Clinical Application Of Low-intensity Extracorporeal Shock Wave In The Treatment Of Overactive Bladder

Objective:To investigate the value of the pro-active role of low-intensity extracorporeal shock wave in the treatment of overactive bladder disorder.Methods:The data of l05 patients with overactive bladder who attended the First Affiliated Hospital of Xinjiang Medical University from November 2020-August 202 l were retrospectively analyzed.These patients received low-intensity extracorporeal shock wave therapy(shock wave group,n=35),M-blocker therapy(drug group,n=53),and low-intensity extracorporeal shock wave combined with M-blocker therapy(combined group,n=l7),and the questionnaires completed by the patients at the end of treatment and follow-up were collected to analyze and compare the data at the initial consultation(W0),4 weeks of treatment(W4),8 weeks(W8),follow-up The questionnaire scores(overactive bladder scale,life distress questionnaire)were analyzed and compared at the initial consultation(W0),at 4 weeks of treatment(W4),at 8 weeks(W8),at 1 month(F1),at 3 months(F3)and at 6 months(F6).Results:Comparison of general patient data confirmed that the general data of the 3 groups were consistent at baseline(P>0.05)and comparable between groups.The questionnaire scores of the patients in the 3 groups were counted and significant changes were found in the questionnaire scores of W4,W8,Fl,F3 and F6 compared with W0(P<0.05),confirming the efficacy of the treatment regimen in all 3 groups.At W4 and W8,urinary urgency scores and IIQ-7 scores were higher in the drug and shockwave groups than in the combined group(P<0.05).At Fl,urinary urgency scores,OABSS scores,and ICIQ-SF scores were significantly lower in the shockwave and combined groups than in the drug group(P<0.05),and IIQ-7 scores and UDI-6 scores were significantly lower in the combined group than in the shockwave and drug groups,while urinary frequency scores were only At F3,all questionnaire scores were significantly lower in the drug group than in the shock wave group and the combined group(P<0.05);at F6,urinary frequency scores,urinary urgency scores,OABSS scores,ICIQ-SF scores,IIQ-7 scores,UDI-6 scores were significantly lower in the shock wave group than in the drug group and not significantly different from the combined group,while nocturia scores and incontinence scores were significantly lower in the shock wave group than in the combined group(P<0.05).The nocturia and incontinence scores were lower in the shock wave group than in the combined group and the drug group.Conclusion: Low-intensity extracorporeal shock wave,a new non-invasive treatment modality,has good clinical efficacy in improving OAB symptoms.