Efficacy and safety of Pulsed Electromagnetic Field (PEMF) stimulation in the treatment of urinary symptoms in women with urinary incontinence

IF 0.8 Q4 UROLOGY & NEPHROLOGY Urological Science Pub Date : 2022-10-01 DOI:10.4103/UROS.UROS_123_21
A. Madani, Fatemeh Chafjiri, S. Esmaeili, Z. Madani, E. Leili
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引用次数: 1

Abstract

Purpose: There are different approaches to the treatment of urinary incontinence (UI), including pharmacological, nonpharmacological, and surgical methods. Pulsed electromagnetic field (PEMF) stimulation is a nontraditional and noninvasive type of treatment, which is gaining increasing popularity in healthcare departments for UI treatment. Materials and Methods: In this quasi-experimental study, women (age ≥21 years) with lower urinary tract symptoms (LUTS) were assigned to three groups regarding the UI type (urgency, stress, and mixed UI). The Bristol Female LUTS (BFLUTS) questionnaire was used to evaluate the UI severity. The patients were treated with PEMF stimulation twice per week up to 6 weeks. The results were evaluated at three and 6 months posttreatment. Results: Ninety women completed 6 months of follow-up in this study. The mean age of the participants was 58.5 ± 13.9 years. Of 90 patients, 61 (67.8%) had mixed UI, 22 (24.4%) had urge UI, and 7 (7.8%) had stress UI. There were significant differences between the groups regarding the frequency of leakage from baseline to 3 and 6 months after treatment; the reduction of leakage severity was only nonsignificant in the stress UI group (P = 0.368). Based on the results, the number of used pads reduced from 4.18 ± 3.00 to 1.08 ± 2.03 (P < 0.001); this reduction was also significant in each of the groups. The mean BFLUTS score reduced from 7.42 ± 2.53 at baseline to 5.56 ± 2.37 and 3.00 ± 2.33 at 3 and 6 months after treatment, respectively (P < 0.001). No significant complications were detected in the groups. Conclusion: The PEMF stimulation is a safe and effective approach for reducing the symptoms of patients with UI. The best response to treatment was reported at 6 months posttreatment. Therefore, it is recommended to use PMEF stimulation as a noninvasive treatment along with routine therapies.
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脉冲电磁场(PEMF)刺激治疗女性尿失禁症状的有效性和安全性
目的:治疗尿失禁有不同的方法,包括药物、非药物和手术方法。脉冲电磁场(PEMF)刺激是一种非传统和非侵入性的治疗方法,在医疗部门越来越受欢迎。材料和方法:在这项准实验研究中,将有下尿路症状(LUTS)的女性(年龄≥21岁)按UI类型(紧迫感、压力和混合UI)分为三组。Bristol女性LUTS(BFLUTS)问卷用于评估UI严重程度。患者接受PEMF刺激治疗,每周两次,持续6周。在治疗后3个月和6个月对结果进行评估。结果:90名女性完成了6个月的随访。参与者的平均年龄为58.5±13.9岁。在90名患者中,61名(67.8%)患有混合性UI,22名(24.4%)患有冲动性UI,7名(7.8%)患有应激性UI。从基线到治疗后3个月和6个月,两组在渗漏频率方面存在显著差异;渗漏严重程度的降低在应激性UI组中并不显著(P=0.368)。根据结果,使用的衬垫数量从4.18±3.00减少到1.08±2.03(P<0.001);这种减少在每一组中也是显著的。治疗后3个月和6个月,平均BFLUTS评分分别从基线时的7.42±2.53降至5.56±2.37和3.00±2.33(P<0.001)。两组均未发现明显并发症。结论:PEMF刺激是一种安全有效的减轻UI患者症状的方法。据报道,治疗后6个月对治疗的最佳反应。因此,建议在常规治疗的同时使用PMEF刺激作为非侵入性治疗。
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来源期刊
Urological Science
Urological Science UROLOGY & NEPHROLOGY-
CiteScore
1.20
自引率
0.00%
发文量
26
审稿时长
6 weeks
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