Department of Obstetrics and Gynecology, Zekai Tahir Burak Mother Health Training and Research Hospital, Ankara, Turkey.
Arch Gynecol Obstet. 2010 Jul;282(1):49-53. doi: 10.1007/s00404-009-1243-5. Epub 2009 Oct 16.
This study is designed to evaluate the long-term efficacy of extracorporeal magnetic innervation (ExMI) in the treatment of women with urinary incontinence.
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.
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%.
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.
本研究旨在评估体外磁神经刺激（ExMI）治疗女性尿失禁的长期疗效。
我们的前瞻性研究包括 2005 年 5 月至 2008 年 10 月的 3 年期间。共有 137 例连续的压力性和急迫性尿失禁患者纳入研究。其中 68 例为压力性尿失禁，其余为急迫性尿失禁。
所有压力性尿失禁患者均成功随访，32 例（47%）在 ExMI 治疗后 6 个月的负性压力试验中完全无尿失禁。在同一组中，27 例（39%）每日漏尿次数从 3.2 次减少至 1.2 次。在急迫性尿失禁组中，所有患者均完成治疗并成功随访。40 例（58%）患者无尿失禁，18 例（26%）患者显著改善，每日失禁次数从 3.7 次减少至 1.7 次/天，其余 11 例（16%）患者治疗失败。6 个月时复发率为 53%。
在 ExMI 治疗 16 次后 6 个月，患者的生活质量显著提高，每日垫用量和漏尿次数减少。仅 16 次治疗不是有效的确定性治疗。有益效果是暂时的，复发率较高。
