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Telerehabilitation and biofeedback method to treat stress urinary incontinence in 29 years-old women

Background

This report is of therapy with intravaginal probe (kGoal) and mobile application in 29-year-old patient with urinary incontinence after childbirth. It was natural childbirth and baby weight was lower than 4000g. During childbirth perineum was incised and oxytocin was administered.

The gynecological examination showed that she didn’t have pelvic organ prolapse in POP-Q (Pelvic Organ Prolapse Quantification System) scale. Objective and subjective findings including Urinary Distress Inventory (UDI)-6 and Urinary Impact Questionnaire (IIQ-7) scores are reported. IIQ-7 questionnaire was modified. There are only two basic answers (Yes/No) and after that a discomfort level was additionally measured. A diagnostic survey was conducted (before and after therapy) with the use of a research instrument based on the Gaudenz questionnaire. The king’s health questionnaire (KHQ) has two single-item and six multiple-item domains and was used to analysis before and after therapy.

The vaginal muscle tone was measured by perineometer. Before therapy she was wearing pantiliners on a daily basis for protection against frequent incontinent episodes. This analysis assessed patient adherence to remote therapy lasting seven months.

Urszula Herman PhD, Jagiellonian University Medical College, Faculty of Health Science
Hubert Huras MD, professor, Jagiellonian Univeristy Collegium Medicum, Department of Obstertics and Perinatology
Marta Majorczyk PhD, Jagiellonian University Medical College, Faculty of Health Science