Effects of external neuromuscular electrical stimulation in women with urgency urinary incontinence: a randomized sham-controlled study

Effects of External Neuromuscular Electrical Stimulation in Women with Urgency Urinary Incontinence: A Randomized Sham-Controlled Study

Background and Purpose

The study aimed to investigate the effects of external neuromuscular electrical stimulation (NMES) on urinary symptoms, pelvic floor muscle strength (PFMS), quality of life (QoL), sexual function, perception of subjective improvement (PSI), and satisfaction in urgency urinary incontinence (UUI).

Materials and Methods

The study employed a randomized sham-controlled design with women aged 18-65 diagnosed with UUI. Participants were allocated into the NMES (external NMES + lifestyle advice) and sham groups (sham NMES + lifestyle advice). Both groups underwent the application for 30 minutes, three days a week for eight weeks. Various assessments were conducted to evaluate urinary symptoms, PFMS, QoL, sexual function, PSI, and satisfaction.

Results

The NMES group showed significant improvements in urinary symptoms, PFMS, QoL, sexual function, PSI, and satisfaction compared to the sham group. These improvements were observed in various measures including ICIQ-SF score, voiding frequency, maximum voiding volume, MOS scores, and PISQ-12 scores.

Conclusions

External NMES was found to be effective in reducing urinary symptoms and improving PFMS, QoL, sexual function, PSI, and satisfaction in women with UUI.

Clinical Trial Registration

NCT04727983

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