Abstract
Objectives
To compare the satisfaction degree and pelvic floor manometry after pelvic floor muscle
training isolated and associated with tibial nerve stimulation in women with mixed
urinary incontinence (MUI).
Study Design
A randomized, single-blinded clinical trial was conducted. 24 women diagnosed with
MUI were equally divided into two groups: pelvic floor muscle training isolated and
associated to transcutaneous tibial nerve stimulation (TTNS). The study occurred in four stages: 1) evaluation: general information, pelvic
floor manometry, the International Consultation on Incontinence Questionnaire – Urinary
Incontinence - Short Form (ICIQ-UI-SF) and International Consultation on Incontinence
Questionnaire – Overactive Bladder (OAB) application; 2) intervention: carried out
over 2 months twice a week; 3) post-intervention evaluation: vaginal manometry, reapplication
of the questionnaires and the Patient Global Impression (PGI) application at the end
of the 2-month intervention; and, 4) follow-up: evaluation after 1 month of the end
of the intervention. The primary outcome was the ICIQ-UI-SF and the secondary outcomes
were ICIQ-OAB, vaginal manometry, and PGI. The repeated measures ANOVA was used to
assess the time-to-group interaction by assigning a significance level of 5%.
Results
There was no interaction between time and group for ICIQ-UI-SF (p = 0.17) and manometry (p = 0.56). There was interaction for ICIQ-OAB (p < 0.01). PGI was reported as “much better” with 41.67% in the PFMTG + TTNS and 16.67%
in the PFMTG after the intervention (p = 0.04).
Conclusions
The results showed weak evidence that TTNS, in combination with PFMT, may be an intervention
that can be used to treat MUI. The satisfaction degree was better with associated
intervention.
Keywords
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Article info
Publication history
Published online: June 22, 2021
Accepted:
June 19,
2021
Received in revised form:
June 15,
2021
Received:
January 5,
2021
Identification
Copyright
© 2021 Elsevier B.V. All rights reserved.
