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Urodynamic and clinical evaluation of 91 female patients with urinary incontinence treated with perineal magnetic stimulation: 1-year followup.
J Urol. 2004 Apr; 171(4):1571-4; discussion 1574-5.JU

Abstract

PURPOSE

We evaluate the perineal magnetic stimulation (PMS) effect on continence and quality of life in women with urinary incontinence.

MATERIALS AND METHODS

We prospective studied 91 women with demonstrable urinary incontinence treated with 16 sessions of PMS. Pretreatment and posttreatment evaluation was done by clinical history, physical examination, voiding diary, validated quality of life survey (I-QOL) and urodynamic study (UDS). Patients with no leakage after treatment were evaluated at 3, 6 and 12 months.

RESULTS

Mean patient age +/- SD was 60.5 +/- 10.1 years. Immediately after treatment the I-QOL score increased 35% (p <0.001), the number of pads daily decreased 40% (p <0.001), the number of leaks daily decreased 54% (p <0.001) and 34 patients (37%) became dry. Of the 91 patients 41 were evaluated before and after treatment by UDS. The average increase in vesical leak point pressure (VLPP) was 24.3% (p = 0.001) and initial VLPP in patients who became dry was greater than 80 cm H2O. After treatment 77% of patients with initial low pressure detrusor overactivity on UDS became free of this condition. One year after discontinuing PMS 94% of patients who became dry immediately after treatment had recurrence.

CONCLUSIONS

Immediately after 16 sessions of PMS women with urinary incontinence have significant improvement in the I-QOL score with decreased daily pad use and leakage episodes but 63% had failure. Therapy is more effective in patients with a VLPP of greater than 80 cm H2O. The beneficial effect is temporary with high and early recurrence after discontinuing treatment.

Authors+Show Affiliations

Urology Departments Federal University of São Paulo-UNIFESP/EPM, São Paulo, Brazil.No affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

15017223

Citation

Almeida, Fernando Goncalves, et al. "Urodynamic and Clinical Evaluation of 91 Female Patients With Urinary Incontinence Treated With Perineal Magnetic Stimulation: 1-year Followup." The Journal of Urology, vol. 171, no. 4, 2004, pp. 1571-4; discussion 1574-5.
Almeida FG, Bruschini H, Srougi M. Urodynamic and clinical evaluation of 91 female patients with urinary incontinence treated with perineal magnetic stimulation: 1-year followup. J Urol. 2004;171(4):1571-4; discussion 1574-5.
Almeida, F. G., Bruschini, H., & Srougi, M. (2004). Urodynamic and clinical evaluation of 91 female patients with urinary incontinence treated with perineal magnetic stimulation: 1-year followup. The Journal of Urology, 171(4), 1571-4; discussion 1574-5.
Almeida FG, Bruschini H, Srougi M. Urodynamic and Clinical Evaluation of 91 Female Patients With Urinary Incontinence Treated With Perineal Magnetic Stimulation: 1-year Followup. J Urol. 2004;171(4):1571-4; discussion 1574-5. PubMed PMID: 15017223.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Urodynamic and clinical evaluation of 91 female patients with urinary incontinence treated with perineal magnetic stimulation: 1-year followup. AU - Almeida,Fernando Goncalves, AU - Bruschini,Homero, AU - Srougi,Miguel, PY - 2004/3/17/pubmed PY - 2004/5/7/medline PY - 2004/3/17/entrez SP - 1571-4; discussion 1574-5 JF - The Journal of urology JO - J. Urol. VL - 171 IS - 4 N2 - PURPOSE: We evaluate the perineal magnetic stimulation (PMS) effect on continence and quality of life in women with urinary incontinence. MATERIALS AND METHODS: We prospective studied 91 women with demonstrable urinary incontinence treated with 16 sessions of PMS. Pretreatment and posttreatment evaluation was done by clinical history, physical examination, voiding diary, validated quality of life survey (I-QOL) and urodynamic study (UDS). Patients with no leakage after treatment were evaluated at 3, 6 and 12 months. RESULTS: Mean patient age +/- SD was 60.5 +/- 10.1 years. Immediately after treatment the I-QOL score increased 35% (p <0.001), the number of pads daily decreased 40% (p <0.001), the number of leaks daily decreased 54% (p <0.001) and 34 patients (37%) became dry. Of the 91 patients 41 were evaluated before and after treatment by UDS. The average increase in vesical leak point pressure (VLPP) was 24.3% (p = 0.001) and initial VLPP in patients who became dry was greater than 80 cm H2O. After treatment 77% of patients with initial low pressure detrusor overactivity on UDS became free of this condition. One year after discontinuing PMS 94% of patients who became dry immediately after treatment had recurrence. CONCLUSIONS: Immediately after 16 sessions of PMS women with urinary incontinence have significant improvement in the I-QOL score with decreased daily pad use and leakage episodes but 63% had failure. Therapy is more effective in patients with a VLPP of greater than 80 cm H2O. The beneficial effect is temporary with high and early recurrence after discontinuing treatment. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/15017223/Urodynamic_and_clinical_evaluation_of_91_female_patients_with_urinary_incontinence_treated_with_perineal_magnetic_stimulation:_1_year_followup_ L2 - https://www.jurology.com/doi/full/10.1097/01.ju.0000117791.72151.f8?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -