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Abstract
Objective: The aim of this study was to analyse the effectiveness of home-managed electrical stimulation. Material and methods: A prospective cohort study was conducted on all 3198 women treated with home-managed electrical stimulation in Norway during 1992-1994. Data were collected from both patients and physicians by questionnaires before and after treatment. Results: 29% of the women were cured or much improved according to their own assessment; altogether 61% were improved. According to the physicians' assessment, 33% were cured or much improved; a total of 55% was improved. Thirty-seven per cent of compliers and 12% of non-compliers regarded themselves as cured or much improved. The number of incontinence episodes, amount of leakage and use of pads decreased significantly; and 44% had less severe incontinence than before treatment according to a validated severity index. Conclusions: Women treated with electrical stimulation for urinary incontinence experienced a significant reduction in incontinence problems, both subjectively and semi-objectively. The treatment results seem to be strongly dependent on good acceptance of the treatment.