Biofeedback in treatment of stress urinary incontinence and dysfunctional voiding in women

V.V. Romikh, L.Y. Borisenko, A.S. Arkhireev

Approximately 24% of women younger than 60 years and more than 50% of women older than 60 years have problems related to voiding. Frequency of voiding dysfunction in women older than 25 years old is at the level of 30%. In women older than 50 years the incidence could rise more than 2.5 times and reach 70%. More often women have stress urinary incontinence (SUI) of different severity and dysfunctional voiding (DV), which appears to be the most prominent cause of infravesical obstruction (IVO) in female patients. The treatment of choice in patients with severe SUI is operation. Less severe situations could be treated conservatively. The experience of National Urological Institute of Russia showed that the efficacy of biofeedback therapy alone (without pelvic electrostimution) was 53%, for combination therapy the efficacy was 82%.

DV is less studied condition and today there is lack of standardized treatment algorithms for this disease, especially in a view of different definitions, diagnostic algorithms and treatment mo-dalities between the clinics.

The efficacy of biofeedback treatment with electrostimulation for patients with IVO of mild and intermediate grade was as high as 97.5%.

Drawing the conclusion, biofeedback therapy is an effective, safe and perspective method of treatment in patients with different voiding dysfunctions and could be recommended as a first-line modality.

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