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Yeungnam Univ J Med > Volume 20(1); 2003 > Article
Yeungnam University Journal of Medicine 2003;20(1):36-44.
DOI:    Published online June 30, 2003.
The Efficacy of Biofeedback and Electrical Stimulation by Kontinence HMT2000 in the Treatment of Stress Urinary Incontinence Patients.
Yeun Kyoung Bae, Dae Hyung Lee, Sung Chul Park, Sung Hee Jin, Min Whan Koh, Tae Hyung Lee
1Department of Obstetrics and Gynecology, College of Medicine, Yeungnam University Hospital, Daegu, Korea.
2Department of Nursing, Yeungnam University Hospital, Daegu, Korea.
BACKGROUND: To evaluate the efficacy of EMG biofeedback and pelvic floor electrical stimulation in the stress urinary incontinence patients by Kontinence HMT2000. MATERIALS AND METHODS: A group of 14 patients with stress urinary incontinence were treated with combined biofeedback and intravaginal electrical stimulation during 12 sessions from 2 weeks to 6 weeks. RESULTS: At immediate post treatment, subjective cure rate was 28% and improvement rate was 57% and failure rate was 15%. Thus the overall success rate for this treatment was 85%. The result of 3 months after treatment showed cure rate 14% and improvement rate was 43%. Intravaginal pressure increased by an average of 11.9 cmH2O. Increased vaginal pressure was found in 93% of the patients and more than 50% increment of intravaginal pressure was 71%. CONCLUSIONS: Combined biofeedback and pelvic floor electrical stimulation by use of Kontinence HMT2000 is effective for the patients who have good compliance, relative low degree stress urinary incontinence. In order to attain good results, a well structured program that teaches specific muscle exercise and the patients should be followed by regular interval reinforcement treatment.
Key Words: Biofeedback, Electrical stimulation, HMT2000, Stress urinary incontinence


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