Treatment of stress urinary incontinence (SUI) by intravaginal
electrical stimulation (IES) and pelvic floor physiotherapy represents na alternative to
the other therapies. With the purpose of evaluating the effectiveness of this treatment
the authors studied 20 patients.
From january 1998 to july 1999, 20 women with mean 55 years old were studied. All patients
presented USI and 85% incontinence by urgency, with follow-up of average of 3 months.
Selection criteria were based on clinical history, objective evaluation of perineal
musculature with perineometer and urodynamic study. Treatment protocol consisted of 3 weekly
sessions of elestrostimulation during 14
weeks using the equipament INNOVA.
Physiotherapy was initiated at the fifth week concurrent to IES.
The data of the Pad Test showed a reduction of 14 gram to 4 gram in the leakage urinary in
the post-treatment (p < 0,01). The objetive evaluation of the musculature force in all
patients revealed a significant improvement post-treatment (p < 0,01). Over a hundred
surgical procedures or conservative treatment were attempted for the management of stress
urinary incontinence. The large number of procedures reveals that despite the progress
already have made in this area, there is not na ideal treatmente for stress urinary
incontinence. Satisfactory results can be achieved, mainly with patientes who are
reluctant to undergo surgery because of personal or clinical problems or because the
patients is not willing to undergo another surgery.