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外文期刊>Eastern Journal of Medicine
>The effect of neuromuscular electrical stimulation therapy on stress urinary incontinence recurrence: A randomized prospective study
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The effect of neuromuscular electrical stimulation therapy on stress urinary incontinence recurrence: A randomized prospective study
The effect of neuromuscular electrical stimulation therapy on stress urinary incontinence recurrence: A randomized prospective study erbil karaman sup1/sup, ?eyhmus Kaplan sup2/sup, Ali Kolusar? sup1/sup sup1/supDepartment of obstetric and gynecology, Medical Faculty, Van Yuzuncu Yil University, Van, TURKEY sup2/supDepartment of Sports Medicine, Mecial Faculty, Van Yuzuncu Yil University, Van, TURKEY INTRODUCTION: The urinary incontinence poses a health problem in community. The standard care for stress urinary incontinence (UI) is surgical therapy. However there are several methods for prevetion of UI recurrence in these patients. Here, we aimed to evaluate the effect of functional electrical stimulation therapy on stress urinary incontinence recurrence in the postoperative period. METHODS: Patients who had stress UI and underwent anti-incontinence surgery in our University?s Hospital Gynecology Department were randomly divided into two groups. The group 1 received postoperative electrical stimulation of pelvic floor muscles twice in a week (30 minutes) for 4 weeks plus Kegel?s exercise and group 2 received only postoperative Kegel?s exercise for prevetention of UI recurrence. After completion of therapy, the patients were assesed for urinary recurrence by Wagner?s Quality of Life scores Turkish version, pad test and urinary diary. RESULTS: A total of 48 patients were included in the study. All patients had anti-incontinence surgery of which 39 had transvaginal tape (TVT), 7 had transobturator tape (TOT) and 2 had Burch Colposuspension procedure. The main predominant diagnosis was Stress UI in all cases. 20 patients included in group 1 and underwent electrical stimulation with Kegel?s exercise and 28 patients included in group 2 which had only Kegel?s exercise in postoperative period of one month. The demographic characteristic in terms of age, body mass index, gravidity, parity and co-morbid disease did not show any statistical difference(P0.05). The rate of recurrence in UI was significantly lower in Group 1 than Group 2, respectively (2/20, 10% vs 5/28, 17.8%, p0.05). The mean Qulaity of life scores in group 1 was statistically significantly lower than group 2(7.3±6.2 vs 18.4±6.52, p0.05). The pad test result did not show any statistical difference (5.4±4.2 gr vs 7.4±6.4 gr, p0.05). DISCUSSION AND CONCLUSION: The electrical stimulation of pelvic floor muscles in postoperative period seems to be effective in prevention of UI recurrence and may be a good strategy to improve the Quality of Life of patients.
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机译：神经肌肉电气刺激治疗对应激尿失禁复发的影响：随机性前瞻性研究erbil karaman 1 ，？eyhmus kaplan 2 ，Ali Kolusar？ 1 1 医疗教师，van Yuzuncu Yil University，面包车，土耳其 2 2 麦克福教师Yuzuncu Yil University，Van，土耳其介绍：尿失禁在社区中提出了健康问题。应激尿失禁（UI）的标准护理是外科治疗。然而，在这些患者中有几种预期UI复发的方法。在这里，我们旨在评估功能性电刺激治疗对术后尿失禁复合复发的影响。方法：在大学妇科妇科妇科妇科有压力UI和接受抗尿失禁手术的患者随机分为两组。第1组在一周内两次（30分钟）接受骨盆地板肌肉的术后电刺激，持续4周加上凯格尔·斯运动，第2组仅接受术后Kegel？S练习，用于预防UI复发。完成治疗后，患者通过瓦格纳的生活质量分配尿频来分配地图土耳其版，垫试验和尿日记。结果：研究中共有48名患者。所有患者均有抗失禁手术，其中39例具有经阴道胶带（TVT），7种转基团胶带（TOT）和2患有Burch Colposuspension程序。所有情况下，主要诊断都是压力UI。 20名患者包括在第1组和随后的电气刺激与Kegel？S练习和28名患者，其中2组患者在术后一个月的术后锻炼。在年龄，体重指数，孕头，平价和共同病态疾病方面的人口特征没有显示出任何统计学差异（P> 0.05）。分别比第2组（2/20,10％Vs 5/28，17.8％，P <0.05）分别在第1组中的复发率显着降低。第1组寿命评分的平均QULU度统计学显着低于第2组（7.3±6.2 Vs 18.4±6.52，P <0.05）。焊盘测试结果没有显示任何统计差异（5.4±4.2gr Vs 7.4±6.4gr，p> 0.05）。讨论与结论：术后时期盆腔骨骼肌肉电刺激似乎有效地预防UI复发，可能是提高患者生活质量的良好策略。
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