Efficacy and Safety of HIFU in Improving Bladder Control in Women with Urinary Incontinence
Introduction: Urinary incontinence is a common gynecological issue, affecting millions of women worldwide due to the weakening of pelvic floor muscles. Aims & Objectives: To evaluate the efficacy and safety of High-Intensity Focused Ultrasound (HIFU) for strengthening pelvic floor muscles and...
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Shaikh Zayed Medical Complex, Lahore
2025-03-01
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| Series: | Proceedings |
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| Online Access: | https://www.proceedings-szmc.org.pk/index.php/szmc/article/view/576 |
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| author | Sampana Fatima Aqsa Saleem Sana Rauf Shagufta Awais Sadia Kanwal Wajeeha Imam |
| author_facet | Sampana Fatima Aqsa Saleem Sana Rauf Shagufta Awais Sadia Kanwal Wajeeha Imam |
| author_sort | Sampana Fatima |
| collection | DOAJ |
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Introduction: Urinary incontinence is a common gynecological issue, affecting millions of women worldwide due to the weakening of pelvic floor muscles.
Aims & Objectives: To evaluate the efficacy and safety of High-Intensity Focused Ultrasound (HIFU) for strengthening pelvic floor muscles and improving bladder control in women with urinary incontinence.
Place and Duration of Study: The study was conducted at CMH Multan from April 2023 to May 2024 in collaboration with the gynecology and urology departments.
Material & Methods: The current non-randomized trial included 100 females diagnosed with urinary incontinence and aged ?35 years through non-probability convenience sampling. This study adopted a unique HIFU treatment consisting of weekly 20-minute sessions over 8 consecutive weeks. The primary outcome was a change in urinary incontinence symptoms measured by the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) score. Secondary outcomes included a reduction in incontinence episodes, bladder control parameters (maximum bladder capacity and detrusor pressure), strengthening pelvic floor (perineometry, digital palpation), life quality (I-QOL and PFDI-20), and adverse events. Descriptive statistics were expressed using SPSS version 23.0, as mean ± SD or frequency/percentages to check the mean difference across the two groups, t-test was applied. A p-value of <0.05 was considered statistically significant.
Results: The HIFU group showed a significant decrease in ICIQ-UI SF scores (-6 ± 2) compared to the non-HIFU group (-2 ± 1, p < 0.001). HIFU participants experienced a greater decrease in incontinence episodes (10 ± 3 vs. 4 ± 2, p< 0.001) and improvements in bladder control and muscle strength. Participants undergoing HIFU demonstrated a significant rise in the I-QOL score (p < 0.01), with 80% reporting subjective improvement. The HIFU group also experienced minimal adverse effects and the results were significant. P<0.05.
Conclusion: HIFU is an effective, safe, and non-invasive treatment for urinary incontinence, significantly improving symptoms, bladder control, muscle strength, and life quality while offering minimum to no adverse effects.
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| format | Article |
| id | doaj-art-d37e0b641d4049189d06eb7c3d4d4616 |
| institution | DOAJ |
| issn | 1815-4905 2518-203X |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Shaikh Zayed Medical Complex, Lahore |
| record_format | Article |
| series | Proceedings |
| spelling | doaj-art-d37e0b641d4049189d06eb7c3d4d46162025-08-20T03:14:19ZengShaikh Zayed Medical Complex, LahoreProceedings1815-49052518-203X2025-03-01391Efficacy and Safety of HIFU in Improving Bladder Control in Women with Urinary IncontinenceSampana Fatima0Aqsa Saleem1Sana Rauf2Shagufta Awais3Sadia Kanwal4Wajeeha Imam5Shahida Islam Medical College, BahawalpurCMH MultanSadiq Abbasi Hospital, BahawalpurAster Sanad Hospital Riyadh, KSA Alnafees Hospital, IslamabadCMH Multan Introduction: Urinary incontinence is a common gynecological issue, affecting millions of women worldwide due to the weakening of pelvic floor muscles. Aims & Objectives: To evaluate the efficacy and safety of High-Intensity Focused Ultrasound (HIFU) for strengthening pelvic floor muscles and improving bladder control in women with urinary incontinence. Place and Duration of Study: The study was conducted at CMH Multan from April 2023 to May 2024 in collaboration with the gynecology and urology departments. Material & Methods: The current non-randomized trial included 100 females diagnosed with urinary incontinence and aged ?35 years through non-probability convenience sampling. This study adopted a unique HIFU treatment consisting of weekly 20-minute sessions over 8 consecutive weeks. The primary outcome was a change in urinary incontinence symptoms measured by the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) score. Secondary outcomes included a reduction in incontinence episodes, bladder control parameters (maximum bladder capacity and detrusor pressure), strengthening pelvic floor (perineometry, digital palpation), life quality (I-QOL and PFDI-20), and adverse events. Descriptive statistics were expressed using SPSS version 23.0, as mean ± SD or frequency/percentages to check the mean difference across the two groups, t-test was applied. A p-value of <0.05 was considered statistically significant. Results: The HIFU group showed a significant decrease in ICIQ-UI SF scores (-6 ± 2) compared to the non-HIFU group (-2 ± 1, p < 0.001). HIFU participants experienced a greater decrease in incontinence episodes (10 ± 3 vs. 4 ± 2, p< 0.001) and improvements in bladder control and muscle strength. Participants undergoing HIFU demonstrated a significant rise in the I-QOL score (p < 0.01), with 80% reporting subjective improvement. The HIFU group also experienced minimal adverse effects and the results were significant. P<0.05. Conclusion: HIFU is an effective, safe, and non-invasive treatment for urinary incontinence, significantly improving symptoms, bladder control, muscle strength, and life quality while offering minimum to no adverse effects. https://www.proceedings-szmc.org.pk/index.php/szmc/article/view/576Pelvic Floor TrainingHigh-Intensity Focused UltrasoundUrinary Incontinence |
| spellingShingle | Sampana Fatima Aqsa Saleem Sana Rauf Shagufta Awais Sadia Kanwal Wajeeha Imam Efficacy and Safety of HIFU in Improving Bladder Control in Women with Urinary Incontinence Proceedings Pelvic Floor Training High-Intensity Focused Ultrasound Urinary Incontinence |
| title | Efficacy and Safety of HIFU in Improving Bladder Control in Women with Urinary Incontinence |
| title_full | Efficacy and Safety of HIFU in Improving Bladder Control in Women with Urinary Incontinence |
| title_fullStr | Efficacy and Safety of HIFU in Improving Bladder Control in Women with Urinary Incontinence |
| title_full_unstemmed | Efficacy and Safety of HIFU in Improving Bladder Control in Women with Urinary Incontinence |
| title_short | Efficacy and Safety of HIFU in Improving Bladder Control in Women with Urinary Incontinence |
| title_sort | efficacy and safety of hifu in improving bladder control in women with urinary incontinence |
| topic | Pelvic Floor Training High-Intensity Focused Ultrasound Urinary Incontinence |
| url | https://www.proceedings-szmc.org.pk/index.php/szmc/article/view/576 |
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