Clinical Observation On The Effect Of Biofeedback Pelvic Floor Training Plus Electrical Stimulation On Female Pelvic Floor Dysfunction

Objective: Through this study, different pelvic floor rehabilitation exercise treatments were respectivelygiven to patients with mild-to-moderate type female pelvic floor dysfunction (FPFD), Follow-uptreatment effect were observed from various treatment methods.To analyze the effect of biofeedbacktherapy with electrical stimulation for FPFD in women,also provide information and evidence for theprevention and the non-surgical treatment for FPFD.Methods: From December2011to September2012，56female patients with urinary incontinence wererandomly divided into the observation group (n=32Biofeedback therapy with electrical stimulation) andthe control group (n=24Kegel). Mild SUI33cases, moderate SUI23cases,10cases with vaginal bulginganterior wall, POP~Q points were Ⅰ~Ⅱ degrees.To understand the degree of incontinence, pelvic floormuscle strength, degree of influence the quality of life and sexual function,The bladder neck up test,1hurine mat test, voiding diary, POP~Q ratings, urine dynamics testing, pelvic floor muscle assessment TheInternational Consultation on Incontinence Questionnaire-Short Form (ICI-Q-SF), pelvic floor impactquestionnaire-short form7(PFIQ-7), Pelvic sexual questionnaire-short form12(PISQ-12) should bedone before all treatment. The observation group use UROSTYM bioelectricity feedback stimulator fortreatment, later to kegel training, control group were at home by doing kegel exercises. Follow-uptreatment effect were observed. To evaluate the efficacy of the two groups of treatment. Follow-uptreatment effect were observed,Questionnaire filled and pelvic floor muscle assessed after3month.Results: All56SUI patients are followed-up, the observation group and control group patients’ age, time,duration, body weight index, POP~Q dividing, incontinence of dividing differences had no statisticalsignificance (P>0.05), comparable. The Observation group of32cases,18cases were cured,9caseseffective,5cases ineffective, the total effective rate was84.4%, The control group24cases,8cases werecured,5cases were effective,11cases ineffective, the total effective rate was54.2%, Total effective rate ofObservation group is significantly higher than the control group, the difference was statistically significant(P <0.05).After treatment, pelvic floor muscle resting state myoelectricity value, ICI-Q-SF score, PFIQ-7score of observation group decreased obviously (P <0.05), its PISQ-12score, maximum urinary flowrate, pelvic floor muscle maximum contraction force, continuous contraction force and coordination weresignificantly increased (P <0.05), The observation group have got obvious improvement than controlgroup. The POP~Q degree is significantly improved for ten patients with vaginal wall prolapse aftertreatment.. Except a few patients were discomfort when electrode probe inserted, there is no other obviousdiscomfort. no vaginal infections, bleeding, perineal discomfort, skin rashes and other adverse reactions.Conclusions: With advantages of safety, scientific, interesting, longer, biofeedback Pelvic floor trainingwith electrical stimulation is superior to simple Pelvic floor muscle training for female PFD’s curativeeffect. It is Worthy of clinical popularization and application.