METHODS: The randomized sham-controlled study design was employed in this study. Women aged 18-65 years, who were diagnosed with UUI, were randomly allocated into the NMES (external NMES + lifestyle advice, n = 15) and sham groups (sham NMES + lifestyle advice, n = 15). Both groups performed the application for 30 min, three days a week for eight weeks. Urinary symptoms were evaluated by using the International Incontinence Consultation Questionnaire-Short Form (ICIQ-SF) and a 3-day bladder diary. PFMS was assessed using the Modified Oxford Scale (MOS), QoL using the King\'s Health Questionnaire (KHQ), and sexual function using the Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ-12). The PSI and satisfaction were questioned.
RESULTS: There was a higher level of decrease in the ICIQ-SF score, the mean number of voids/night and UI, all scores related to the KHQ (excluding interpersonal relationships), and a higher level of increase in maximum voiding volume, MOS scores, PISQ-12-emotional, PISQ-12-physical, and PISQ-12-total scores in the NMES group when compared to the sham group (p < 0.05). PSI and satisfaction were at higher levels in the NMES group than in the sham group (p < 0.05).
CONCLUSIONS: External NMES was an effective and complementary method in reducing urinary symptoms and improving PFMS, QoL, sexual function, PSI, and satisfaction level in women with UUI.
BACKGROUND: NCT04727983.
方法:本研究采用随机假对照研究设计。18-65岁的女性,被诊断患有UUI,被随机分配到NMES(外部NMES+生活方式建议,n=15)和假组别(假NMES+生活方式建议,n=15)。两组均进行了30分钟的应用,一周三天,八个星期。通过使用国际失禁咨询问卷简表(ICIQ-SF)和3天的膀胱日记来评估尿液症状。使用改良牛津量表(MOS)评估PFMS,使用国王健康问卷(KHQ)的QoL,和性功能使用盆腔器官脱垂/尿失禁性功能问卷(PISQ-12)。PSI和满意度受到质疑。
结果:ICIQ-SF评分下降的程度更高,空隙/夜晚和UI的平均数量,与KHQ相关的所有分数(不包括人际关系),以及最大排尿量的更高水平的增加,MOS分数,PISQ-12-情感,PISQ-12-physical,与假手术组相比,NMES组的PISQ-12总分(p<0.05)。NMES组的PSI和满意度高于假手术组(p<0.05)。
结论:外部NMES是一种有效和补充的方法,可以减轻泌尿系统症状和改善PFMS,QoL,性功能,PSI,以及女性对UUI的满意度。
背景:NCT04727983。