Pelvic floor electrical stimulation for the treatment of urge and mixed urinary incontinence in women

Siegel, Steven; Richardson, Diane; Miller, Karen; Karram, Mickey M.; Blackwood, Nicole B.; Sand, Peter K.; Staskin, David R.; Tuttle, John P.

doi:10.1016/s0090-4295(97)00484-6

Cited by 46 publications

(21 citation statements)

References 14 publications

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“…Reduction of frequency, urinary incontinence and number of pads used also occurred, besides the improvement in urodynamic data. Such reductions and improvements were also found in other studies (4,12,13,20,23,31,33,34). Brubacker (24) reports that "There is good evidence that the use of vaginal electrical stimulators can reduce the occurrence of symptoms of overactive bladder in about half of the patients treated".…”

Section: Discussionsupporting

confidence: 83%

“…When confronted with other forms of treatment such as medication (27,28,29) or pelvic loor exercises (14,28,30), electrical stimulation showed similar ef icacy (P ≤ 0.05) results which were also supported by other studies (9,13,33,34,35,36). Reduction of frequency, urinary incontinence and number of pads used also occurred, besides the improvement in urodynamic data.…”

Section: Discussionsupporting

confidence: 72%

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Intracavitary electrical stimulation as treatment for overactive bladder: systematic review

Rodrigues

Silva

2016

Fisioter. mov.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionsupporting

confidence: 72%

Intracavitary electrical stimulation as treatment for overactive bladder: systematic review

Rodrigues

Silva

2016

Fisioter. mov.

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“…Electrical stimulation has been used by some investigators with success [56][57][58][59] . Peripheral electrical stimulation is thought to act through a mechanism involving reflex inhibition of motor output to the bladder and by activating inhibitory sympathetic fibers.…”

Section: Peripheral Electrical Stimulationmentioning

confidence: 99%

“…Reported results have been mostly in patients with urgency incontinence, since incontinence episodes are generally associated with involuntary bladder contractions (a measurable parameter) and since incontinence episodes themselves are relatively easy to quantitate. Vaginal, anal, and lower extremity electrodes have produced "cure" rates of as high as 20% and improvement rates as high as 50% to 60% [56][57][58][59] . Duration of therapy, duration and intensity of stimulus, ideal delivery modality, and other parameters are not standardized and vary considerably between institutions.…”

Section: Peripheral Electrical Stimulationmentioning

confidence: 99%

Evaluation and treatment of the overactive bladder

Gomes¹,

Trigo-Rocha²,

Arap³

et al. 2002

Rev. Hosp. Clin.

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The overactive bladder is characterized by symptoms of frequency, urgency, and urge incontinence, substantially affecting the quality of life of millions of people throughout the world. The symptoms are associated with significant social, psychological, occupational, domestic, physical, and sexual problems. Despite the considerable impact of this condition on quality of life, sufferers are often unwilling to discuss their problem with family members or health care professionals. This situation is unfortunate, for much can be done to alleviate the symptoms of this distressing condition. It is therefore of utmost importance that medical education about symptoms of the overactive bladder and other related problems be improved to help health care professionals identify and treat patients who will benefit from therapy. This article reviews current thinking regarding definition, epidemiology, quality of life effects, evaluation, and management of the overactive bladder.

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“…2 There are a variety of treatments for USI, including physiotherapy, electrical stimulation, and continence surgery. 3 DO is characterized by involuntary detrusor contractions during the filling phase and is associated with urgency or incontinence. Urge urinary incontinence is the complaint of involuntary leakage accompanied by or immediately preceded by urgency.…”

Section: Introductionmentioning

confidence: 99%

Mixed incontinence: Current evidence and future perspectives

Khullar¹,

Cardozo²,

Dmochowski³

2010

Neurourology and Urodynamics

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The epidemiology and treatment of mixed incontinence has received relatively little attention. However, mixed incontinence--defined as the combination of stress and urge incontinence accounts for approximately 33% of all cases of incontinence in women. The condition often responds poorly to treatment, either pharmacologic or surgical. Potential pharmacologic approaches for mixed incontinence include antimuscarinic agents, estrogen replacement therapy (for postmenopausal women), and dopamine, serotonin, or norepinephrine reuptake inhibitors. In a large-scale, multinational, placebo-controlled, clinical trial, the antimuscarinic agent tolterodine significantly reduced incontinence episodes in women with mixed symptoms. The benefits of tolterodine continued to increase during the 8 weeks of the trial and extended to additional end points, including frequency, urgency, and urge incontinence. A limited number of studies have examined the use of estrogen for mixed incontinence and have produced conflicting results. Duloxetine oxalate, a combined serotonin/norepinephrine reuptake inhibitor, has shown great promise in animal studies, as well as in phase 2 and 3 clinical trials. This agent is the first to demonstrate efficacy as a sole therapy for stress incontinence and has exhibited favorable effects on bladder capacity, suggesting possible benefits in mixed incontinence. Only five studies (two of which were conducted during the 1980s) have specifically examined the use of surgery for the treatment of mixed incontinence; the cure rates reported have varied. The current body of information supports use of an antimuscarinic agent as initial therapy for mixed incontinence, although long-term trials are needed to shed more light on the duration of benefit.

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Pelvic floor electrical stimulation for the treatment of urge and mixed urinary incontinence in women

Cited by 46 publications

References 14 publications

Intracavitary electrical stimulation as treatment for overactive bladder: systematic review

Intracavitary electrical stimulation as treatment for overactive bladder: systematic review

Evaluation and treatment of the overactive bladder

Mixed incontinence: Current evidence and future perspectives

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