Efficacy of Biofeedback-Assisted Pelvic Floor Muscle Training on Postoperative Stress Urinary Incontinence
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Efficacy of Biofeedback-Assisted Pelvic Floor Muscle Training on Postoperative Stress Urinary Incontinence

Authors: Asmaa M. El-Bandrawy, Afaf M. Botla, Ghada E. El-Refaye, Hassan O. Ghareeb


Background: Urinary incontinence is a common problem among adults. Its incidence increases with age and it is more frequent in women. Pelvic floor muscle training (PFMT) is the first-line therapy in the treatment of pelvic floor dysfunction (PFD) either alone or combined with biofeedback-assisted PFMT. The aim of the work: The purpose of this study is to evaluate the efficacy of biofeedback-assisted PFMT in postoperative stress urinary incontinence. Settings and Design: A single blind controlled trial design was. Methods and Material: This study was carried out in 30 volunteer patients diagnosed as severe degree of stress urinary incontinence and they were admitted to surgical treatment. They were divided randomly into two equal groups: (Group A) consisted of 15 patients who had been treated with post-operative biofeedback-assisted PFMT and home exercise program (Group B) consisted of 15 patients who had been treated with home exercise program only. Assessment of all patients in both groups (A) and (B) was carried out before and after the treatment program by measuring intra-vaginal pressure in addition to the visual analog scale. Results: At the end of the treatment program, there was a highly statistically significant difference between group (A) and group (B) in the intra-vaginal pressure and the visual analog scale favoring the group (A). Conclusion: biofeedback-assisted PFMT is an effective method for the symptomatic relief of post-operative female stress urinary incontinence.

Keywords: Stress urinary incontinence, pelvic floor muscles, pelvic floor exercises, biofeedback.

Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1124847

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[1] Ibrahim K, Abdel Hameed M, Taher M, Shaheen M. , Elsawy S. Efficacy of biofeedback-assisted pelvic floor muscle training in females with pelvic floor dysfunction. Alexandria Journal of Medicine. 2015; 51: 137-42.
[2] Bø K. Urinary incontinence, pelvic floor dysfunction, exercise and sport. Sports Med. 2004; 34(7):451-64.
[3] Hannestad YS, Rortveit G, Daltveit AK, Hunskaar S. Are smoking and other lifestyle factors associated with female urinary incontinence? The Norwegian EPINCONT study. Int J Obstet Gynaecol. 2003; 110:247-54.
[4] Minassian VA, Drutz HP, Al-Badr A. Urinary incontinence as a worldwide problem. Int J Gynaecol Obstet.2003; 82:327-38.
[5] Simeonova Z, Milson I, Kullendorf AM, Molander U,Bengetss, C. The prevalence of urinary incontinence and its influence on the quality of life in women from urban Swedish population. Acta Obstet Gynecol Scand. 1999; 78:546-51.
[6] Hannestad YS, Rortveit G, Sandvik H, Hunskaar S. Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trondelag. A community-based epidemiological survey of female urinary incontinence: The Norwegian EPINCONT study. Epidemiology of incontinence in the county of Nord-trondelag. J Clin Epidemiol. 2000;53(11):1150–7.
[7] Neumann P., Gill V. Pelvic floor and abdominal muscle interaction: EMG activity and intra-abdominal pressure. Int Urogynecol J Pelvic Floor Dysfunct. 2002; 13: 125–32.
[8] Peschers U, Vodusek D, Fanger G, Schaer G, Delancey J, Schussler B. Pelvic muscle activity in nulliparous volunteers. Neurourol Urodyn 2001; 20:269–75.
[9] National Institute for Health Clinical Excellence. Urinary incontinence: the management of urinary incontinence in women. Clinical guideline 40. London: NICE; 2006.
[10] Filho A, Fonseca A, Camillato E., Cangussu R. Analysis of the resources for rehabilitation of pelvic floor muscles in women with prolapse and urinary incontinence. Fisioter. Pesqui. 2013; 20: 90-96.
[11] Herderschee R, Hay-Smith J, Herbison P, Roovers P. and Heineman J. Feedback or biofeedback to augment pelvic floor muscle training for urinary incontinence in women. Cochrane Database Syst Rev. 2011; 6:52-55. CD009252.
[12] Norton C. Cody D. Biofeedback and/or sphincter exercises for the treatment of faecal incontinence in adults. Cochrane Database of Systematic Reviews, 2012; 7: 6-7. Article ID CD002111.
[13] Rosenbaum T.: Pelvic floor physiotherapy for women with urogenital dysfunction: indications and methods. Minerva Urol Nefrol. 62011; 3: 101–7.
[14] Temml C, Haidinger G, Schmidbauer J. Urinary incontinence in both sexes: prevalence rates and impact on quality of life and sexual life. Neurourol Urodyn. 2001; 19:259–71.
[15] Capelini M, Riccetto C, Dambros M, Tamanini J, Herrmann V. Muller V. Pelvic Floor Exercises with Biofeedback for Stress Urinary Incontinence. International Braz J Urol. 2006; 32: 462-9.
[16] Dumoulin C, Lemieux MC, Bourbonnais D, Gravel D, Bravo G, Morin M. Physiotherapy for persistent postnatal stress urinary incontinence: a randomized controlled trial. Obstet Gynecol. 2004; 104:504-10.
[17] Miller JM, Perucchini D, Cardichi LT, Delancey JOL, Ashton-Miller J. Pelvic floor muscle contraction during a cough and decreased vesical neck mobility. Obstet Gynecol. 2001; 97:255–60.
[18] Cammu H, Van Nylen M, Amy JJ. A 10 year follow up after Kegel’s pelvic floor muscle exercises for genuine stress incontinence. Br J Urol Int 2001; 85:655–8.
[19] Dumoulin C, Hay Smith J. Pelvic floor muscle treatment versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev. 2010; 1: 7-9. Art. No. CD005654.
[20] Slack A, Hill A, Jackson S. Is there a role for a specialist physiotherapist in the multi-disciplinary management of women with stress incontinence referred from primary care to a specialist continence clinic? J Obstet Gynaecol. 2008; 28:410–2.
[21] Goode P, Burgio K. Locher J.: Effect of behavioral training with or without pelvic floor electrical stimulation on stress incontinence in women. a randomized controlled trial. Journal of the American Medical Association (JAMA). 2003; 290:345–52.
[22] Bo K, Talseth T, Holme I. Single blind, randomized controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones and no treatment in man- agement of genuine stress incontinence in women. BMJ. 1999; 318:487–93.
[23] Pages IH, Jahr S, Schaufele MK. Conradi E. Comparative analysis of biofeedback and physical therapy for treatment of urinary stress incontinence in women. Am J Phys Med Rehabil.2001; 80: 494-502.