Cambios morfométricos en la estructura del suelo pélvico tras rehabilitación no invasiva y neuromodulación mediante ecografía

IF 1.7 4区医学 Q3 UROLOGY & NEPHROLOGY

Actas urologicas espanolas Pub Date : 2026-10-01 Epub Date: 2026-05-20 DOI:10.1016/j.acuro.2026.501998

S. Maiti Bera, P. Palma, J.M. Santos Flores, E.P. Rodríguez Vidales

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Abstract

Introduction and objective

Pelvic floor disorders represent a common problem in female urology practice and significantly affect quality of life. Objective evidence regarding structural changes induced by non-invasive neuromodulation remains limited. The aim of this study was to evaluate, using pelvic floor ultrasound (PFUS), the morphometric changes occurring in the pelvic floor following neuromodulation with high intensity focused electromagnetic energy (HIFEM).

Materials and methods

This was an analytical, quasi-experimental, prospective observational study with pre- and post-intervention assessment. The study included women with pelvic floor dysfunction treated with transperineal neuromodulation using HIFEM. Urinary symptoms, quality of life, and morphometric parameters were assessed using PFUS.

Results

Forty-six women with a mean age of 60.4 ± 12.6 years were analyzed. Significant improvements were observed in urinary frequency, ICIQ-SF, ICIQ-OAB, Sandvik Severity Index, and King's Health Questionnaire scores (p < 0.001). Ultrasound findings demonstrated reduced detrusor thickness, improved bladder emptying, enhanced pelvic floor dynamic activity, and improved pelvic support.

Conclusions

HIFEM neuromodulation was associated with improvements in clinical outcomes and quality of life, as well as morphometric changes in the pelvic floor objectively demonstrated by transperineal ultrasound.

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通过超声波进行非侵入性修复和神经调节后骨盆底结构的形态变化

前言和目的盆底疾病是女性泌尿外科实践中的常见问题，并显著影响生活质量。关于非侵入性神经调节引起的结构改变的客观证据仍然有限。本研究的目的是利用盆底超声（PFUS）评估高强度聚焦电磁能（HIFEM）神经调节后盆底形态变化。材料和方法这是一项分析性、准实验性、前瞻性观察性研究，包括干预前和干预后评估。该研究包括使用HIFEM经会阴神经调节治疗盆底功能障碍的妇女。使用PFUS评估尿路症状、生活质量和形态计量参数。结果本组患者46例，平均年龄60.4±12.6岁。尿频、ICIQ-SF、ICIQ-OAB、Sandvik严重程度指数和King's健康问卷得分均有显著改善（p < 0.001）。超声检查结果显示逼尿肌厚度减少，膀胱排空改善，骨盆底动态活动增强，骨盆支撑改善。结论shifem神经调节与临床结果和生活质量的改善有关，并与经会阴超声客观显示的盆底形态学改变有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Actas urologicas espanolas UROLOGY & NEPHROLOGY-

CiteScore

1.90

自引率

0.00%

发文量

审稿时长

46 days

期刊介绍： Actas Urológicas Españolas is an international journal dedicated to urological diseases and renal transplant. It has been the official publication of the Spanish Urology Association since 1974 and of the American Urology Confederation since 2008. Its articles cover all aspects related to urology. Actas Urológicas Españolas, governed by the peer review system (double blinded), is published online in Spanish and English. Consequently, manuscripts may be sent in Spanish or English and bidirectional free cost translation will be provided.