Stress Urinary Incontinence (SUI)
Conditions
Interventions
Control group:Pelvic Floor Biofeedback Electrical Stimulation
Intervention group:Pelvic Floor Biofeedback Electrical Stimulation Combined with Pelvic Floor Myofascial Relese
Sponsors
The First Affiliated Hospital of Soochow University
Eligibility
Sex/Gender
Female
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1. Female patients aged 18–65 years, meeting the clinical diagnostic criteria for female stress urinary incontinence (SUI): chief complaint of involuntary urinary leakage during increased intra-abdominal pressure (e.g., coughing, physical activity) with a disease duration of >= 3 months; 2. A score of >= 3 on the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF); 3. Definite signs of pelvic floor myofascial dysfunction: vaginal palpation revealing at least one obvious trigger point in the pelvic floor muscles with local hypertonia or tenderness, and a Numerical Rating Scale (NRS) pain score of >= 3; 4. Urodynamic studies confirming stress urinary incontinence without detrusor overactivity; 5. Patients who are informed of the study details and have signed the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Patients with urge urinary incontinence, mixed urinary incontinence, or neurogenic bladder; 2. Patients with severe pelvic organ prolapse (POP-Q stage >= II) or a history of pelvic floor reconstruction, urethral sling surgery, or other related pelvic surgeries; 3. Patients with acute genitourinary tract infection, unexplained vaginal bleeding, malignant tumors, cardiac pacemakers, or metal implants; 4. Patients who have used medications affecting bladder function or muscle tone (e.g., anticholinergics, muscle relaxants) within the past 4 weeks; 5. Patients with cognitive impairment or unable to complete the specified treatment course and follow-up due to personal reasons.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) Score;1-h Pad Test; | — |
Secondary
| Measure | Time frame |
|---|---|
| Modified Oxford Scale, MOS;Evaluation of pelvic floor myofascial function;Transvaginal pelvic floor ultrasound;Pelvic floor surface electromyography;Pelvic Organ Prolapse Quantification, POP-Q;Patient Global Impression of Improvement, PGI-I; | — |
Countries
China
Contacts
Public ContactLin Zhang
The First Affiliated Hospital of Soochow University
Outcome results
None listed