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Extracorporeal magnetic stimulation for the treatment of stress and urge incontinence in women--results of 1-year follow-up.
Scand J Urol Nephrol. 2003; 37(5):424-8.SJ

Abstract

OBJECTIVE

To evaluate the clinical efficacy of extracorporeal magnetic stimulation for the treatment of stress and urge urinary incontinence in women.

MATERIAL AND METHODS

A total of 35 patients with stress incontinence and 17 with urge incontinence were enrolled in this study. All patients were evaluated by means of a detailed history of incontinence, a gynecologic examination, urine culture, urinary system ultrasound and a urodynamic study. All patients were asked to keep a 3-day voiding diary. A pad-weighing test was done for each patient at their first visit. For treatment, the patients were seated on a special chair containing a magnetic field generator. Pelvic floor muscle stimulation was performed for 20 min (10 min at 5 Hz and 10 min at 50 Hz) twice a week for a total of 8 weeks. The mean follow-up period was 16.8 months (range 12-32 months). A total of 44 patients completed 1 year of follow-up and were re-evaluated by means of voiding diary, pad-weighing test and cystometric study.

RESULTS

Of the 44 patients, 11 (38%) with stress incontinence and 6 (40%) with urge incontinence were cured 1 year after the treatment. In addition, there was an improvement in symptoms in 12 patients (41%) in the stress group and 7 (47%) in the urge group. Pad weight was reduced from 15.4 to 5.8 g in the stress group and from 12.4 to 4.7 g in the urge group (p = 0.000 and 0.001, respectively). Mean Valsalva leak point pressure was increased from 87.3 +/- 15.9 to 118.0 +/- 11.0 cmH (2) O in the stress group (p = 0.000).

CONCLUSIONS

Extracorporeal magnetic stimulation therapy offers a non-invasive, effective and painless treatment for stress and urge incontinence in women.

Authors+Show Affiliations

Department of Urology, School of Medicine, Fatih University, Ciftlik Cd. No: 57, TR-06510 Emek, Ankara, Turkey. unsalali@hotmail.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

14594693

Citation

Unsal, Ali, et al. "Extracorporeal Magnetic Stimulation for the Treatment of Stress and Urge Incontinence in Women--results of 1-year Follow-up." Scandinavian Journal of Urology and Nephrology, vol. 37, no. 5, 2003, pp. 424-8.
Unsal A, Saglam R, Cimentepe E. Extracorporeal magnetic stimulation for the treatment of stress and urge incontinence in women--results of 1-year follow-up. Scand J Urol Nephrol. 2003;37(5):424-8.
Unsal, A., Saglam, R., & Cimentepe, E. (2003). Extracorporeal magnetic stimulation for the treatment of stress and urge incontinence in women--results of 1-year follow-up. Scandinavian Journal of Urology and Nephrology, 37(5), 424-8.
Unsal A, Saglam R, Cimentepe E. Extracorporeal Magnetic Stimulation for the Treatment of Stress and Urge Incontinence in Women--results of 1-year Follow-up. Scand J Urol Nephrol. 2003;37(5):424-8. PubMed PMID: 14594693.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Extracorporeal magnetic stimulation for the treatment of stress and urge incontinence in women--results of 1-year follow-up. AU - Unsal,Ali, AU - Saglam,Remzi, AU - Cimentepe,Ersin, PY - 2003/11/5/pubmed PY - 2004/4/29/medline PY - 2003/11/5/entrez SP - 424 EP - 8 JF - Scandinavian journal of urology and nephrology JO - Scand. J. Urol. Nephrol. VL - 37 IS - 5 N2 - OBJECTIVE: To evaluate the clinical efficacy of extracorporeal magnetic stimulation for the treatment of stress and urge urinary incontinence in women. MATERIAL AND METHODS: A total of 35 patients with stress incontinence and 17 with urge incontinence were enrolled in this study. All patients were evaluated by means of a detailed history of incontinence, a gynecologic examination, urine culture, urinary system ultrasound and a urodynamic study. All patients were asked to keep a 3-day voiding diary. A pad-weighing test was done for each patient at their first visit. For treatment, the patients were seated on a special chair containing a magnetic field generator. Pelvic floor muscle stimulation was performed for 20 min (10 min at 5 Hz and 10 min at 50 Hz) twice a week for a total of 8 weeks. The mean follow-up period was 16.8 months (range 12-32 months). A total of 44 patients completed 1 year of follow-up and were re-evaluated by means of voiding diary, pad-weighing test and cystometric study. RESULTS: Of the 44 patients, 11 (38%) with stress incontinence and 6 (40%) with urge incontinence were cured 1 year after the treatment. In addition, there was an improvement in symptoms in 12 patients (41%) in the stress group and 7 (47%) in the urge group. Pad weight was reduced from 15.4 to 5.8 g in the stress group and from 12.4 to 4.7 g in the urge group (p = 0.000 and 0.001, respectively). Mean Valsalva leak point pressure was increased from 87.3 +/- 15.9 to 118.0 +/- 11.0 cmH (2) O in the stress group (p = 0.000). CONCLUSIONS: Extracorporeal magnetic stimulation therapy offers a non-invasive, effective and painless treatment for stress and urge incontinence in women. SN - 0036-5599 UR - https://www.unboundmedicine.com/medline/citation/14594693/Extracorporeal_magnetic_stimulation_for_the_treatment_of_stress_and_urge_incontinence_in_women__results_of_1_year_follow_up_ L2 - http://www.tandfonline.com/doi/full/10.1080/00365590310021258 DB - PRIME DP - Unbound Medicine ER -