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Clinical efficacy of bladder function training combined with pelvic floor biofeedback electrical stimulation on
1Jiawei Gu Department of Urology, Beijing Shijingshan Hospital, Beijing 100040, Beijing, China.
Objective:
To evaluate the clinical efficacy of bladder function training combined with pelvic floor biofeedback electrical stimulation in the treatment of neurogenic bladder and its impact on urodynamics.
Methods:
This was a clinical comparative study. A total of 120 patients with neurogenic bladder after spinal cord injury admitted to Beijing Rehabilitation Hospital of Capital Medical University and Beijing Shijingshan Hospital from January 2023 to December 2023 were randomly divided into two groups (n= 60/group). The study group treated with bladder function training combined with pelvic floor biofeedback electrical stimulation and the control group receiving conventional treatment and bladder function training. The differences in the clinical efficacy, voiding diary, voiding symptom score, urodynamics parameters, etc. were between the two groups were compared and analyzed.
Results:
The difference of the efficacy in the study and control groups was statistically significant(p=0.02). After treatment, the study group showed significant improvement compared to the control group in terms of daily mean voiding frequency, daily mean single urine volume, daily maximum single urine volume, and catheterization frequency(P=0.00). Meanwhile, the study group also saw significantly lower residual urine volume (RUV) than the control group, with statistically significant differences(p=0.00), while MBC, Qmax, and BP were significantly higher in the study group than in the control group, with statistically significant differences(p=0.00).
Conclusion:
The application of bladder function training combined with pelvic floor biofeedback electrical stimulation is significantly effective for treating neurogenic bladder, which can significantly improve the storage and voiding functions of patients, alleviate lower urinary tract symptoms, and improve patients' quality of life.
