Effect analysis of linear,low-intensity extracorporeal shock wave on female stress urinary incontinence
Objective To explore the effect of linear,low-intensity extracorporeal shock wave on female stress urinary incontinence(SUI).Methods 50 female patients with stress urinary incontinence were selected.The method is fixing the probe outside of greater lips of pudenda,and conducting three-week treatment of linear,low-intensity extracorporeal shock wave twice a week,10 min for every treatment.It will use 900-1600 impulse waves on every treatment area,and 1800-3200 impulse waves for each treatment.The energy density of low-energy linear impulse wave was 0.09 mJ/mm2.The International Consultation on Incontinence Questionnaire Short Form(ICI Q-SF)score,Incontinence Quality of Life Questionnaire(I-QOL)score and subjective classification of clinical symptoms were compared before treatment,immediately after treatment and 2 months after treatment.Results There were significant differences in ICI Q-SF score and I-QOL score before treatment,immediately after treatment and 2 months after treatment(P<0.05).Immediately after treatment and 2 months after treatment,ICI Q-SF scores were 4.00(1.00,5.00)and 4.00(1.00,5.00)points,which were lower than 9.00(7.00,11.00)points before treatment;I-QOL scores were 81.82(76.14,84.09)and 81.82(76.14,85.23)points,which were higher than 75.57(68.18,81.82)points before treatment.The difference was statistically significant(P<0.05).The difference in the comparison of ICI-Q-SF score and I-QOL score of patients immediately after treatment and 2 months after treatment was not statistically significant(P>0.05).The difference was statistically significant(P<0.05)when comparing the Ingelman-Sundberg classification of patients before treatment,immediately after treatment and 2 months after treatment.Before treatment,Ingelman-Sundberg classification were mild in 38 cases(76.0% )and moderate in 12 cases(24.0% ).After treatment,23 cases(46.0% )were asymptomatic,25 cases(50.0% )were mild,and 2 cases(4.0% )were moderate.2 months after treatment,23 cases(46.0% )were asymptomatic,26 cases(52.0% )were mild,and 1 case(2.0% )was moderate.Ingelman-Sundberg classification immediately after treatment and 2 months after treatment were better than those before treatment,and the difference was statistically significant(P<0.05).There was no significant difference in Ingelman-Sundberg classification immediately after treatment and 2 months after treatment(P>0.05).Conclusion 3-week linear,low-intensity extracorporeal shock wave for female stress urinary incontinence significantly can relieve urinary incontinence symptoms,reduce the subjective classification of clinical symptoms,and improve patients'quality of life.
Linear,low-intensity extracorporeal shock waveFemale stress urinary incontinenceQuality of life
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