The Effect of Biofeedback versus Functional Electrical Stimulation in the Treatment of Stress Urinary Incontinence

Background: urinary stress incontinence (sui) is the most common type ofurinary incontinence among the young and middle-aged women, which occursdue to weak pelvic floor muscles and urethral sphincter in addition to manyother factors. the objective of the research was to assess the effect of biofeedbackversus functional electrical stimulation in the treatment of sui.methods: in this study, 30 married women affected by sui were selectedrandomly. the participants were divided into two equal groups and treatedduring 15 weeks with 1 session per week. the changes in sui severity and theirsatisfaction were assessed by iciq-sf questionnaire, and the rate of urineleakage was measured by applying pad test. data were recorded and analyzedusing spss version 19 software. specifically, paired t-test, independent t-test,and mann-whitney test were utilized.results: the results revealed that the mean quantity of urinary leakage, maximalpfm force, and iciq score did not have significant differences in both groups(p>0.05). however, there was a significant difference between biofeedback andfes group post-treatment regarding the quantity of urinary leakage (p<0.05).patients in the biofeedback group expressed more satisfaction and improvementthan those in the fes group.conclusion: both treatment methods were effective in the treatment of sui.however, biofeedback proved to be superior in reducing the quantity of urinaryleakage. further, because of a higher degree of patients’ subjective satisfactionand improvement with biofeedback, this method of treatment is recommended.