Can the effects of pelvic floor muscle exercises be enhanced with a new pattern of electrical stimulation in women with stress incontinence? Pilot data

Previous evaluation of a new electrical stimulation pattern has demonstrated statistically significant improvements in pelvic floor muscle strength and endurance (p<0.05), but no significant improvement in incontinent episodes or quality of life (Jeyaseelan, 1999). We hypothesised that the symptomatic improvements would not be demonstrated unless the patient is able to utilise the improved muscle performance in functionally meaningful activities. The effects of electrical muscle stimulation and exercise must therefore be combined to optimise the effect. The aim of the study was to determine whether or not the effects of pelvic floor exercises can be enhanced with the use of a new pattern of electrical stimulation.