Efficacy of pelvic floor optimization training of Yun-type aided with myoelectric biofeedback in the treatment of mild to moderate female stress urinary incontinence
10.3969/j.issn.1009-8291.2025.05.005
- VernacularTitle:肌电生物反馈辅助下的贇式盆底优化训练疗法治疗轻中度女性压力性尿失禁的疗效观察
- Author:
Xiaoxiang WAN
1
;
Wei JIAO
1
;
Chaoliang SHI
1
;
Jiawei WANG
1
;
Jialing YAO
1
;
Yangyun WANG
1
;
Xilong WANG
1
Author Information
1. Department of Urology/Pelvic Floor Center, Shanghai 5th People's Hospital, Fudan University, Shanghai 200240, China
- Publication Type:Journal Article
- Keywords:
myoelectric biofeedback;
Yun-type pelvic floor optimization training;
stress incontinence;
female sexual function index
- From:
Journal of Modern Urology
2025;30(5):390-394
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the efficacy of pelvic floor optimization training of Yun-type with the aid of myoelectric biofeedback in the treatment of mild to moderate female stress urinary incontinence (SUI). Methods: Female SUI patients treated in our hospital during Jan.and Oct.2024 were included as the research subjects.They were randomly divided into the control group (n=47) and observation group (n=48) by random number method.The control group received conventional Yun-type pelvic floor optimization training，while the observation group received Yun-type pelvic floor optimization training assisted with myoelectric biofeedback.The total treatment course lasted for 12 weeks.The clinical efficacy，as well as the changes in international consultation on incontinence questionnaire for symptoms and impact (ICI-Q-SF)，incontinence quality of life (I-QoL)，female sexual function index (FSFI)，and pelvic floor electromyographic values before and after treatment were compared. Results: The total effective rate of the observation group was 93.6%，which was significantly higher than that of the control group (79.2%，P<0.05).After 12 weeks of treatment，the ICI-Q-SF [(6.12±1.11) vs. (6.97±1.24)]，I-QoL [(85.05±4.51) vs. (82.14±4.60)]，and FSFI [(30.01±4.10) vs. (26.32±3.32)] scores of the observation group were significantly better than those of the control group (P<0.05).After 12 weeks of treatment，the myoelectric values of the pelvic floor muscles of the observation group at the pre-rest stage，fast muscle (type Ⅱ muscle) stage，slow muscle (type Ⅰ muscle) stage，endurance test stage，and post-rest stage were significantly improved compared with those before treatment and were greatly enhanced compared with those of the control group (P<0.05).No serious adverse reactions occurred in either groups during treatment and follow-up. Conclusion: The Yun-type pelvic floor optimization training assisted with myoelectric biofeedback can precisely enhance the therapeutic effects of the conventional Yun-type pelvic floor optimization training，and significantly improve the female sexual function index.It is worthy of clinical promotion and application.
