Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology · 2026
Transcutaneous electrical nerve stimulation in nerve-sparing radical hysterectomy: a retrospective cohort study.
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Yang Kai, Zhang Tingting, Yin Weiye, Jin Meiling
Аннотация
BACKGROUND: Postoperative voiding dysfunction is common after nerve-sparing radical hysterectomy (NSRH); therefore, we examined whether adjunct transcutaneous electrical nerve stimulation (TENS) could improve bladder management, pelvic floor muscle strength, and quality of life (QoL) in this population.
METHODS: A total of 78 NSRH patients from May 2023 to May 2024 were divided into conventional catheter management (control group, n = 39) and conventional management + TENS (intervention group, n = 39). Outcomes including urinary retention incidence, postvoid residual urine volume (PVR), catheter indwelling duration, intervention compliance, pelvic floor muscle strength grading, voiding function parameters, QoL scores, and safety were assessed.
RESULTS: The intervention group demonstrated significantly lower urinary retention incidence, reduced PVR, and shorter catheter duration versus controls (all P < 0.05). Both groups maintained > 90% intervention compliance (P > 0.05). Post-intervention voiding parameters (FD, BC, MCC) improved more significantly in the intervention group (all P < 0.05), with superior pelvic floor muscle strength grading (P < 0.001). QoL assessment revealed lower functional domain scores and higher symptom/global health scores in the intervention group (all P < 0.001). Safety analysis showed only mild dermal reactions in the intervention group, without significant between-group difference in complication rates (P > 0.05).
CONCLUSIONS: TENS would significantly improves bladder function, pelvic floor muscle strength, and QoL in post-NSRH patients with a favourable safety profile, demonstrating substantial clinical value.
METHODS: A total of 78 NSRH patients from May 2023 to May 2024 were divided into conventional catheter management (control group, n = 39) and conventional management + TENS (intervention group, n = 39). Outcomes including urinary retention incidence, postvoid residual urine volume (PVR), catheter indwelling duration, intervention compliance, pelvic floor muscle strength grading, voiding function parameters, QoL scores, and safety were assessed.
RESULTS: The intervention group demonstrated significantly lower urinary retention incidence, reduced PVR, and shorter catheter duration versus controls (all P < 0.05). Both groups maintained > 90% intervention compliance (P > 0.05). Post-intervention voiding parameters (FD, BC, MCC) improved more significantly in the intervention group (all P < 0.05), with superior pelvic floor muscle strength grading (P < 0.001). QoL assessment revealed lower functional domain scores and higher symptom/global health scores in the intervention group (all P < 0.001). Safety analysis showed only mild dermal reactions in the intervention group, without significant between-group difference in complication rates (P > 0.05).
CONCLUSIONS: TENS would significantly improves bladder function, pelvic floor muscle strength, and QoL in post-NSRH patients with a favourable safety profile, demonstrating substantial clinical value.