Skip to main content

Advertisement

Log in

Long-term effects of extracorporeal magnetic innervations in the treatment of women with urinary incontinence: results of 3-year follow-up

  • General Gynecology
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Purpose

This study is designed to evaluate the long-term efficacy of extracorporeal magnetic innervation (ExMI) in the treatment of women with urinary incontinence.

Methods

Our prospective study included a period of 3 years between May 2005 and October 2008. A total of 137 consequent women with stress and urge incontinence were included in the study. Of the patients, 68 had stress incontinence and others had urge incontinence.

Results

All of the patients with stress incontinence were successfully followed up and 32 (47%) were totally dry in negative stress test at the 6 months after ExMI therapy. In the same group, 27(39%) showed improvement in the frequency of daily leak episodes from 3.2 times to 1.2 times. In the urge incontinence group, all of the patients completed the treatment and they were successfully followed up. While 40 (58%) patients were dry and 18 (26%) significantly improved the average number of incontinence episodes decreased from 3.7 times to 1.7 times per day, treatment failed in the remaining 11 (16%) patients at the 6 months. At 6 months, the recurrence rate was 53%.

Conclusions

At the 6 months after 16 sessions of ExMI had a significant QOL, parallel to decrease in daily pad use and leakage episodes. Only 16 sessions are not effective definitive therapy. The beneficial effects are temporary and there is high recurrence.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Galloway NT, El-Galley RE, Sand PK, Appell RA, Russell HW, Carlin SJ (2000) Update on extracorporeal magnetic innervation (ExMI) therapy for stress urinary incontinence. Urology 56(6 Suppl 1): 82–86

    Google Scholar 

  2. Barker AT, Jalinous R, Freeston IL (1985) Non-invasive magnetic stimulation of human motor cortex. Lancet 11:1106–1107

    Article  Google Scholar 

  3. Barker AT, Freeston IL, Jalinous R, Jarratt JA (1987) Magnetic stimulation of the human brain and peripheral nervous system: an introduction and the results of an initial clinical evaluation. Neurosurgery 20:100–109

    Article  CAS  PubMed  Google Scholar 

  4. Galloway NT, El-Galley RE, Sand PK, Appell RA, Russell HW, Carlan SJ (1999) Extracorporeal magnetic innervation therapy for stress urinary incontinence. Urology 53:1108–1111

    Article  CAS  PubMed  Google Scholar 

  5. Wagner TH, Patrick DL, Bavendam TG, Martin ML, Buesching DP (1996) Quality of life of persons with urinary incontinence: development of a new measure. Urology 47:67–71

    Article  CAS  PubMed  Google Scholar 

  6. Stach-Lempinen B, Kujansuu E, Laippala P, Metsänoja R (2001) Visual analogue scale, urinary incontinence severity score and 15 D—psychometric testing of three different health-related quality-of-life instruments for urinary incontinent women. Scand J Urol Nephrol 35:476–483

    Article  CAS  PubMed  Google Scholar 

  7. Sand PK, Richardson DA, Staskin DR, Swift SE, Appell RA, Whitmore KE, Ostergard DR (1995) Pelvic floor electrical stimulation in the treatment of genuine stress incontinence: a multicenter, placebo-controlled trial. Am J Obstet Gynecol 173:72–79

    Article  CAS  PubMed  Google Scholar 

  8. Yamanishi T, Yasuda K, Sakakibara R, Hattori T, Ito H, Murakami S (1997) Pelvic floor electrical stimulation in the treatment of stress incontinence: an investigational study and a placebo controlled double-blind trial. J Urol 158:2127–2131

    Article  CAS  PubMed  Google Scholar 

  9. Yamanishi T, Yasuda K, Suda S, Ishikawa N (1999) Effect of functional continuous magnetic stimulation on urethral closure in healthy volunteers. Urology 54:652–655

    Article  CAS  PubMed  Google Scholar 

  10. Bø K (1998) Effect of electrical stimulation on stress and urge urinary incontinence. Clinical outcome and practical recommendations based on randomized controlled trials. Acta Obstet Gynecol Scand Suppl 168:3–11. Review

    Google Scholar 

  11. Fall M (1998) Advantages and pitfalls of functional electrical stimulation. Acta Obstet Gynecol Scand Suppl 168:16–21

    CAS  PubMed  Google Scholar 

  12. Fujishiro T, Takahashi S, Enomoto H, Ugawa Y, Ueno S, Kitamura T (2002) Magnetic stimulation of the sacral roots for the treatment of urinary frequency and urge incontinence: an investigational study and placebo controlled trial. J Urol 168:1036–1039

    Article  PubMed  Google Scholar 

  13. Yamanishi T, Yasuda K, Suda S, Ishikawa N, Sakakibara R, Hattori T (2000) Effect of functional continuous magnetic stimulation for urinary incontinence. J Urol 163:456–459

    Article  CAS  PubMed  Google Scholar 

  14. Yokoyama T, Fujita O, Nishiguchi J, Nozaki K, Nose H, Inoue M, Ozawa H, Kumon H (2004) Extracorporeal magnetic innervation treatment for urinary incontinence. Int J Urol 11:602–606

    Article  PubMed  Google Scholar 

  15. Hoşcan MB, Dilmen C, Perk H, Soyupek S, Armağan A, Tükel O, Ekinci M (2008) Extracorporeal magnetic innervation for the treatment of stress urinary incontinence: results of two-year follow-up. Urol Int 81:167–172

    Article  PubMed  Google Scholar 

  16. Almeida FG, Bruschini H, Srougi M (2004) Urodynamic and clinical evaluation of 91 female patients with urinary incontinence treated with perineal magnetic stimulation: 1-year followup. J Urol 171:1571–1575

    Article  PubMed  Google Scholar 

Download references

Conflict of interest statement

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Melike Doğanay.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Doğanay, M., Kilic, S. & Yilmaz, N. Long-term effects of extracorporeal magnetic innervations in the treatment of women with urinary incontinence: results of 3-year follow-up. Arch Gynecol Obstet 282, 49–53 (2010). https://doi.org/10.1007/s00404-009-1243-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-009-1243-5

Keywords

Navigation