Clinial Abstracts STIMULATION.docVIP

Clinical Abstracts – Electrical Stimulation A Predictive Score Index for the Outcome of Associated Biofeedback and Vaginal Electrical Stimulation in the Treatment of Female Incontinence Citation – The Journal of Urology, Vol. 153, 1461-1466, May 1995 Methodology (U.S.) – 64 females presenting various degrees of urinary incontinence underwent treatment twice a week for 6 weeks consisting of office-based biofeedback with alternate electrical stimulation through a vaginal probe for a duration of 20 minutes. Patient age varied from 34 to 88. Of the women, 12 were nulliparous, 44 had 1 to 3 deliveries and 7 had 4 to 5 children. Results - The overall results were classified into 3 groups, failure, 36%, sufficient recovery to allow for a normal social life with no need for other forms of treatment, 31% and complete recovery 33%. OLS regression was used to measure the effect to treatment outcome for 13 independent clinical parameters. Each of the 13 factors individually did not allow for outcome prediction. However by analyzing a group of factors it was possible to generate a reliable method of predicting success or failure of muscular reeducation. The most important factor was compliance. Other factors, such as age, estrogen, presence or absence of detrusor instability, degree of initial intravaginal pressure, degree of urethral hypermobility and presence of sphincter deficiency are significantly involved in the prognosis. Obesity, type of incontinence and initial digital testing all appeared to have no impact on the treatment outcome.Intravaginal Maximal Electrical Stimulation in the Treatment of Urinary Incontinence Citation – The Journal of Reproductive Medicine, Vol. 38 No. 9, September 1993 Methodology (U.S.) – 76 females with urinary incontinence completed 6 weekly sessions of intermittent intravaginal maximal electrical stimulation between January 1991 and February 1992. Excluded from the study were females with genital prolapse only if they w