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Posted by on May 23, 2021 in Urinary incontinence | 0 comments

In a nutshell

This study investigated the effectiveness of radiofrequency (RF) in stress urinary incontinence (SUI). Researchers suggested that the combination of RF and pelvic floor muscle training (PFMT) improved urinary symptoms in patients with SUI.

Some background

SUI consists of the leakage of urine caused by a physical movement that puts pressure on the bladder such as coughing or sneezing. The standard first-line treatment is PFMT. However, this has limited effectiveness with improvement rates between 56 to 70%.

RF inserts a needle through the skin into the pelvic area. High-frequency electrical currents are passed through the needle which creates a region of heat. This treatment increases the rate of cell repairing. Prior studies with RF shown improvements in urinary symptoms. However, no studies have compared RF with the standard PFMT treatment.

Methods & findings

This study included information about 117 women with SUI. Participants received either 3 RF sessions a month (group 1), 12 weekly sessions of PFMT (group 2), or a combination of both treatments (group 3). All participants were assessed at the start and 30 days after the end of therapy.

Urinary symptoms significantly improved in all three groups after treatment. Group 3 had a higher improvement rate. One-hour pad test results were similar between the three groups.

RF was associated with improved vaginal symptoms. Vaginal elasticity improved similarly in all groups. Vaginal health was better in groups 1 and 3. Sexual function improved in groups 1 and 2.

The bottom line

This study concluded that RF combined with PFMT improved SUI symptoms in women.  

The fine print

This study included a short-term follow-up period. Further studies with extended follow-up periods are needed.

Published By :

International urogynecology journal

Date :

Apr 10, 2021

Original Title :

Microablative radiofrequency versus pelvic floor muscle training for stress urinary incontinence: a randomized controlled trial.

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