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[Functional electric stimulation in urinary incontinence]

G P Portigliotti1, U Zumaglini, G Brustia

  • 1Azienda Regionale USL n. 11 Ospedale, S. Andrea, Vercelli.

Minerva Urologica E Nefrologica = the Italian Journal of Urology and Nephrology
|June 1, 1996
PubMed
Summary

Functional electro-stimulation (FES) effectively treats urinary incontinence by using electrical stimulation alone. This method is crucial for perineal floor rehabilitation, especially when surgery is not indicated.

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Area of Science:

  • Urology
  • Rehabilitation Medicine
  • Neuromodulation

Background:

  • Urinary incontinence affects a significant patient population, necessitating effective treatment strategies.
  • Current treatments range from behavioral therapies and medications to surgical interventions.
  • Functional electro-stimulation (FES) offers a non-invasive therapeutic option.

Purpose of the Study:

  • To evaluate the efficacy of functional electro-stimulation (FES) in treating various types of urinary incontinence.
  • To compare the effectiveness of different FES devices and treatment protocols.
  • To assess the role of FES in pre- and post-surgical rehabilitation and in non-surgical cases.

Main Methods:

  • A prospective study involving 44 patients with stress, urgency, mixed, and reflux incontinence.

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  • Utilized three distinct FES devices with comparable efficacy.
  • Monitored patient outcomes and regression of incontinence symptoms.

    • Main Results:

    • FES demonstrated efficacy in treating urinary incontinence, with some methods yielding faster results.
    • Significant regression of incontinence was observed with electrical stimulation alone.
    • Less favorable outcomes were noted in conditions primarily requiring surgical intervention.

    Conclusions:

    • FES is a valuable and efficient tool for achieving urinary continence.
    • Perineal floor rehabilitation, incorporating FES, is essential for managing urinary incontinence, particularly in non-surgical candidates.
    • FES can be a standalone treatment or an adjunct to surgical and non-surgical management.