Efficacy of intravaginal electrical stimulation with different treatment frequency in women with refractory idiopathic overactive bladder

Necmettin Yildiz, Hakan Alkan, Gulin Findikoglu, Necmettin Yildiz, Hakan Alkan, Gulin Findikoglu

Abstract

Objective: The aim of this study is to evaluate the effect of intravaginal electrical stimulation (IVES) therapies with different treatment frequencies (two or five days in a week) added to bladder training (BT) on incontinence-related quality of life (QoL) and clinical parameters in women with refractory idiopathic overactive bladder (OAB).

Material and methods: Fifty-two women with refractory idiopathic OAB were randomized into two groups as follows: Group 1 (n:26) received BT and IVES, two times in a week, for 10 weeks and Group 2 (n:26) received BT and IVES five times in a week, for 4 weeks. IVES was performed 20 minutes in a day, a total of 20 sessions for both groups. Women were evaluated for incontinence severity (24h pad test), pelvic floor muscles strength (perineometer), 3-day voiding diary (frequency of voiding, nocturia, incontinence episodes, and the number of pads), symptom severity (OAB-V8), quality of life (IIQ-7), treatment success (positive response rate), cure/improvement rate and treatment satisfaction (Likert scale).

Results: There was no statistically significant differences in all parameters between the two groups at the end of the treatment. It was found that the treatment satisfaction scores, cure/improvement and positive response rates were not significantly different between two groups (p>0.05).

Conclusion: We concluded that the application of IVES twice a week or 5 times a week added to BT were both effective on incontinence-related QoL and clinical parameters in women with refractory idiopathic OAB. These two IVES frequencies had similar clinical efficacy and patient satisfaction with a slight difference between them; 5 times per week IVES has a shorter treatment duration.

Keywords: Therapeutics; Urinary Bladder, Overactive; Urinary Incontinence.

Conflict of interest statement

None declared.

Copyright® by the International Brazilian Journal of Urology.

Figures

Figure 1. CONSORT participant flow diagram for…
Figure 1. CONSORT participant flow diagram for randomized, controlled trials of non pharmacologic treatment.

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