利用生理回饋性骨盆底肌運動治療女性功能性排尿障礙之臨床成效

江景翔、江元宏、郭漢崇

佛教花蓮慈濟醫院 泌尿部

Therapeutic Efficacy of Biofeedback Pelvic Floor Muscle Exercise in Women with Dysfunctional Voiding

Ching-Hsiang Chiang, Yuan-Hong Jiang, Hann-Chorng Kuo

Department of Urology, Buddhist TzuChi Hospital, Hualien, Taiwan

Purpose:

We aimed to investigate the therapeutic efficacy of biofeedback pelvic floor muscle training (PFMT) in female patients with dysfunctional voiding (DV) and to identify the therapeutic efficacy.

Materials and Methods:

Female DV patients who underwent biofeedback PFMT were retrospectively reviewed from 2017 to 2019. All enrolled patient (n=31) has diagnosed with DV, which was been established based on characteristic symptoms and video urodynamic study (VUDS). All participates completed the 3-month biofeedback PFMT program, which was conducted by one experienced physiotherapist. The primary treatment outcome was assessed by the information regarding Global Response Assessment of satisfaction at 3 months treatment period. Successful outcome was defined as GRA ≥ 2 (moderate and marked improved). The secondary treatment outcomes comprised the changes of symptom scores, and uroflowmetry parameters at 3 months after treatment.

Results:

At 3 months after treatment, the assessment of treatment outcomes included global response assessment (GRA), and the changes of clinical symptoms, quality of life index, and uroflowmetry parameters. 25 (80.6%) patients had successful outcomes (GRA ≥ 2), and clinical symptoms and quality of life index significantly improved after PFMT. Additionally, uroflowmetry parameters including maximum flow rate, voided volume, voiding efficiency, total bladder capacity, voiding time, and time to maximum flow rate significantly improved after PFMT treatment. Patients with the history of recurrent urinary tract infection in recent 1 year were found to have unsatisfied therapeutic outcomes.

Conclusion:

biofeedback PFMT is effective in female patients with DV with significant improvements in clinical symptoms, quality of life, and uroflowmetry parameters. The history of urinary tract infection in recent 1 year is a negative predictor of successful outcome.