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FUUS 2014

Extracorporeal magnetic innervation : A non-invasive therapy for urinary incontinence? - Abstract

OBJECTIVE: Extracorporeal magnetic innervation (ExMI) is a non-invasive therapy for treatment of urinary incontinence (UI).

The aim of the current study was to evaluate the efficacy of ExMI in a prospective case series.

PATIENTS AND METHODS: Over a period of 1.5 years 63 consecutive patients with a clinically and urodynamically confirmed diagnosis of urinary incontinence were enrolled. All patients requested an additional non-surgical therapy option and the ExMI system (Neo control™, Kitalpha, USA) was used. The therapy consisted of 12 treatment sessions two to three times a week. Primary outcome parameter was reduction of the number of pads per 24 h and secondary outcome parameters were patient satisfaction, adverse events and duration of the therapeutic effect.

RESULTS: A total of 63 patients (57 male and 6 female), mean age 68±7.1 years were recruited. After completion a significant (p=0.001) reduction of the number of pads used per 24 h was observed (from 5.4±3.7 to 2.7±2.5) which persisted after a median follow-up of 12.5 months (2.3±2.2 pads per 24 h). Also patients suffering from UI after prostatectomy revealed a significant (p=0.001) reduction in the number of pads from 4.8±2.9 to 2.6±2.6 with persistence at 2.5±2.5 at follow-up. Transient, self-limiting perineal pain in three patients was the only reported side effect.

CONCLUSIONS: The ExMI procedure is an additional non-invasive therapy option for patients with urinary incontinence. However, sham-controlled studies are required to corroborate the therapy effect.

Written by:
Wöllner J, Neisius A, Hampel C, Thüroff JW.   Are you the author?
Klinik und Poliklinik für Urologie, Universitätsmedizin der Universität Mainz, Langenbeckstraße 1, 55131, Mainz, Deutschland. This email address is being protected from spambots. You need JavaScript enabled to view it.

Reference: Urologe A. 2012 Oct;51(10):1432-7.
doi: 10.1007/s00120-012-2969-4


PubMed Abstract
PMID: 22806314

UroToday.com Urinary Incontinence Section