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Electrical stimulation pelvic floor

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https://www.readbyqxmd.com/read/28287977/neurostimulation-strategy-for-stress-urinary-incontinence
#1
Xuechen Huang, Kaihui Zheng, Sam Kohan, Petcharat May Denprasert, Limin Liao, Gerald E Loeb
We have developed a percutaneously implantable and wireless microstimulator (NuStim®) to exercise the pelvic floor muscles for treatment of stress urinary incontinence. It produces a wide range of charge-regulated electrical stimulation pulses and trains of pulses using a simple electronic circuit that receives power and timing information from an externally generated RF magnetic field. The complete system was validated in vitro and in vivo in preclinical studies demonstrating that the NuStim can be successfully implanted into an effective, low threshold location and the implant can be operated chronically to produce effective and well-tolerated contractions of skeletal muscle...
March 7, 2017: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/28284822/-algorithms-and-urinary-incontinence-in-the-elderly-assessment-treatment-recommendations-and-levels-of-evidence-review
#2
P Meyer
OBJECTIVES: Search processing algorithms in a primary care setting, analyzing the specifics of care management for seniors suffering from urinary incontinence (UI), described the recommendations and levels of evidence of treatment. METHODS: A literature review carried out via PubMed(®) and websites of scientific societies with search keywords classified according to an algorithm. RESULTS: One hundred algorithms have been discovered in the field of evaluation and treatment of UI...
March 8, 2017: Progrès en Urologie
https://www.readbyqxmd.com/read/28252827/the-effect-of-rehabilitation-exercises-combined-with-direct-vagina-low-voltage-low-frequency-electric-stimulation-on-pelvic-nerve-electrophysiology-and-tissue-function-in-primiparous-women-a-randomised-controlled-trial
#3
Sumian Yang, Wenshu Sang, Jing Feng, Haifeng Zhao, Xian Li, Ping Li, Hongfang Fan, Zengjun Tang, Lina Gao
AIM AND OBJECTIVE: To evaluate the effect of rehabilitation exercises combined with Direct Vagina Low Voltage Low Frequency Electric Stimulation (DES) on pelvic nerve electrophysiology and tissue function after delivery. BACKGROUND: Whether and how DES effects pelvic floor dysfunction (PFD) are not known clearly. DESIGN: This was a randomised, controlled clinical trial. METHODS: The 189 primiparous women 20-35 years old and with an episiotomy or second degree episiotomy tear were divided into three groups: the control group (n=60) received routine postpartum guidance 2 hours postpartum, the training group (n=63) performed rehabilitation exercises (Kegel exercises and pelvic movements) from 2 days postpartum until 3 months postpartum, and the combination group (n=66) received DES 15 times (3 times a week for 30 min at a time) beginning at the sixth week postpartum in addition to performing rehabilitation exercises...
March 2, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28124534/percutaneous-tibial-nerve-stimulation-versus-electrical-stimulation-with-pelvic-floor-muscle-training-for-overactive-bladder-syndrome-in-women-results-of-a-randomized-controlled-study
#4
Carlo Vecchioli Scaldazza, Carolina Morosetti, Rosita Giampieretti, Rossana Lorenzetti, Marinella Baroni
INTRODUCTION: This study compared percutaneous tibial nerve stimulation (PTNS) versus electrical stimulation with pelvic floor muscle training (ES + PFMT) in women with overactive bladder syndrome (OAB). MATERIALS AND METHODS: 60 women with OAB were enrolled. Patients were randomized into two groups. In group A, women underwent ES with PFMT, in group B women underwent PTNS. RESULTS: A statistically significant reduction in the number of daily micturitions, episodes of nocturia and urge incontinence was found in the two groups but the difference was more substantial in women treated with PTNS; voided volume increased in both groups...
January 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/28040503/are-interferential-electrical-stimulation-and-diaphragmatic-breathing-exercises-beneficial-in-children-with-bladder-and-bowel-dysfunction
#5
Vesna D Zivkovic, Ivona Stankovic, Lidija Dimitrijevic, Mirjana Kocic, Hristina Colovic, Marina Vlajkovic, Andjelka Slavkovic, Milica Lazovic
OBJECTIVE: To evaluate the effects of interferential current (IC) stimulation and diaphragmatic breathing exercises (DBEs) in children with bladder and bowel dysfunction. PATIENTS AND METHODS: Seventy-nine children with dysfunctional voiding and chronic constipation who were failures of primary care interventions were included in the prospective clinical study. All the children were checked for their medical history regarding lower urinary tract symptoms and bowel habits...
December 28, 2016: Urology
https://www.readbyqxmd.com/read/27935011/electrical-stimulation-with-non-implanted-electrodes-for-overactive-bladder-in-adults
#6
REVIEW
Fiona Stewart, Luis F Gameiro, Regina El Dib, Monica O Gameiro, Anil Kapoor, Joao L Amaro
BACKGROUND: Several options exist for managing overactive bladder (OAB), including electrical stimulation (ES) with non-implanted devices, conservative treatment and drugs. Electrical stimulation with non-implanted devices aims to inhibit contractions of the detrusor muscle, potentially reducing urinary frequency and urgency. OBJECTIVES: To assess the effects of ES with non-implanted electrodes for OAB, with or without urgency urinary incontinence, compared with: placebo or any other active treatment; ES added to another intervention compared with the other intervention alone; different methods of ES compared with each other...
December 9, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27802008/percutaneous-tibial-nerve-stimulation-versus-electrical-stimulation-with-pelvic-floor-muscle-training-for-overactive-bladder-syndrome-in-women-results-of-a-randomized-controlled-study
#7
Carlo Vecchioli Scaldazza, Carolina Morosetti, Rosita Giampieretti, Rossana Lorenzetti, Marinella Baroni
INTRODUCTION: This study compared percutaneous tibial nerve stimulation (PTNS) versus electrical stimulation with pelvic floor muscle training (ES + PFMT) in women with overactive bladder syndrome (OAB). MATERIALS AND METHODS: 60 women with OAB were enrolled. Patients were randomized into two groups. In group A, women underwent ES with PFMT, in group B women underwent PTNS. RESULTS: A statistically significant reduction in the number of daily micturitions, episodes of nocturia and urge incontinence was found in the two groups but the difference was more substantial in women treated with PTNS; voided volume increased in both groups...
January 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/27524737/a-comparative-study-of-transcutaneous-interferential-electrical-stimulation-plus-behavioral-therapy-and-behavioral-therapy-alone-on-constipation-in-postoperative-hirschsprung-disease-children
#8
RANDOMIZED CONTROLLED TRIAL
Seyedeh-Sanam Ladi-Seyedian, Lida Sharifi-Rad, Navid Manouchehri, Bahar Ashjaei
PURPOSE: We assessed the effectiveness of transcutaneous interferential (IF) electrical stimulation on constipation in postoperative Hirschsprung's disease (HD) patients. METHODS: Thirty HD children (18 boys and 12 girls) with constipation who had no surgical complication were enrolled and then randomly divided into two treatment groups. The control group underwent only behavioral therapy comprising high fiber diet, hydration, toilet training and pelvic floor muscles exercises while; the IF group underwent behavioral therapy plus IF electrical stimulation...
January 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27500849/-physiotherapy-in-women-with-overactive-bladder
#9
COMMENT
U Henscher, R Tholen, R Kirschner-Hermanns
As regards treatment for overactive bladder, physiotherapeutic interventions can be seen as an alternative to drug treatment. Targeted pelvic floor and bladder training is used to decrease the number of voids and the incontinence episodes or to increase the average voided volume in women with overactive bladder (3 systematic reviews with evidence level 1/1a).An additional option to treat women with overactive bladder is to use functional electrical stimulation and magnetic stimulation.2 systematic reviews 1 2 and 2 RCTs 3 4 reveal a low level of evidence (2 studies with level 2/2b) for the use of electrical stimulation (transcutaneous, vaginal or transanal) to reduce incontinence episodes and the number of voids and to increase the average voided volume...
2016: Aktuelle Urologie
https://www.readbyqxmd.com/read/27297372/beneficial-effects-of-biofeedback-assisted-pelvic-floor-muscle-training-in-patients-with-urinary-incontinence-after-radical-prostatectomy-a-systematic-review-and-metaanalysis
#10
REVIEW
Lan-Fang Hsu, Yuan-Mei Liao, Fu-Chih Lai, Pei-Shan Tsai
OBJECTIVES: This systematic review and metaanalysis compared the effects of biofeedback-assisted pelvic floor muscle training with those of pelvic floor muscle training alone in patients with urinary incontinence after radical prostetactomy. DESIGN: A review and metaanalysis study design. DATA SOURCES: The metaanalysis was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and MetaAnalyses guidelines. A systematic search of PubMed/Medline OVID, the Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, BioMed Central, Web of Science, Chinese Electronic Periodical Services, Chinese Journal and Thesis Database, and China National Knowledge Infrastructure was performed for retrieving records...
August 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27213252/graciloplasty-electrostimulation-electromyography-clinical-implications-of-electrophysiological-phenomena-in-the-neo-sphincter-created-from-the-gracilis-muscle
#11
Michał Romaniszyn, Piotr Wałęga
UNLABELLED: The aim of the study was to compare the electrophysiological phenomena occurring in the gracilis muscle, transposed into the pelvic floor during the graciloplasty procedure, subjected to continuous electrical stimulation by means of implanted stimulator, or regular stimulation by means of an external device, as well as the long-term functional results of the graciloplasty procedure. MATERIAL AND METHODS: A total of 27 patients were included in the analysis...
March 1, 2016: Polski Przeglad Chirurgiczny
https://www.readbyqxmd.com/read/27054793/effect-of-supervised-pelvic-floor-biofeedback-and-electrical-stimulation-in-women-with-mixed-and-stress-urinary-incontinence
#12
Cherrilyn F Richmond, Deanna K Martin, Sallis O Yip, Madeline A Dick, Elisabeth A Erekson
OBJECTIVE: The aim of this study was to compare the symptomatic change in urinary symptom distress before and after treatment with pelvic floor biofeedback and electrical stimulation in women with mixed urinary incontinence (MUI) and stress urinary incontinence (SUI). METHODS: We conducted a retrospective cohort study of women who underwent supervised pelvic floor biofeedback therapy and electrostimulation for the treatment of MUI and SUI. Our primary outcome was change in the Urinary Distress Inventory-6 (UDI-6) score before and after therapy...
September 2016: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/27052035/study-on-the-influence-of-the-type-of-current-and-the-frequency-of-impulses-used-for-electrical-stimulation-on-the-contraction-of-pelvic-muscles-with-different-fibre-content
#13
Jean-Jacques Wyndaele
OBJECTIVE: The aim of this study was to investigate the influence of the type of current and the frequency of impulses of electrical stimulation on the contraction of pelvic muscles with different fibre content. MATERIALS AND METHODS: Electrical stimulation of complete muscles from Wistar rats was performed in vitro with a biphasic square wave current and with a bipolar mid-frequency current at frequencies between 2 and 100 Hz. The parameters of the resulting isometric contraction were determined...
June 2016: Scandinavian Journal of Urology
https://www.readbyqxmd.com/read/27014935/pelvic-floor-muscle-training-with-and-without-electrical-stimulation-in-the-treatment-of-lower-urinary-tract-symptoms-in-women-with-multiple-sclerosis
#14
Adélia Lúcio, Carlos Arturo Levi Dʼancona, Maria Carolina Perissinotto, Linda McLean, Benito Pereira Damasceno, Maria Helena Baena de Moraes Lopes
PURPOSE: The aim of this study was to evaluate the effect of intravaginal neuromuscular electrical stimulation (NMES) and transcutaneous tibial nerve stimulation (TTNS) on lower urinary tract symptoms (LUTS) and health-related quality of life in women undergoing pelvic floor muscle (PFM) training (PFMT) with multiple sclerosis (MS) and to compare the efficacy of these 2 approaches. DESIGN: Randomized controlled trial. METHODS: Thirty women with MS and LUTS were randomly allocated to 1 of 3 groups and received treatment for 12 weeks...
July 2016: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/26887879/-continuous-improvement-of-portable-domestic-pelvic-floor-neuromuscular-electrical-stimulation-on-the-pelvic-floor-function-of-patients-with-urinary-incontinence
#15
RANDOMIZED CONTROLLED TRIAL
Zhijing Sun, Lan Zhu, Jinghe Lang, Wei Wang, Honghui Shi, Hongxia Pang, Xinwen Shi
OBJECTIVE: To evaluate continuous improvement of portable domestic pelvic floor neuromuscular electrical stimulation on the pelvic floor function of patients with stress urinary incontinence after short-term pelvic floor electrophysiological treatment in hospital. METHODS: Totally 60 women with stress urinary incontinence were recruited for this randomized controlled trial. The control group including a total of 30 patients, only received 4 weeks pelvic floor electrophysiological treatment in the hospital...
December 2015: Zhonghua Fu Chan Ke za Zhi
https://www.readbyqxmd.com/read/26883864/conservative-treatment-of-stress-urinary-incontinence-a-systematic-review-with-meta-analysis-of-randomized-controlled-trials
#16
Rafael Mendes Moroni, Pedro Sergio Magnani, Jorge Milhem Haddad, Rodrigo de Aquino Castro, Luiz Gustavo Oliveira Brito
We performed a systematic review and meta-analysis of randomized controlled trials that studied the conservative management of stress urinary incontinence (SUI). There were 1058 results after the initial searches, from which 37 studies were eligible according to previously determined inclusion criteria. For the primary outcomes, pelvic floor muscle training (PFMT) was more efficacious than no treatment in improving incontinence-specific quality of life (QoL) scales (SMD = -1.24SDs; CI 95% = -1.77 to -0...
February 2016: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/26851599/nonantimuscarinic-treatment-for-overactive-bladder-a%C3%A2-systematic-review
#17
REVIEW
Cedric K Olivera, Kate Meriwether, Sherif El-Nashar, Cara L Grimes, Chi Chiung Grace Chen, Francisco Orejuela, Danielle Antosh, Jon Gleason, Shunaha Kim-Fine, Thomas Wheeler, Brook McFadden, Ethan M Balk, Miles Murphy
The purpose of the study was to determine the efficacy and safety of nonantimuscarinic treatments for overactive bladder. Medline, Cochrane, and other databases (inception to April 2, 2014) were used. We included any study design in which there were 2 arms and an n > 100, if at least 1 of the arms was a nonantimuscarinic therapy or any comparative trial, regardless of number, if at least 2 arms were nonantimuscarinic therapies for overactive bladder. Eleven reviewers double-screened citations and extracted eligible studies for study: population, intervention, outcome, effects on outcome categories, and quality...
July 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26829345/a-novel-cystometric-model-of-pelvic-floor-dysfunction-after-rabbit-pelvic-floor-noxious-electrical-stimulation
#18
Amy D Dobberfuhl, Sara Spettel, Catherine Schuler, Andrew H Dubin, Robert M Levin, Elise J B De
OBJECTIVES: Although a relationship between pelvic floor dysfunction and lower urinary tract symptoms is described in the literature, the mechanism and pathways need further characterization. We developed an animal model of pelvic floor dysfunction after noxious stimulation of the pubococcygeus (PC) muscle. METHODS: Fifteen female adult rabbits were evaluated with cystometry (CMG) and electromyography (EMG) recordings from the PC muscle. Cystometry/EMG was performed before and after treatment animal (n = 11) received noxious pelvic floor electrical stimulation through the PC EMG electrode, and controls (n = 4) underwent sham needle placement...
July 2016: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/26682025/noxious-electrical-stimulation-of-the-pelvic-floor-and-vagina-induces-transient-voiding-dysfunction-in-a-rabbit-survival-model-of-pelvic-floor-dystonia
#19
Amy D Dobberfuhl, Sara Spettel, Catherine Schuler, Robert M Levin, Andrew H Dubin, Elise J B De
PURPOSE: Existing data supports a relationship between pelvic floor dysfunction and lower urinary tract symptoms. We developed a survival model of pelvic floor dysfunction in the rabbit and evaluated cystometric (CMG), electromyographic (EMG) and ambulatory voiding behavior. MATERIALS AND METHODS: Twelve female adult virgin rabbits were housed in metabolic cages to record voiding and defecation. Anesthetized CMG/EMG was performed before and after treatment animals (n=9) received bilateral tetanizing needle stimulation to the pubococcygeous (PC) muscle and controls (n=3) sham needle placement...
December 2015: Korean Journal of Urology
https://www.readbyqxmd.com/read/26663726/neuromodulation-for-the-treatment-of-lower-urinary-tract-symptoms
#20
REVIEW
Tomonori Yamanishi, Kanya Kaga, Miki Fuse, Chiharu Shibata, Tomoyuki Uchiyama
Neuromodulation therapy incorporates electrical stimulation to target specific nerves that control lower urinary tract symptoms (LUTS). The objectives of this article are to review the mechanism of action, the type of neuromodulation, and the efficacy of neuromodulation mainly according to the results of randomized controlled trials. Neuromodulation includes pelvic floor electrical stimulation (ES) using vaginal, anal and surface electrodes, interferential therapy (IF), magnetic stimulation (MS), percutaneous tibial nerve stimulation, and sacral nerve stimulation (SNS)...
September 2015: Lower Urinary Tract Symptoms
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