A Novel Rehabilitative Strategy in the Treatment of Mixed Urinary Incontinence in Women: The Focused MechanoAcoustic Vibration in Alliance with the Surgery

Female Urinary Incontinence (UI) can be treated successfully, often by combining multiple approaches as surgical therapy, pharmacological therapy and pelvic re-education as the three possible ways all well articulated within them [1]. Clinical practice guidelines recommend individualized pelvic floor muscle training as a first-line treatment for stress or mixed UI in women [2,3] and rehabilitation is a good ally for incontinence surgery in women both before and after surgical treatment, also in the light of innovative physical instrumental therapies such as the focused mechano-acoustic vibration. It may represent a novel rehabilitation strategy in alliance with surgery as necessary for strengthening pelvic muscles in mixed UI in women [4-6]. The main preliminary finding of our study respect of forty five (N=45) patients (mean age of 56.10 ± 3.27 years) with mixed UI were encouraging. The patients were divided into 2 groups: the treatment group by mechano-acoustic vibration (Vibration Sound System® - VISS) (TG) (N=23) and a waiting list group (CG) (N=22). T