Treatment of urinary stress incontinence (USI) by intravaginal
electrical stimulation (IES) and pelvic floor physiotherapy represents an alternative to
other therapies. The purpose of this work was to evaluate the effectiveness of this
treatment studying patients with urinary incontinence.
From January 1998 to May 2000, 30 women (mean age 54 years) were studied. All patients
presented USI and 70% incontinence by urgency, with an average follow-up of 7 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 IES for 14 weeks using INNOVA
was initiated in the fifth week of IES. A significant decrease in the number of
micturitions and urgency were observed after treatment (p<0.01).
The pad test showed a reduction from 13.9 g to 5.9 g in urinary leakage after treatment
(p<0.01). Objetive evaluation of perineal muscle strength showed significant
improvement in all patients after treatment (p<0.01). Positive correlation was observed
between maximum flow rate (Qmáx) and all three variables urethral pressure profile in
rest and straining (stop test), and abdominal leak point pressure (ALPP). Positive
correlation also observed between ALPP and stop test. Over one hundred different surgical
and conservative treatments have been tried to manage USI. The majority of these
procedures reveal that despite progress already made in this area, there is no ideal
treatment . Satisfactory results can be achieved, with this method especially with
patients who are reluctant to undergo surgery because of personal or clinical problems.