Abstract: ObjectiveTo study the rehabilitation for perimenopausal women with stress urinary incontinence.Methods60 perim enopausal women with stress urinary incontinence were randomly divided into groups A, B and C, 20 cases in each group. Group A for pelvic floor exercises, or Kegel training; group B received estrogen in addition; group C received low-frequency electrical stimulation and biofeedback in addition.ResultsUrinary incontinence volume and Kupperman score was positively correlated(r=0.752, P<0.01). Kupperman scores in groups A, B and C were significantly lower(P<0.01) 1 month, 3 months after treatment than before treatment. There was no statistical difference between group A and Group B at 1 month after treatment. Kupperman scores in Group C was significantly lower(P<0.01), and reduced further 3 months after treatment(P<0.01). The amount of urinary incontinence in groups A, B and C were significantly lower 1 month, 3 months after treatment than before treatment(P<0.01). There was no significant difference in urinary volume between group A and group B 1 month and 3 months (P>0.05). The urinary incontinence was significantly lower between group C and groups A, B 1 month, 3 months after treatment (P<0.01).ConclusionThe pelvic floor exercise, low-frequency electrical stimulation and biofeedback therapy can significantly reduce perimenopausal symptoms of stress urinary incontinence.

Key words: stress urinary incontinence, perimenopause, estrogen, electrical stimulation, biofeedback