Effect of pelvic floor muscle training with biofeedback on stress urinary incontinence in postpartum and post-menopausal women
10.3760/cma.j.issn.0529-567x.2014.10.008
- VernacularTitle:生物反馈盆底肌训练治疗压力性尿失禁的疗效分析
- Author:
Juan LIU
;
Jie ZENG
;
Hailan WANG
;
Yan ZHOU
;
Chunyan ZENG
- Publication Type:Journal Article
- Keywords:
Urinary incontinence,stress;
Biofeedback (psychology);
Pelvic floor;
Myofunctional therapy
- From:
Chinese Journal of Obstetrics and Gynecology
2014;49(10):754-757
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the short-term effect of pelvic floor muscle training (PFM) with biofeedback on stress urinary incontinence (SUI) in postpartum and post-menopausal women.Methods According to the different period that the SUI occurs,107 women with SUI were divided into two groups:the group of SUI in postpartum with 60 women,and the group of SUI in post-menopausal with 47 women.PFM with biofeedback was performed on all patients for 8 weeks.One hour pad-weighing test,voiding diary,transperineal three-dimensional ultrasound and female pelvic floor muscle assessment were recorded before and after treatment.Results There was statistically significant difference in 1 hour padweighing test between pre-treatment and post-treatment for the group of SUI in postpartum (the negative,mild,moderate,and severe cases of post-treatment:21,24,14,1,of pre-treatment:0,30,28,2; P＜0.05),and the group of SUI in post-menopausal (the negative,mild,moderate,and severe cases of post-treatment:7,22,11,7,of pre-treatment:0,14,25,8; P＜0.05).The strength of the pelvic floor muscles of type Ⅰ and type Ⅱin two groups after treatment were significantly different from those in pre-treatment (P＜0.01).The efficient rate of improvement in symptoms after treatment in the group of SUI in postpartum was 88％ (53/60) and the cure rate was 38％ (23/60).While the efficient rate in the group of SUI in post-menopausal women was 64％(30/47) and the cure rate was 15％ (7/47).There was statistically significant difference in the development of symptoms in two groups after treatment (P=0.003).Conclusion PFM with biofeedback is an effective treatment for SUI in postpartum and post-menopausal women,especially for postpartum ones.
