Role of pelvic floor muscle training and interferntial current in rehabilitation of stress urinary incontinence in women

ABSTRACT

Stress urinary incontinence [SUI] is a common, disruptive and potentially disabling condition in which the subject complains of involuntary leakage of urine on effort, exertion, sneezing or coughing. To outline a therapeutic approach to the clinical management of stress urinary incontinence [SUI] in women and to evaluate the benefits of combined pelvic floor muscle training and interferential current for its treatment. Thirty female patients diagnosed with SUI were studied. All patients were subjected to a full history taking, general and neurological examinations, complete urine analysis and urine culture, ultrasound and urodynamic study. The urinary rehabilitation program consisted of pelvic floor muscle strengthening exercises [Kegel exercises] for 20 minutes and interferential current for 20 minutes three times per week for 12 weeks. Assessment of quality of life was done with King Health Questionnaire [KHQ] at baseline and after 12 weeks. There were significantly increased cystometric capacity and valsalva leak point pressure after 12 weeks of bladder rehabilitation [p-Value=0.001] and improved quality of life as reflected by reduced scores of KHQ domains. Pelvic floor muscles exercises combined with interferential current therapy promoted significant changes in the urodynamic parameters and it caused significant changes in quality of life index assessed with KHQ