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FUNCTIONAL MAGNETIC STIMULATION FOR MIXED URINARY INCONTINENCE

2005; Lippincott Williams & Wilkins; Volume: 173; Issue: 5 Linguagem: Inglês

10.1097/01.ju.0000157336.87781.32

1527-3792

Igor But, Metka Faganelj, Andrej Šoštarič,

Anorectal Disease Treatments and Outcomes

No AccessJournal of UrologyAdult Urology: Voiding Dysfunction1 May 2005FUNCTIONAL MAGNETIC STIMULATION FOR MIXED URINARY INCONTINENCE IGOR BUT, METKA FAGANELJ, and ANDREJ ŠOŠTARIČ IGOR BUTIGOR BUT , METKA FAGANELJMETKA FAGANELJ , and ANDREJ ŠOŠTARIČANDREJ ŠOŠTARIČ View All Author Informationhttps://doi.org/10.1097/01.ju.0000157336.87781.32AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: In this study we determined the efficacy of functional magnetic stimulation (FMS) compared to placebo for treating women with mixed urinary incontinence (MUI). Materials and Methods: A total of 39 women with MUI were randomly assigned to the FMS group (23 patients) or to the placebo group (16 patients). FMS was applied continuously at 18.5 Hz day and night for 2 months. Conventional urodynamic studies were performed before and after stimulation. Outcome measures assessed were clinical (daytime frequency, nocturia, pad use, pad weight) and urodynamic variables (first sensation of bladder filling, maximum cystometric capacity, maximum urethral closure pressure), and patient subjective assessment (visual analogue scale). Results: After 2 months of FMS significant decreases in voiding frequency (from 9.0 to 6.7, p = 0.0002), nocturia (from 2.6 to 1.4, p = 0.0007) and pad use (from 3.9 to 2.2, p = 0.007) were observed only in the FMS group. First sensation of bladder filling and maximum cystometric capacity increased significantly after stimulation compared with prestimulation levels only in the FMS group, p = 0.003 (from 118 to 174 ml) and p = 0.00004 (from 267 to 396 ml), respectively. A total of 18 women (78.3%) reported an improvement in symptoms after FMS with an average success rate of 41.9%. The success rate was significantly lower in the placebo group (p = 0.021) at 22.9%. Conclusions: Functional magnetic stimulation was useful and safe for treating women with MUI. References 1 : Randomized, double-blind study of electrical stimulation for urinary incontinence due to detrusor overactivity. Urology2000; 55: 353. Google Scholar 2 : Pelvic floor electrical stimulation for the treatment of urge and mixed urinary incontinence in women. Urology1997; 50: 934. Google Scholar 3 : Extracorporeal magnetic innervation therapy for stress urinary incontinence. Urology1999; 53: 1108. Google Scholar 4 : Effect of functional continuous magnetic stimulation on urethral closure in healthy volunteers. Urology1999; 54: 652. Google Scholar 5 : Update on extracorporeal magnetic innervation (EXMI) therapy for stress urinary incontinence. Urology2000; 56: 82. Google Scholar 6 : Comparative study of the effects of magnetic versus electrical stimulation on inhibition of detrusor overactivity. Urology2000; 56: 777. Google Scholar 7 : Conservative treatment of female urinary incontinence with functional magnetic stimulation. Urology2003; 61: 558. Google Scholar From the Department of General Gynecology and Urogynecology (IB), Maribor Teaching Hospital (MF), and the Department of Electrical Engineering and Computer Science, University of Maribor (AS), Maribor, Slovenia© 2005 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 173Issue 5May 2005Page: 1644-1646 Advertisement Copyright & Permissions© 2005 by American Urological Association, Inc.Keywordstherapeuticsmagneticsurodynamicsurinary incontinenceMetricsAuthor Information IGOR BUT More articles by this author METKA FAGANELJ More articles by this author ANDREJ ŠOŠTARIČ More articles by this author Expand All Advertisement PDF downloadLoading ...