Journal of Women's Health Care

Journal of Women's Health Care
Open Access

ISSN: 2167-0420



Associated Risk Factors in Female Urinary Incontinence and Effectiveness of Electromyography-Biofeedback on Quality of Life

Marcos Edgar Fernández-Cuadros, Antonia Geanini Yagüez, Javier Nieto Blasco, Jose Antonio Miron Canelo, Olga Perez Moro and Maria Fernanda Lorenzo Gomez

The aim of this study is to determine the demographic characteristics and risk factors related to female Urinary Incontinence (UI), the frequency by age, sex, type and degree of incontinence; and to evaluate the effectiveness of a pelvic floor muscle training (PFMT) protocol with electromyography (EMG-BFB) with surface electrodes applied at the Pelvic Floor (PF) Unit of the Department of Rehabilitation at Salamanca’s Healthcare University Complex: as well as the potential effect on the Quality of Life (QoL) of incontinent women through the ICIQ-SF/I-QOL scales/questionnaires. We studied 311 female with different types of UI. They were all treated with 20 EMG-BFB sessions, twice a week. Superficial electrodes were used around the anus, and self administered ICIQ-SF and I-QOL questionnaires/scales were used. The mean age was 55.76+/-14.95 years. There were 83.6% female and 16.4% male. The UI increases with age. We have found statistical significance (p<0.05) between UI and pregnancy, delivery, menopause and gynecological abdominal or urological surgery in women. The commonest UI type was the Stress Urinary Incontinence (SUI) (58.28%), and the 2º grade SUI (47.73%) the most common. After EMG-BFB treatment, we have found a statistically significant improvement (p<0.05) in the mean values for both of the scales, in total UI female patients, for any of the UI types (included UUI) as well as in every I-QOL subscales. After analyzing our data and the bibliography reviewed, EMG-BFB was effective as a training technique of the pelvic floor muscles in UI, and in improving the QoL of female patients. The risk factors for female UI are age, pregnancy, delivery, menopause, and gynecological, abdominal or urological surgery.