Barba Marta, Cola Alice, Rezzan Giorgia, Costa Clarissa, Melocchi Tomaso, De Vicari Desirèe, Terzoni Stefano, Frigerio Matteo, Maruccia Serena
Department of Gynecology, IRCCS San Gerardo dei Tintori, University of Milano-Bicocca, 20900 Monza, Italy.
Department of Urology, ASST Santi Paolo e Carlo, San Paolo Hospital, 20142 Milano, Italy.
Healthcare (Basel). 2023 Jun 13;11(12):1730. doi: 10.3390/healthcare11121730.
flat magnetic stimulation is based on a stimulation produced by electromagnetic fields with a homogenous profile. Patients with stress urinary incontinence (SUI) can take advantage of this treatment. We aimed to evaluate medium-term subjective, objective, and quality-of-life outcomes in patients with stress urinary incontinence to evaluate possible maintenance schedules.
a prospective evaluation through the administration of the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), the Incontinence Impact Questionnaire (IIQ7), and the Female Sexual Function Index (FSFI) was performed at three different time points: at the baseline (T0), at the end of treatment (T1), and at 3-month follow-up (T2). The stress test and the Patient Global Impression of Improvement questionnaire (PGI-I) defined objective and subjective outcomes, respectively.
25 consecutive patients were enrolled. A statistically significant reduction in the IIQ7 and ICIQ-SF scores was noticed at T1 returned to levels comparable to the baseline at T2. However, objective improvement remained significant even at a 3-month follow-up. Moreover, the PGI-I scores at T1 and T2 were comparable, demonstrating stable subjective satisfaction.
despite a certain persistence of the objective and subjective continence improvement, the urinary-related quality of life decreases and returns to baseline values three months after the end of flat magnetic stimulation. These findings indicate that a further cycle of treatment is probably indicated after 3 months since benefits are only partially maintained after this timespan.
平面磁刺激基于具有均匀分布的电磁场产生的刺激。压力性尿失禁（SUI）患者可采用这种治疗方法。我们旨在评估压力性尿失禁患者的中期主观、客观和生活质量结局，以评估可能的维持治疗方案。
通过在三个不同时间点进行国际尿失禁咨询问卷简表（ICIQ-SF）、尿失禁影响问卷（IIQ7）和女性性功能指数（FSFI）的评估进行前瞻性评估：基线时（T0）、治疗结束时（T1）和3个月随访时（T2）。压力测试和患者总体改善印象问卷（PGI-I）分别定义客观和主观结局。
连续纳入25例患者。在T1时IIQ7和ICIQ-SF评分有统计学意义的降低，在T2时恢复到与基线相当的水平。然而，即使在3个月随访时客观改善仍很显著。此外，T1和T2时的PGI-I评分相当，表明主观满意度稳定。
尽管客观和主观尿失禁改善有一定持续性，但在平面磁刺激结束三个月后，与尿失禁相关的生活质量下降并恢复到基线值。这些发现表明，三个月后可能需要进一步的治疗周期，因为在此时间段后益处仅部分维持。
