Üriner İnkontinans Tedavisinde Pelvik Taban Egzersizleri Nöromodülasyon-Biofeedback İçin Evde Egzersiz Eğitim Uygulaması Kısa Dönem Sonuçları

Abstract

AbstractAim: Pelvic floor muscle training is an accepted therapy to improve or cure symptoms of urinary incontinence. In this study, examination of short term changes in home treatment of pelvic floor muscle training with FemiScan Home Trainer in treatment of urinary incontinence was aimed. Material and Method: Prospective analysis in a tertiary-level center. 30 female patients admitted to urogynecology polyclinic with complaints of urinary incontinence (UI) who were given FemiScan biofeedback device for home exercise treatment were included in our study. Patients who could apply home exercise training continuously were included in the study. Detailed anamnesis form, pelvic floor force examination findings, urodynamic examination records and incontinence forms they filled were examined. Muscle force results, urodynamic values and incontinence forms of patients at the end of third month were compared to initial values. Results: While evaluating results of pelvic floor muscle exercise with biofeedback performed using FemiScan, Electromyography (EMG) amplitude difference, Bladder fullness (BF), Vesical pressure (VP) and BF/VP difference were taken as objective criteria. In the result of statistical analysis of these data, statistically significant increase was observed in EMG amplitude (P <0.0001), BF values (P <0.0001) and BF/VP ratio after the treatment (P <0.01). No significant change was recorded in VP after the treatment. Number of urinations and amount of urine leaked decreased and statistically significant recovery in ability to stop urine flow were observed. Conclusions: Our study shows that FemiScan (Mega Electronics Ltd, Finland) might be an effective method in UI treatment.