Tags

Type your tag names separated by a space and hit enter

Extracorporeal magnetic innervation therapy in children with refractory monosymptomatic nocturnal enuresis.
Urology. 2007 Sep; 70(3):576-80.U

Abstract

OBJECTIVES

To evaluate the effect of extracorporeal magnetic innervation (ExMI) therapy in children with refractory monosymptomatic nocturnal enuresis (MNE).

METHODS

A total of 55 children (34 boys and 21 girls, median age 8.0 years, range 5 to 13) who wetted the bed more than twice per week because of MNE that was refractory to treatment with desmopressin, anticholinergics, and enuretic alarm were assessed prospectively using a voiding diary before and after ExMI, administered once a week for at least 4 weeks with a size-adjusted magnetic chair (each session lasted 20 minutes).

RESULTS

After all sessions of ExMI, the mean frequency of nocturnal enuresis decreased significantly to 2.09 +/- 2.47 in all patients (P = 0.04), and the mean functional bladder capacity increased 1.88 times in all patients (P = 0.00). In total, 63.6% of our patients had a nocturnal enuresis frequency of less than 50% after a mean of 6.62 +/- 4.26 ExMI sessions.

CONCLUSIONS

From our results, reduced functional bladder capacity might be the main pathophysiologic cause in children with MNE refractory to established treatment. ExMI might have an acute inhibitory effect in these children with refractory MNE by increasing functional bladder capacity. However, long-term follow-up data and controlled study with a sham-stimulation group are necessary to determine the durability of this new therapy for refractory MNE.

Authors+Show Affiliations

Department of Urology, Korea University Hospital, Seoul, Republic of Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

17905120

Citation

Kang, Seok Ho, et al. "Extracorporeal Magnetic Innervation Therapy in Children With Refractory Monosymptomatic Nocturnal Enuresis." Urology, vol. 70, no. 3, 2007, pp. 576-80.
Kang SH, Bae JH, Shim KS, et al. Extracorporeal magnetic innervation therapy in children with refractory monosymptomatic nocturnal enuresis. Urology. 2007;70(3):576-80.
Kang, S. H., Bae, J. H., Shim, K. S., Park, H. S., Cheon, J., Lee, J. G., Yoon, D. K., Kim, J. J., & Moon, d. u. . G. (2007). Extracorporeal magnetic innervation therapy in children with refractory monosymptomatic nocturnal enuresis. Urology, 70(3), 576-80.
Kang SH, et al. Extracorporeal Magnetic Innervation Therapy in Children With Refractory Monosymptomatic Nocturnal Enuresis. Urology. 2007;70(3):576-80. PubMed PMID: 17905120.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Extracorporeal magnetic innervation therapy in children with refractory monosymptomatic nocturnal enuresis. AU - Kang,Seok Ho, AU - Bae,Jae Hyun, AU - Shim,Kang Soo, AU - Park,Hong Seok, AU - Cheon,Jun, AU - Lee,Jung Gu, AU - Yoon,Duck Ki, AU - Kim,Je Jong, AU - Moon,Du Gun, PY - 2006/06/19/received PY - 2007/03/28/revised PY - 2007/05/31/accepted PY - 2007/10/2/pubmed PY - 2007/10/30/medline PY - 2007/10/2/entrez SP - 576 EP - 80 JF - Urology JO - Urology VL - 70 IS - 3 N2 - OBJECTIVES: To evaluate the effect of extracorporeal magnetic innervation (ExMI) therapy in children with refractory monosymptomatic nocturnal enuresis (MNE). METHODS: A total of 55 children (34 boys and 21 girls, median age 8.0 years, range 5 to 13) who wetted the bed more than twice per week because of MNE that was refractory to treatment with desmopressin, anticholinergics, and enuretic alarm were assessed prospectively using a voiding diary before and after ExMI, administered once a week for at least 4 weeks with a size-adjusted magnetic chair (each session lasted 20 minutes). RESULTS: After all sessions of ExMI, the mean frequency of nocturnal enuresis decreased significantly to 2.09 +/- 2.47 in all patients (P = 0.04), and the mean functional bladder capacity increased 1.88 times in all patients (P = 0.00). In total, 63.6% of our patients had a nocturnal enuresis frequency of less than 50% after a mean of 6.62 +/- 4.26 ExMI sessions. CONCLUSIONS: From our results, reduced functional bladder capacity might be the main pathophysiologic cause in children with MNE refractory to established treatment. ExMI might have an acute inhibitory effect in these children with refractory MNE by increasing functional bladder capacity. However, long-term follow-up data and controlled study with a sham-stimulation group are necessary to determine the durability of this new therapy for refractory MNE. SN - 1527-9995 UR - https://www.unboundmedicine.com/medline/citation/17905120/Extracorporeal_magnetic_innervation_therapy_in_children_with_refractory_monosymptomatic_nocturnal_enuresis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090-4295(07)00662-0 DB - PRIME DP - Unbound Medicine ER -