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Maximal functional electrical stimulation in routine practice

G Geirsson1, M Fall

  • 1Department of Urology, Reykjavik Hospital, Iceland.

Neurourology and Urodynamics
|January 1, 1997
PubMed
Summary
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Maximal functional electrical stimulation (MFES) shows a 54% subjective improvement rate for incontinence. However, the low 5% cure rate suggests potential issues with patient selection, stimulation intensity, and session frequency in routine practice.

Area of Science:

  • Urology
  • Neurology
  • Rehabilitation Medicine

Background:

  • Maximal functional electrical stimulation (MFES) is an established treatment for urinary incontinence.
  • Previous prospective studies reported favorable outcomes for stress and urge incontinence using MFES.
  • Routine application of MFES may present challenges not seen in controlled studies.

Purpose of the Study:

  • To retrospectively analyze the effectiveness of MFES in a routine clinical setting.
  • To compare outcomes from routine MFES application with previous prospective study findings.
  • To identify factors influencing the success rates of MFES for incontinence.

Main Methods:

  • Retrospective analysis of 84 patients undergoing MFES.
  • Application of a simple, routine protocol for MFES.

Related Experiment Videos

  • Comparison of subjective improvement rates and voiding diary variables.

    • Main Results:

    • Overall subjective improvement rate was 54%.
    • The cure rate was only 5%, significantly lower than previously reported.
    • Subjective outcomes correlated with changes in urodynamic variables.

    Conclusions:

    • Routine MFES application yielded lower cure rates than expected.
    • Patient selection, stimulation intensity, and number of sessions are critical factors.
    • Awareness of MFES limitations is crucial for effective routine practice.