Efficacy of Electrical Pudendal Nerve Stimulation versus Transvaginal Electrical Stimulation in Treating Female Idiopathic Urgency Urinary Incontinence

No AccessJournal of UrologyAdult Urology1 Jun 2017Efficacy of Electrical Pudendal Nerve Stimulation versus Transvaginal Electrical Stimulation in Treating Female Idiopathic Urgency Urinary Incontinence Siyou Wang, Jianwei Lv, Xiaoming Feng, and Tingting Lv Siyou WangSiyou Wang Clinical Research Section, Shanghai Research Institute of Acupuncture and Meridian, Shanghai, China Shanghai University of Traditional Chinese Medicine Yueyang Hospital of Traditional Chinese and Western Medicine, Shanghai, China , Jianwei LvJianwei Lv Department of Urology, Shanghai Jiaotong University School of Medicine Renji Hospital, Shanghai, China , Xiaoming FengXiaoming Feng Clinical Research Section, Shanghai Research Institute of Acupuncture and Meridian, Shanghai, China , and Tingting LvTingting Lv Department of Urology, Shanghai Jiaotong University School of Medicine Renji Hospital, Shanghai, China View All Author Informationhttps://doi.org/10.1016/j.juro.2017.01.065AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We compared the efficacy of electrical pudendal nerve stimulation vs transvaginal electrical stimulation to treat female idiopathic urgency urinary incontinence. Materials and Methods: A total of 120 female patients with idiopathic urgency urinary incontinence refractory to medication were randomized at a ratio of 2:1 to group 1 of 80 patients and group 2 of 40. Groups 1 and 2 were treated with electrical pudendal nerve stimulation and transvaginal electrical stimulation, respectively. To perform electrical pudendal nerve stimulation long acupuncture needles were deeply inserted into 4 sacrococcygeal points and electrified to stimulate pudendal nerves. Outcome measures were the 24-hour pad test and a questionnaire to measure the severity of symptoms and quality of life in women with urgency urinary incontinence. Results: The median severity of symptoms and quality of life score on the urgency urinary incontinence questionnaire (urgency urinary incontinence total score) was 13 (range 7 to 18.75) in group 1 and 11 (range 8 to 16) in group 2 before treatment, which decreased to 2 (range 0 to 6.75) in group 1 and 6.5 (range 3.25 to 10.75) in group 2 (both p <0.01) after the completion of treatment. At the end of treatment in group 1 complete symptom resolution was noted in 34 patients (42.5%), with a 50% or greater symptom improvement rate in 70.1%. In group 2 complete symptom resolution was noted in 1 patient (2.5%) with a 50% or greater symptom improvement rate in 45.0%. The posttreatment urgency urinary incontinence total score was lower and the therapeutic effect was better in group 1 than in group 2 (both p <0.01). 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Google Scholar © 2017 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 197Issue 6June 2017Page: 1496-1501 Advertisement Copyright & Permissions© 2017 by American Urological Association Education and Research, Inc.Keywordsurinary incontinenceurinary bladdervaginapudendal nervetranscutaneous electrical nerve stimulationMetricsAuthor Information Siyou Wang Clinical Research Section, Shanghai Research Institute of Acupuncture and Meridian, Shanghai, China Shanghai University of Traditional Chinese Medicine Yueyang Hospital of Traditional Chinese and Western Medicine, Shanghai, China Equal study contribution. More articles by this author Jianwei Lv Department of Urology, Shanghai Jiaotong University School of Medicine Renji Hospital, Shanghai, China Equal study contribution. More articles by this author Xiaoming Feng Clinical Research Section, Shanghai Research Institute of Acupuncture and Meridian, Shanghai, China More articles by this author Tingting Lv Department of Urology, Shanghai Jiaotong University School of Medicine Renji Hospital, Shanghai, China More articles by this author Expand All Advertisement PDF downloadLoading ...