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Effect of Supervised Pelvic Floor Biofeedback and Electrical Stimulation in Women With Mixed and Stress Urinary Incontinence

Richmond, Cherrilyn F. MS, APRN, WHNP-BC; Martin, Deanna K. MPH; Yip, Sallis O. MD; Dick, Madeline A. MD; Erekson, Elisabeth A. MD, MPH

Female Pelvic Medicine & Reconstructive Surgery: September/October 2016 - Volume 22 - Issue 5 - p 324–327
doi: 10.1097/SPV.0000000000000279
Original Articles

Objective The aim of this study was to compare the symptomatic change in urinary symptom distress before and after treatment with pelvic floor biofeedback and electrical stimulation in women with mixed urinary incontinence (MUI) and stress urinary incontinence (SUI).

Methods We conducted a retrospective cohort study of women who underwent supervised pelvic floor biofeedback therapy and electrostimulation for the treatment of MUI and SUI. Our primary outcome was change in the Urinary Distress Inventory-6 (UDI-6) score before and after therapy.

Results Overall, a significant drop in UDI-6 score was seen in women with MUI (mean decrease, 29.1 [27.5]; P < 0.001), and a nonsignificant drop was seen in women with SUI (mean decrease, 6.8 [20.3]; P = 0.07) after treatment. Significantly greater change in UDI-6 score from baseline to follow-up was noted in women with MUI compared with those with SUI (P = 0.002).

Conclusions Women with MUI have greater urinary distress symptoms than women with SUI. Both women with MUI and SUI experienced significant improvement in their urinary distress symptoms after pelvic floor biofeedback and electrostimulation.

Women with both mixed and stress urinary incontinence can benefit from treatment of supervised pelvic floor biofeedback and electrical stimulation.

From the Department of Obstetrics, Gynecology & Reproductive Sciences, Yale University School of Medicine, New Haven, CT.

Reprints: Cherrilyn F. Richmond, MS, APRN, WHNP-BC, Department of Obstetrics, Gynecology & Reproductive Sciences, Yale University School of Medicine, 333 Cedar St, PO Box 208063, New Haven, CT 06519. E-mail:

The authors have declared they have no conflicts of interest.

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