Efficacy of Adding Active Technique as Biofeedback to Pelvic Floor Muscles Training on Cure of Female Stress Urinary Incontinence- A Systematic Review
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- Category: Vol. 85, March 2017
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Efficacy of Adding Active Technique as Biofeedback to Pelvic Floor Muscles Training on Cure of Female Stress Urinary Incontinence- A Systematic Review, REEM H. ABD EL-HADY, HANAN S. EL-MEKAWY, HESHAM G. AL-INANY and ABEER M. EL-DEEB
Abstract
Background: Stress urinary incontinence is the most common type of urinary incontinence in women. It involves involuntary leakage of urine in response to abdominal pressure caused by activities, such as sneezing and coughing. The condition affects millions of women worldwide, causing physical discomfort as well as social distress and even social isolation.
Objectives: The purpose of this study is to assess whether biofeedback provide additional benefits to PFMT in treating women with stress urinary incontinence.
Methods: Search of published studies was performed in the electronic database through PubMed, Cochrane controlled trials registers (Central) and PEDro from 1990 to 2015, data collection was performed by 2 reviewers. When there was a discrepancy, the opinion of the third reviewer was asked. A standard data extraction form used to extract the following information: Characteristics of the study (design, participants, interventions and outcomes). Assessment risk of bias done by Cochrane risk of bias assessment tools used for assessing the included trials.
Results: 6 trials involving 323 women met the inclusion criteria; 4 trials contributed data to analysis of the primary outcome (cure). The other 2 trials contributed data to improve-ment of case. There was no statistically significant difference in the cure rate after adding biofeedback to pelvic floor muscles training (risk ratio 1.22 95% confidence interval 0.84 to 1.78).
Conclusion: This review demonstrated that cure rate was high, and the reduction in urinary leakage after treatment was statistically significant in both groups. However, there was no statistically significant difference in adding biofeedback to PFMT.