A Comparative Study on the Effects of High-Intensity Focused Electromagnetic Technology and Electrostimulation for the Treatment of Pelvic Floor Muscles and Urinary Incontinence in Parous Women: Analysis of Posttreatment Data
| Autor: | Evgeniia Astafeva, Mark Kurtser, Marina Belkovskaya, Ramina Soldatskaia, Mekan Orazov, Elena S. Silantyeva, Dragana Zarkovic |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Every other day Time Factors Magnetic Field Therapy Urology High intensity focused Group ii 030232 urology & nephrology Electric Stimulation Therapy Urinary incontinence Pelvic Floor Disorders 03 medical and health sciences 0302 clinical medicine pelvic floor medicine Humans Retrospective Studies urinary incontinence 030219 obstetrics & reproductive medicine Pelvic floor business.industry Ultrasound Obstetrics and Gynecology Treatment options Original Articles ultrasonography Surgery Parity Treatment Outcome medicine.anatomical_structure Urine leakage Female medicine.symptom business |
| Zdroj: | Female Pelvic Medicine & Reconstructive Surgery |
| ISSN: | 2151-8378 |
| DOI: | 10.1097/spv.0000000000000807 |
| Popis: | The study performed a comparison of short-term results after high intensity electromagnetic treatment and electrostimulation for improvement of urinary incontinence. Objectives Pelvic floor muscles (PFMs) weakening and urinary incontinence (UI) represent health issues that have a negative impact on daily life. This study compares the immediate efficiency of high-intensity focused electromagnetic (HIFEM) therapy and electrostimulation for the treatment of weakened PFMs, accompanied by the UI. Methods Ninety-five parous women were considered for the study. Symptomatic patients received either HIFEM or electrostimulation treatment. Treated patients completed 10 therapies scheduled 2 to 3 times per week (HIFEM) or every other day (electrostimulation). Patients underwent examination by 3-dimensional transperienal ultrasound at the baseline and posttreatments. Levator-urethra gap, anteroposterior diameter, laterolateral diameter of levator hiatus, and hiatal area were measured. In addition, Pelvic Floor Disability Index 20 questionnaire and subjective evaluation of patient’s intimate health were assessed. Results Enrolled patients were divided into group I (n = 50, HIFEM), group II (n = 25, electrostimulation), and group III (n = 20, control) according the indication and treatment modality. Three-dimensional ultrasounds showed positive changes in dynamics of the pelvic floor posttreatment (decreased anteroposterior diameter, laterolateral diameter, and hiatal area). However, the significant (P < 0.05) changes of pelvic floor integrity were observed only in group I. In addition, group I achieved greater level of improvement in Pelvic Floor Disability Index 20 questionnaire compared with group II (52% and 18% respectively; P < 0.001). Substantially fewer patients in group I reported urine leakage after treatments. Conclusions Posttreatment results suggest that HIFEM technology is suitable for treatment of PFMs weakening and showed to be more effective when compared with electrostimulation in short-term. Therefore, we recommend HIFEM as treatment option for weakened PFMs and UI. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|