OBJECTIVE: To compare the efficacy and safety between tension-free vaginal tape obturator technique (TVT-O) and TVT-O with biofeedback pelvic floor electrical stimulation on the therapy of female stress urinary incontinence.
METHODS: In this prospective study, 120 female patients of female stress urinary incontinence were enrolled from January 2012 to December 2013. The patients were randomly assigned to two groups, 60 in group A received TVT-O alone, while 60 in group B not only received TVT-O but also received biofeedback pelvic floor electrical stimulation. All the patients were followed up for 12 months to assess the efficacy and safety of the two procedures. Subjective indices [total volume of urine (TV), the total frequency of urination (TOV), the total leakage of urine events (TL), urinary incontinence related quality of life questionnaire (I-QOL), International Advisory Committee on urinary incontinence urinary incontinence questionnaire short form scale (ICI-Q-SF)] and objective indices [Valsalva leak point pressure (VLPP), maximum flow rate (MFR), residual urine volume (RUV),pad test] were analyzed.
RESULTS: Overall, the cure rate was 75% at 1 year follow-up for group A and 88.33% for group B (P< 0.05). The effective rate was 16.67% for group A and 10% for group B (P< 0.05). The ineffective rate was 8.33% for group A and 1.67% for group B (P< 0.05). TV, I-QOL, ICI-Q-SF, VLPP and pad test in group B were superior to group A (P< 0.05).
CONCLUSION: Pelvic floor electrical stimulation biofeedback therapy could improve the curative effects of TVT-O on the treatment of female stress urinary incontinence.
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Min L, Zhao X. Are you the author?
Reference: Sichuan Da Xue Xue Bao Yi Xue Ban. 2015 Jan;46(1):149-52.
PubMed Abstract
PMID: 25807815
Article in Chinese.