Clinical efficacy of bladder function training combined with pelvic floor biofeedback electrical stimulation on neurogenic bladder and its impact on urodynamics
Year: 2024
Type: article
Study design: Clinical Trial
Abstract: Objective: To evaluate the clinical efficacy of bladder function training combined with pelvic floor biofeedback electrical stimulation in the treatment of neurogenic bladder and its impact on urodynamics. Methods: This was a clinical comparative study. A total of 120 patients with neurogenic bladder after spinal cord injury admitted to Beijing Rehabilitation Hospital of Capital Medical University and Beijing Shijingshan Hospital from January 2023 to December 2023 were randomly divided into two groups (n= 60/group). The study group treated with bladder function training combined with pelvic floor biofeedback electrical stimulation and the control group receiving conventional treatment and bladder function training. The differences in the clinical efficacy, voiding diary, voiding symptom score, urodynamics parameters, etc. were between the two groups were compared and analyzed. Results: The difference of the efficacy in the study and control groups was statistically significant (p=0.02). After treatment, the study group showed significant improvement compared to the control group in terms of daily mean voiding frequency, daily mean single urine volume, daily maximum single urine volume, and catheterization frequency (P=0.00). Meanwhile, the study group also saw significantly lower residual urine volume (RUV) than the control group, with statistically significant differences (p=0.00), while MBC, Qmax, and BP were significantly higher in the study group than in the control group, with statistically significant differences (p=0.00). Conclusion: The application of bladder function training combined with pelvic floor biofeedback electrical stimulation is significantly effective for treating neurogenic bladder, which can significantly improve the storage and voiding functions of patients, alleviate lower urinary tract symptoms, and improve patients’ quality of life. doi: https://doi.org/10.12669/pjms.41.1.9655 How to cite this: Gu J, Zang J. Clinical efficacy of bladder function training combined with pelvic floor biofeedback electrical stimulation on neurogenic bladder and its impact on urodynamics. Pak J Med Sci. 2025;41(1):251-256. doi: https://doi.org/10.12669/pjms.41.1.9655 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Authors: Jiawei Gu, Jun Zang
Institutions: Beijing Shijingshan Hospital, Capital Medical University
Language: English
Subfield: Urology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $400
OpenAlex ID: W4405840738
