Pelvic floor rehabilitation with biofeedback and electrical stimulation with Urostym® for treatment of urinary incontinence

Objective: To show that supervised pelvic floor rehabilitation with biofeedback and electrostimulation using the Urostym ® system is an effective treatment for urinary incontinence.Methods: A retrospective case series of women who underwent pelvic floor rehabilitation program using the Urostym ® system at our institution.The Urostym ® program includes supervised biofeedback and electrostimulation for pelvic floor muscle weakness.Charts were reviewed for demographics, prior treatment, completion of program, number of leaks pre-and post-treatment, patient satisfaction, and need for treatment at six months' post-treatment.Results: There was a significant decrease in the number of leaks after undergoing the pelvic floor rehabilitation program.The mean (SD) number of leaks decreased from 2.4 ± 2.1 to 1.1 ± 2.2 (p<0.0005) after treatment.There was a trend towards an association between patient satisfaction and treatment success.71.4% of those with complete or partial satisfaction required no further treatment, whereas only 20% of those who were unsatisfied required no further treatment, (p=0.55).Conclusions: Pelvic floor rehabilitation with biofeedback and electrostimulation using the Urostym ® system is an effective therapy for urinary incontinence and significantly decreases the number of urinary accidents.