This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Jeyaseelan, S M Articles by Oldham, J A Search for Related Content PubMed PubMed Citation Articles by Jeyaseelan, S M Articles by Oldham, J A Social Bookmarking                   What's this?

An evaluation of a new pattern of electrical stimulation as a treatment for urinary stress incontinence: a randomized, double-blind, controlled trial

Centre for Rehabilitation Science, University of Manchester, Manchester, UK

E J Haslam

Chorley & South Ribble District General Hospital, Manchester, UK

J Winstanley

Department of Nursing, Midwifery & Health Visiting, University of Manchester, Manchester, UK

B H Roe

Institute of Human Ageing, University of Liverpool, Manchester, UK

J A Oldham

Centre for Rehabilitation Science, University of Manchester, Manchester, UK

Objective: To evaluate a new pattern of electrical of electrical stimulation as a treatment for stress incontinence.

Design: A randomized, double-blind, controlled trial.

Setting: The study took place on three clinical sites.

Subjects: Patients (n= 27) with urodynamically proven stress incontinence recruited via consultant referral.

Interventions: Patients were randomly allocated to one of two groups: the new pattern of stimulation or sham stimulation.

Main outcome measures: Patients were assessed pre, mid and post treatment using: perineometry, digital assessment and pad testing. The following were only used pre and post treatment: seven-day frequency/ volume chart, SF-36, the Incontinence Impact Questionnaire and the Urogenital Distress Inventory.

Results: No significant between-group differences were highlighted except when quality of life was assessed with the Urogenital Distress Inventory (p= 0.01). A significant reduction in scores was observed in the stimulation group (p= 0.03) However, improvements were seen in both the strength and endurance characteristics of the pelvic floor musculature, although these changes were not translated into a reduction in symptoms.

Conclusion: Although promising, the improvement in pelvic floor function did not result in a reduction in symptoms in all patients. Further research is required to investigate the effects of the new stimulation in combination with pelvic floor exercises and to compare the new stimulation pattern with existing forms of electrical stimulation.

Clinical Rehabilitation, Vol. 14, No. 6, 631-640 (2000)
DOI: 10.1191/0269215500cr372oa


CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				J. M. Holroyd-Leduc and S. E. Straus Management of Urinary Incontinence in Women: Scientific Review JAMA, February 25, 2004; 291(8): 986 - 995. [Abstract] [Full Text] [PDF]