Ginecología y Obstetricia, Centro Médico Teknon, 08017 Barcelona, Spain.
Ginecología y Obstetricia, Ginecología Avanzada, Bogotá 110311, Colombia.
Medicina (Kaunas). 2022 Nov 24;58(12):1721. doi: 10.3390/medicina58121721.
It is becoming increasingly common that patients' preferences move towards non-surgical approaches, such as pulsed magnetic stimulation, for female stress urinary incontinence.
We evaluated the efficacy and safety of a device that uses electromagnetic technology to treat urinary incontinence, with an emphasis on health-related quality of life.
A total of 47 female subjects from 18 to 80 years old were enrolled. After block randomization, treatment consisted of 2 pulsed planar magnetic stimulation sessions per week for 4 weeks (8 sessions). Validated questionnaires: Female Sexual Function Index, International Consultation on Incontinence Questionnaire for Urinary Incontinence: Short Form, and Pelvic Floor Bothersome. Follow-ups were performed at weeks 1, 9, and 14.
The present study is one of the first clinical trials published evaluating the efficacy and safety of the electromagnetism-based device with flat configuration in patients with stress urinary incontinence, showing a reduction in PFBQ, ICQSF, and Oxford test scores during follow-up, and significantly at week 14 of follow-up, which implied a favorable impact on clinical outcomes, quality of life, and sexuality.
The improved results in the treatment group compared with the simulated group show that pulsed magnetic stimulation is a safe and attractive non-invasive alternative for patients who prefer non-surgical treatments.
患者越来越倾向于选择非手术方法,如脉冲磁场刺激,来治疗女性压力性尿失禁。
我们评估了一种使用电磁技术治疗尿失禁的设备的疗效和安全性,重点关注与健康相关的生活质量。
共纳入 47 名年龄在 18 至 80 岁的女性受试者。经过分组随机化后,治疗方案为每周 2 次脉冲平面磁场刺激,持续 4 周(共 8 次)。使用经过验证的问卷:女性性功能指数、国际尿失禁咨询问卷尿失禁简短问卷、盆底困扰问卷。在第 1、9 和 14 周进行随访。
本研究是首次发表的评估基于平面电磁配置的设备治疗压力性尿失禁患者的疗效和安全性的临床试验之一,结果显示在随访期间,盆底困扰问卷、尿失禁问卷-短问卷和牛津测试评分均降低,且在随访的第 14 周时显著降低,这表明对临床结局、生活质量和性生活有积极影响。
与模拟组相比,治疗组的改善结果表明,脉冲磁场刺激是一种安全且有吸引力的非侵入性替代选择,适合那些偏爱非手术治疗的患者。