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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.