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array:23 [ "pii" => "S0210480608738993" "issn" => "02104806" "doi" => "10.1016/S0210-4806(08)73899-3" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "73899" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2008" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2008;32:629-36" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1707 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 1063 "PDF" => 636 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480608739007" "issn" => "02104806" "doi" => "10.1016/S0210-4806(08)73900-7" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "73900" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2008;32:637-41" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1177 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 761 "PDF" => 408 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Valoración de la eficacia de las mallas libres de tensión y satisfacción de 241 pacientes en la corrección de la incontinencia urinaria" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "637" "paginaFinal" => "641" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Effectiveness evaluation of tension-free vaginal tapes in the treatment of urinary incontinence and satisfaction of 241 patients" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "I. Zapardiel Gutiérrez, J. De la Fuente Valero, J. Botija Botija, T. Pérez Medina, M. Díez Fernández, J.M. Bajo Arenas" "autores" => array:6 [ 0 => array:2 [ "nombre" => "I." "apellidos" => "Zapardiel Gutiérrez" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "De la Fuente Valero" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Botija Botija" ] 3 => array:2 [ "nombre" => "T." "apellidos" => "Pérez Medina" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Díez Fernández" ] 5 => array:2 [ "nombre" => "J.M." "apellidos" => "Bajo Arenas" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480608739007?idApp=UINPBA00004N" "url" => "/02104806/0000003200000006/v1_201304251909/S0210480608739007/v1_201304251909/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480608738981" "issn" => "02104806" "doi" => "10.1016/S0210-4806(08)73898-1" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "73898" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2008;32:624-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1223 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 724 "PDF" => 491 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Calidad de vida y función sexual en mujeres postmenopáusicas con incontinencia urinaria" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "624" "paginaFinal" => "628" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Quality of life and sexual function in postmenopausal women with urinary incontinence" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. Herrera Pérez, J. Arriagada Hernández, C. González Espinoza, J. Leppe Zamora, F. Herrera Neira" "autores" => array:5 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Herrera Pérez" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Arriagada Hernández" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "González Espinoza" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Leppe Zamora" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Herrera Neira" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480608738981?idApp=UINPBA00004N" "url" => "/02104806/0000003200000006/v1_201304251909/S0210480608738981/v1_201304251909/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Tratamiento de la incontinencia urinaria de esfuerzo con Biofeedback perineal con electrodos de superficie" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "629" "paginaFinal" => "636" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M.F. Lorenzo Gómez, J.M. Silva Abuín, F.J. García Criado, A. Geanini Yagüez, M. Urrutia Avisrror" "autores" => array:5 [ 0 => array:4 [ "nombre" => "M.F." "apellidos" => "Lorenzo Gómez" "email" => array:1 [ 0 => "mflorenzogo@yahoo.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0015" ] ] ] 1 => array:3 [ "nombre" => "J.M." "apellidos" => "Silva Abuín" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0015" ] ] ] 2 => array:3 [ "nombre" => "F.J." "apellidos" => "García Criado" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "A." "apellidos" => "Geanini Yagüez" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0015" ] ] ] 4 => array:3 [ "nombre" => "M." "apellidos" => "Urrutia Avisrror" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Departamento de Cirugía. Hospital Universitario de Salamanca. Universidad de Salamanca" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Rehabilitación. Hospital Universitario de Salamanca. Universidad de Salamanca" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio y Cátedra de Urología. Hospital Universitario de Salamanca. Universidad de Salamanca" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dra. M.F. Lorenzo Gómez Servicio y Cátedra de Urología. Hospital Universitario de Salamanca. Universidad de Salamanca. Pº San Vicente, 58-152 - 37007 Salamanca. Tel.: 923 291 100" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Treatment of stress urinary incontinence with perineal biofeedback by using superficial electrodes" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-09-01" "fechaAceptado" => "2007-11-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras claves" "identificador" => "xpalclavsec88634" "palabras" => array:3 [ 0 => "Incontinencia urinaria de esfuerzo" 1 => "Suelo pélvico" 2 => "Biofeedback perineal" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec88633" "palabras" => array:3 [ 0 => "Stress urinary incontinence" 1 => "Pelvic floor" 2 => "Perineal biofeedback" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se analiza el resultado del tratamiento de los músculos perineales mediante biofeedback (BFB) con electrodos de superficie en mujeres diagnosticadas de incontinencia urinaria de esfuerzo (IUE). Además se compara con la reeducación de la musculatura del suelo pélvico (RMSP) más electroestimulación vaginal (EEV)</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">85 mujeres diagnosticadas de IUE; de edades comprendidas entre 42 y 74 años, se dividieron en: Grupo 1 (N=50): tratadas mediante un programa de BFB perineal con electrodos de superficie sin electroestimulación y Grupo 2 (N=35): tratadas con RMSP con EEV. Se realizaron dos sesiones semanales de 30 minutos cada una durante 10 semanas. Se evaluaron los resultados mediante el estudio de los cambios en los índices internacionales de la incontinencia urinaria (IU–5 y el índice ICIQ-SF) y el índice de calidad de vida derivada de los síntomas urinarios (cuestionario de salud King´s). Se emplearon la t de Student y el test exacto de Fisher, p < 0,05 se aceptó como significación estadística</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La edad de ambos grupos fue comparable. 84% y 80% de pacientes en los grupos 1 y 2 mejoraron respectivamente, entendiendo por mejora la no existencia de episodios de incontinencia y la ausencia de necesidad de usar absorbentes. No hubo diferencia en la mejora de la incontinencia entre ambos grupos. En el Grupo 1 la mejora se produjo en el 50% de pacientes en la semana 4, y en el 84% en la semana 10. En el Grupo 2 la mejoría ocurrió en el 71,42% de pacientes en la semana 4 y en el 80% de pacientes en la semana 10. Ocho pacientes del Grupo 2 (22,85%) presentaron efectos secundarios locales. La mejora en la calidad de vida en ambos grupos arrojó resultados similares</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El éxito del tratamiento de la incontinencia urinaria de esfuerzo grados 1 y 2 mediante un programa de biofeedback perineal con electromiografía con electrodos de superficie sin electroestimulación es similar o superior a los publicados en tratamientos más invasivos. El tratamiento con ejercicios del suelo pélvico con electroestimulación vaginal puede conseguir resultados similares, aunque puede presentar efectos secundarios. Ambos tratamientos conservadores son eficaces y factibles</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Purpose</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We analyze the pelvic floor muscles treatment outcomes by using biofeedback (BFB) with electromyography with superficial electrodes in women diagnosed as having stress urinary incontinence (SUI). Besides, we compare this treatment with pelvic floor muscle exercises (PFME) plus vaginal electrostimulation</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">85 women with stress urinary incontinence, aged 42 - 74 years. We divided the patients in two groups: Group 1 (N=50): This patients carry out a perineal biofeedback with superficial electrodes without electrostimulation, and Group 2 (N=35): This patients were treated with pelvis floor muscle exercices and vaginal electrostimulation. All patients carry out two session per week (of 30 minutes each one) during ten weeks. We assess the outcomes through international urinary incontinence questionnaires (IU–5 and ICIQ-SF) and urinary incontinence related quality of life test (King´s questionnaire). Student t-test and Fisher Exact test were used, p < 0.05 was considered statistically significant</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">No difference was found in the age average of both groups. 84% of patients of group 1 and 80% of patients of group 2 were cured with the treatment. We assumed they were cured when incontinence episodes not happened or they do not need to use absorbent materials. In the Group 1, 50% of patients in the fourth week and 84% in the tenth week were cured. In the Group 2, 71,42% of patients in the fourth week and 80% in the tenth week were cured. In the Group 2, eight patients (22,85%) complained side effects. Both groups improved the quality of life similarly</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Grade 1 and grade 2 stress urinary incontinence treatment by using perineal biofeedback with superficial electrodes electromyography is better or similar to more invasive treatments. Also pelvic floor muscle exercices plus vaginal electrostimulation have good outcomes although some patients complain side effects. 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