engleski

Effects of extracorporeal magnetic innervation therapy for urge and stress urinary incontinence

NTRODUCTION & OBJECTIVES: Aim of this prospective clinical study was to evaluate the effects of extracorporeal magnetic innervation (ExMI) therapy in the rehabilitation of neuromuscular control in female patients with urge and stress urinary incontinence. MATERIAL & METHODS: We evaluated 22 women with urge urinary incontinence and 14 women with stress urinary incontinence in the period from July 2013 to December 2014. ExMI treatment lasted for 20 minutes, it was performed twice a week through out 8 weeks. The effects of the treatment were assessed by 3 day bladder diaries, 24 hour pad weight testing, urodynamic studies, and quality of life questionnaire. Measurements were performed before treatment, at the 8th week of treatment and 24 weeks after the treatment. RESULTS: 6 patients with urge incontinence were cured (17%), 9 patients had improvement of symptoms (63%), 7 patients still had the same symptoms (10%). Estimates at the 8th week in this group of patients determined that the events of unwanted urination decreased from 6.5 to 1.8 times a day. 8 patients with stress incontinence were cured (57%), 5 patients had improvement of symptoms (36%), 1 patient still had the same symptoms (7%). 24 hour pad weight test in stress incontinence group showed regression from 17 grams to only 3.5 grams at the 8th week assessment. CONCLUSIONS: EXMI is effective in the treatment of urge and stress urinary incontinence however the data based on scientific evidence in the literature supporting the efficacy EXMI is scarce. Further studies are mandatory to determine how long the effects of ExMI therapy last and how many retreatments are required if necessary.

incontinence ; urodynamics ; magnetic field therapy

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