Title : Effects of suspension training therapy combined with biofeedback electrical stimulation on pelvic floor function and urodynamics in patients with postpartum stress urinary incontinence
Abstract:
Objective: To observe the effects of suspension training therapy combined with biofeedback electrical stimulation on pelvic floor function and urodynamics in patients with postpartum stress urinary incontinence (PSUI).
Methods: 96 patients with PSUI who were received in our hospital from July 2019 to August 2021 were selected. The patients who met the requirements were divided into control group (48 cases) and study group (48 cases) by envelope lottery. The patients in the control group received suspension training therapy, and the patients in the study group received suspension training therapy combined with biofeedback electrical stimulation. The curative effects, pelvic floor function indexes and urodynamic indexes of the two groups were compared. The leakage volume of urine pad test and the score of international consultation on incontinence questionnaire-urinary incontinence-short form (ICI-Q-SF) questionnaire of the two groups were observed.
Results: The total clinical effective rate of the study group was higher than that of the control group (P<0.05). 1 month after treatment, the leakage volume of 24h urine pad test and the score of ICI-Q-SF questionnaire of the two groups decreased, and the study group was lower than the control group (P<0.05). The improvement effect of pelvic floor muscle strength in the study group was better than that in the control group after one month of treatment (P<0.05). 1 month after treatment, the maximum urethral closure pressure (MUCP), functional urethral length (LES), abdominal pressure, leak point pressure (ALPP) and maximum urinary flow rate (Qmax) of two groups increased, and the study group was higher than the control group (P<0.05).
Conclusion: The suspension training therapy combined with biofeedback electrical stimulation intervention in patients with PSUI can effectively improve clinical symptoms and promote the recovery of pelvic floor function and urodynamics, the effect is remarkable.
