The Effect of Low Intensity Extracorporeal Low Energy Shock Wave Therapy on Stress Urinary Incontinence and Overactivity Bladder

Inclusion Criteria: 1. Women patients within 20\~75 years old; 2. OAB symptoms for ≥ 3 months; 3. Frequency of micturition ≥ 8 times daytime as well as 2 times nighttime, and ≥ 2 episodes of urgency per week; 4. Patients have a ≥ 3 month history of experiencing Stress Urinary Incontinence (SUI) per week (self reported); 5. Patients with OAB symptoms including urgency or/and urgency incontinence, urinary frequency and nocturia in the previous 3 months without medical treatments: antimuscarinic or ß3 agonist therapy; 6. Patients can understand, obey order and finish the questionnaires; 7. Patients would like to sign the informed consent; 8. Signature of informed consent form. Exclusion Criteria: 1. Urinary tract infection (UTI) at screening and recurrent UTI defined as ≥ 3 UTIs in the previous 12 months; 2. Patients who have other disease: diabetes mellitus, spinal cord injury, stoke history, brain disease and neurogenic disease which can cause OAB; 3. Chronic urologic inflammatory condition (Interstitial cystitis, urethral syndrome, painful bladder syndrome); 4. Bladder stone; 5. History of carcinoma of the urinary tract; 6. Lower urinary tract surgery in the last 6 months; 7. Patients who have operation, wound or infection around perineum; 8. Patients who have catheterization due to poor voiding function of urine; 9. Patients who have severe cardiovascular disease; 10. Patients who have severe coagulopathy or liver failure or renal failure; 11. Patients who have underlying urologic cancer; 12. Subjects with gross hematuria; 13. Significant bladder outflow obstruction; 14. Previous pelvic radiation therapy or previous, current malignant disease of the pelvic organs or having received intravesical injection or electrostimulation in the past 12 months; 15. Drug or nondrug treatments of OAB (in the previous 14 days), Concomitant medications that affect detrusor activity; 16. Subjects with history of kidneys stones; 17. Treatable condition that could cause urinary incontinence or urgency; 18. Neurological impairment or psychiatric disorder preventing appropriate understanding of consent and ability to comply with site personnel instructions; 19. History of drug or alcohol abuse within the last 12 months; 20. Within 1 month before entering the test and receive low-energy in vitro shock wave treatment process using antibiotics or phosphodiesterase inhibitors type 5 (PDE5i); 21. There are chronic pelvic pains caused by the merger of other diseases or injuries; 22. Urinary incontinence need to install the catheter; 23. Severe cardiopulmonary disease or diabetes is obviously poor control; 24. Obvious coagulation dysfunction or liver and kidney dysfunction.