To Compare the Effects of two Pelvic Floor Muscle Treatments on Quality of Life and Sexual Function in Female Patients With Urinary Incontinence

Abstract

Abstract Background Adjuncts used clinically to improve the efficacy of Pelvic floor muscle training (PFMT) include electromyographic biofeedback (EB) and electrical stimulation (ES). Aim The purpose of this study was to investigate the effects of PFMT on patients' quality of life and sexual function in UI treatment. Different PFMT with different EB + ES treatments were designed in this study. In order to distinguish between 10 minutes of electrical stimulation at the beginning of PFMT treatment to fully arouse the patient's body response and then Kegel training, or one electric stimulation and a Kegel action, which is better. For this purpose, we designed two different treatment groups: 10ES-20EB and 15ES-15EB.Whether changing pelvic floor treatment regimen can better improve quality of life and sexual function in female patients with urinary incontinence? Methods Patients diagnosed urinary incontinence (UI) were from January 2020 to April 2021 at our Hospital, Jiangsu Province. Outcome Primary outcome including I-QOL and PISQ-12, and secondary outcome including measurements of pelvic floor musculature by glazer method were compared before and after treatment in both groups. Results 78 patients were enrolled including 37 cases in 10ES-20EB group and 41 in 15ES-15EB group. Both groups made similar gains in quality of life and sexual function.There was no statistical difference between the two groups in Glazer total score and I-QOL and PISQ-12 questionnaire results. However, 15ES-15EB significantly improved the flick contractions average peak more than the 10ES-20EBgroup(P < 0.05). Clinical Implications Pelvic floor muscle training is a commonly recommended physical therapy treatment that has been shown to improve the outcome of UI, Comparison of the main observation indicators I-QOL and PISQ-12 before and after treatment between the two groups have good clinical significance Strengths and Limitations The sample is single, the sample size is small, and the participating patients are all from the same hospital. Conclusions These two different pelvic floor muscle treatment (10ES-20EB and 15ES-15EB)were examined and found to may improve the quality of life and sexual function of women with UI.