Electrostimulation and PFMT for Stress Urinary Incontinence
Condition: Urinary Incontinence, Stress
MeSH terms: Urinary Incontinence; Enuresis; Urinary Incontinence, Stress
Study type: Interventional

Summary: 
      The goal of this randomized controlled trial is to evaluate and compare the effects of
      electrostimulation in addition to pelvic floor muscle training and pelvic floor muscle
      training alone on pelvic floor muscle (PFM) function, urinary incontinence and quality of
      life in women with stress urinary incontinence. The main questions are:

      What is the effect of electrostimulation combined with pelvic floor muscle training on pelvic
      floor muscle function, symptoms of urinary incontinence and quality of life in women with
      stress urinary incontinence? What is the effect of pelvic floor muscle training program on
      pelvic floor muscle function, symptoms of urinary incontinence and quality of life in women
      with stress urinary incontinence? Which intervention is more effective - electrostimulation
      with pelvic floor muscle training or pelvic floor muscle training alone?

      Participants will be evaluated before and after the interventions with the following methods:

      International Incontinence Counseling Questionnaire - Short Form (ICIQ-SF) Pelvic floor
      muscle strength and endurance will be assessed with a "Pelvexiser" perineometer.
    

Detailed description: 
      The study involved 24 women 20-49 years old who have complained of stress urinary
      incontinence for at least 4 weeks, who gave at least one birth vaginally and signed the
      consent form. Subjects were excluded if they were pregnant, were diagnosed with vaginismus,
      urinary tract infections, cancer, epilepsy, pelvic organ prolapse greater than stage I, skin
      diseases, had undergone previous pelvic floor surgeries, had heart stimulator, or metal
      implant and were unable to contract the PFM. Study participants were randomly divided into
      two groups: the I group (n=12), in which participants underwent pelvic floor muscle training
      (PFMT) and the II group (n=12) in which subjects received pelvic floor muscle exercises
      combined with electrostimulation (PFMES).Participants were evaluated before the interventions
      and repeated after 4 weeks. Before and after the interventions, women's quality of life (QoL)
      was assessed according to the International Incontinence Counseling Questionnaire - Short
      Form. Perineometry with Pelvexiser perineometer was used to measure pelvic floor muscle
      strength and endurance and vaginal resting pressure. Statistical analysis was performed by
      IBM SPSS Statistics 26.0 and Microsoft Excel software 365.
    

Intervention name(s): Pelvic floor muscle exercises
Intervention type(s): Procedure
Intervention description(s): Pelvic floor muscle exercises were performed from different body positions. Duration of interventions - 4 weeks. Frequency - 2 times per week, number of individual contact sessions - 8 .
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: This study is a four week, single blinded randomized controlled trial with pre-post design comparing PFM training group with PFM electrostimulation
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: stress incontinence; pelvic floor; electrostimulation; muscle training