Stres üriner inkontinansta eksternal elektrik stimülasyonunun etkisinin incelenmesi

Abstract

Amaç: Bu çalışmanın amacı, stres üriner inkontinans tanısı almış kadınlarda yeni nesil eksternal elektrik stimülasyonunun inkontinans semptomları üzerine etkisini incelemekti.

Yöntem: Stres üriner inkontinans tanısı alan 13 kadın (yaş: 55,69±8,60 yıl, vücut kütle indeksi: 33,51±4,72 kg/m2) çalışmaya dahil edildi. Pelvik taban kas kuvveti ve enduransı perineometre ile, inkontinans şiddeti 24 saatlik ped testi ile, üriner inkontinansın yaşam kalitesi üzerine algılanan etkisi Vizüel Analog Skalası (VAS, cm) ile ve subjektif iyileşme algısı 4 sorulu likert tipi skala ile değerlendirildi. Tüm ölçümler, tedavi öncesi ve 8 haftalık tedavi sonrası yapıldı. Tedavi olarak, eksternal elektrik stimülasyonu, 8 hafta boyunca haftada 3 gün ve 30 dakikalık seanslar şeklinde uygulandı. Değişkenlerin tedavi öncesi ve tedavi sonrasındaki karşılaştırmaları Wilcoxon testi ile analiz edildi ve istatistiksel anlamlılık düzeyi p<0,05 olarak kabul edildi.

Bulgular: Tedavi öncesi ile karşılaştırıldığında pelvik taban kas kuvvet ve endurans değerinde anlamlı artış, 24 saatlik ped testi miktarı ve üriner inkontinansın yaşam kalitesi üzerine algılanan etkisinde anlamlı iyileşme görüldü (p<0,05). Ayrıca, subjektif iyileşme algısı sonuçlarında bireylerin çoğunluğunun (%92,3) semptomlarının azaldığı ve kendilerini daha iyi hissettikleri belirlendi.

Sonuç: Stres üriner inkontinans tanısı alan bireylerde 2 ay boyunca uygulanan eksternal elektrik stimülasyonunun semptomlarda iyileşme sağladığı fakat tam iyileşme için yetersiz olduğu belirlendi. Daha uzun süreli ve daha büyük örneklemli çalışmalara ihtiyaç vardır.

Keywords

• Stres üriner inkontinans
• Elektrik stimülasyonu
• Konservatif tedavi

Investigation of the effect of external electrical stimulation in stress urinary incontinence

Abstract

Purpose: The aim of this study was to investigate the effect of new generation external electrical stimulation on incontinence symptoms in women with stress urinary incontinence.

Methods: Thirteen patients (age: 55.69±8.60 years, body mass index: 33.51±4.72 kg/m2) with stress urinary incontinence were included in the study. Pelvic floor muscle strength and endurance were evaluated with perineometer, incontinence severity with 24-hour pad test, perceived effect of urinary incontinence on quality of life with Visual Analogue Scale (VAS, cm) and self-reported improvement with using the four-item Likert-type scale. All measurements were performed before and after 8 weeks of treatment. As treatment, external electrical stimulation was performed as 3 days in a week, 30-minute session for 8 weeks. The pre-treatment and post-treatment comparisons of the variables were analyzed with the Wilcoxon test and the statistical significance level was accepted as p<0.05.

Results: Compared with pretreatment, there was a significant increase in pelvic floor muscle strength and endurance value, 24-hour pad test amount and significant improvement in perceived effect of urinary incontinence on quality of life (p<0.05). In addition, self-reported improvement results showed that most of the individuals (92.3%) had reduced symptoms and felt better.

Conclusion: It was determined that external electrical stimulation applied 3 days for 8 weeks in patients with stress urinary incontinence improved symptoms but was insufficient for complete recovery. Studies with longer duration and a larger sample size are needed.

Keywords

• Stress urinary incontinence
• Electrical stimulation
• Conservative treatment

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