pelvic Floor Dysfunct. 1998;9(5):265-70.Pelvic floor electrical stimulation for genuine stress incontinence: who will benefit and when? Miller K, Richardson DA, Siegel SW, Karram MM, Blackwood NB, Sand PK.

Both daily and every-other-day therapy with pelvic floor electrical stimulation are effective in treating genuine stress incontinence. Subjects who continue device use maintain a higher curve or improvement rate. Urology. 1996 Jul;48(1): 110-8. Pelvic floor electrical stimulation: a comparison of daily and every-other-day therapy for genuine stress incontinence. Richardson DA, Miller KL, Siegel SW, Karram MM, Blackwood NB , Staskin DR .
 


Is electrical stimulation useful for postnatal pelvic floor muscle strengthening?

This study suggested that the pelvic floor muscle exercise using biofeedback and electrical stimulation might be a safer and more effective program for reinforcing pelvic floor muscle after normal delivery. Taehan Kanho Hakhoe Chi. 2006 Dec;36(8):1374-80. Pelvic floor muscle exercise by biofeedback and electrical stimulation to reinforce the pelvic floor muscle after normal delivery.Lee IS, Choi ES.

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