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  • Title: Pelvic floor stimulation in the treatment of mixed incontinence complicated by a low-pressure urethra.
    Author: Sand PK.
    Journal: Obstet Gynecol; 1996 Nov; 88(5):757-60. PubMed ID: 8885908.
    Abstract:
    OBJECTIVE: To determine the efficacy and safety of transvaginal pelvic floor stimulation in the treatment of women with genuine stress incontinence and detrusor instability complicated by a low-pressure urethra. METHODS: Twenty-six consecutive women with mixed incontinence complicated by a low-pressure urethra who elected to try pelvic floor stimulation were studied. Visual analogue symptom scales and weekly incontinence episodes were compared before and after 8 weeks of twice-daily device use. RESULTS: The symptoms of stress and urge incontinence were completely resolved in six (23%) and ten (38%) women, respectively. Ten of 26 subjects (38%) had greater than 50% overall symptomatic improvement, and two subjects (8%) were completely dry during their last week of therapy. Symptoms of urinary frequency, urgency, and stress incontinence improved significantly. No factors were found to be predictive of treatment success. CONCLUSION: Pelvic floor stimulation was found to be an effective and safe treatment for some patients with genuine stress incontinence and detrusor instability complicated by a low-pressure urethra.
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