Journal of Istanbul Faculty of Medicine

SUBMITINFORMATION
EnglishTürkçe

Research Article


DOI :10.26650/IUITFD.1283129   IUP :10.26650/IUITFD.1283129    Full Text (PDF)

EFFICACY OF EXTRACORPOREAL ELECTROMAGNETIC STIMULATION FOR THE TREATMENT OF URINARY INCONTINENCE AND THE PREDICTIVE FACTORS FOR SATISFACTION

Funda Güngör Uğurlucan, Cenk Yaşa, Nalan Çapan, İnci Sema Taş, Emircan Ertürk, Önay Yalçın

Objective: Extracorporeal electromagnetic stimulation (ExMS) has been used widely to treat Urinary Incontinance (UI). We aim to analyze the subjective and objective outcomes of ExMS treatment and evaluate factors that could predict satisfaction.

Material and Method: Patients who underwent ExMS treatment for UI were evaluated. ExMS was performed twice weekly with 20-minute sessions for six-eight weeks. Subjective satisfaction and objective improvement were evaluated before and three months after treatment with a bladder diary, pad test, and pelvic floor muscle strength assessment. King’s Health Questionnaire was used to evaluate quality of life.

Result: Eighty-one patients were included. The mean age was 50.4±9.7 (30-76). Fourty four (54.3%) patients suffered from mixed UI, and 19 (23.5%) and 18 (22.2%) suffered from stress UI and urge UI, respectively. Six patients were cured, 64 (79.1%) were better than before, and the rest noticed no change. After treatment, there were significant improvements in bladder diary, pelvic floor muscle strength, pad test, and King’s Health Questionnaire. There was a significant correlation between the type of UI and satisfaction after treatment; women suffering from stress UI were less satisfied when compared to urge or mixed UI. No correlations were found between treatment satisfaction and age, pretreatment pelvic floor muscle strength, 1-hour pad test, or mean number of leakage and urgency episodes. No complications developed.

Conclusion: ExMS is an effective treatment for UI with almost 80% subjective satisfaction. Quality of life, pad test, bladder diary, and pelvic floor muscle strength were improved significantly. The UI type (urge or mixed UI) was a significant predictive factor for treatment satisfaction.

Keywords: Electromagnetic stimulation, mixed urinary incontinence, overactive bladder syndrome, quality of life, stress urinary incontinence, urinary incontinence
DOI :10.26650/IUITFD.1283129   IUP :10.26650/IUITFD.1283129    Full Text (PDF)

EKSTRAKORPOREAL ELEKTROMANYETİK STİMÜLASYONUN ÜRİNER İNKONTİNANS TEDAVİSİNDE ETKİNLİĞİ VE BAŞARIYI ETKİLEYEN FAKTÖRLERİN ANALİZİ

Funda Güngör Uğurlucan, Cenk Yaşa, Nalan Çapan, İnci Sema Taş, Emircan Ertürk, Önay Yalçın

Amaç: Elektromanyetik dalgalarla tedavi (ExMS) üriner inkontinansın tedavisinde sıklıkla kullanılmaktadır. Bu çalışmada, Üriner inkontinansın (İÜ) şikayetleri olan hastalarda EXMS tedavisinin etkinliğinin değerlendirilmesi ve tedavi memnuniyetini etkileyen faktörlerin analiz edilmesi amaçlanmıştır.

Gereç ve Yöntem: Üriner inkontinans nedeniyle ExMS tedavisi uygulanan hastalar retrospektif olarak değerlendirilmiştir. ExMS, manyetik stimülasyon sandalyesi kullanılarak, haftada üç seans ve her seans 20 dakika olmak üzere altı-sekiz hafta boyunca uygulanmıştır. Subjektif memnuniyet, tedavi öncesi ve sonrasında ürojinekolojik semptomlar, bir saatlik ped testi, dört günlük üriner günlük, pelvik taban kas gücü ve King Sağlık Anketi değerlendirilmiştir.

Bulgular: Seksen bir hasta çalışmaya dahil edilmiştir. Ortalama yaş 50,4±9,7’dir (30-76). Kırkdört (%54,3) hasta mikst Üİ, 19 hasta (%23,5) stres Üİ ve 18 hasta (%22,2) acil Üİ tanısı almıştır. ExMS tedavisinden memnuniyet değerlendirildiğinde, altı hasta tamamen iyileştiklerini, 64 hasta (%79,1) daha iyi olduklarını, geri kalan hastalar değişiklik olmadığını belirtmiştir. Tedavi sonrası üriner günlük, pelvik taban kas gücü, bir saatlik ped testi ve King Sağlık Anketi sonuçlarında anlamlı düzelme görülmüştür. Üriner inkontinans tipi ile memnuniyet arasında anlamlı ilişki bulunmuştur. Stres Üİ şikayeti olan kadınlarda memnuniyet urge veya mikst Üİ olanlara göre daha düşük bulunmuştur. Bunun dışında yaş, ped testi, pelvik taban kas gücü ve ortalama kaçak ve aciliyet sayısı ile memnuniyet arasında anlamlı ilişki bulunamamıştır. Tedavi esnasında veya sonrasında herhangi bir komplikasyon gelişmemiştir.

Sonuç: ExMS, Üİ şikayeti olan kadınlarda etkin bir tedavidir. Subjektif tatmin oranları %80’e varmaktadır. Objektif olarak ped testi, pelvik taban kas gücü, üriner günlük ve hayat kalitesinde anlamlı düzelmeye neden olmaktadır. Üriner inkontinans tipi (urge veya mikst Üİ) tedavi memnuniyeti etkileyen bir faktördür. 

Keywords: Elektromanyetik stimülasyon, üriner inkontinans, mikst üriner inkontinans, stres üriner inkontinans, aşırı aktif mesane, hayat kalitesi

PDF View

References

  • Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardization of terminology of lower urinary tract function: report from the Standardization Sub-committee of the International Continence Society. Neurourol Urodyn 2002;21(2):167. [CrossRef] google scholar
  • Thüroff JW, Abrams P, Andersson KE, Artibani W, Chapple CR, Drake MJ, et al. EAU Guidelines on Urinary Incontinence. Eur Urol 2011;59(3):387-400. [CrossRef] google scholar
  • Quek P. A critical review on magnetic stimulation: what is its role in the management of pelvic floor disorders? Curr Opin Urol 2005;15:231-5. [CrossRef] google scholar
  • Goldberg RP, Sand PK. Electromagnetic pelvic floor stimulation: applications for the gynecologist. Obstet Gynecol Surv 2000;55(11):715-20. [CrossRef] google scholar
  • Goldberg RP, Sand PK. Extracorporeal electromagnetic stimulation for urinary incontinence and bladder disease. Adv Exp Med Biol 2003;539(Pt A):453-65. [CrossRef] google scholar
  • Aslan E, Komurcu N, Beji NK, Yalcin O. Bladder training and Kegel exercises for women with urinary complaints living in a rest home. Gerontology 2008;54(4):224-31. [CrossRef] google scholar
  • Fall M, Lindström S. Electrical stimulation. A physiologic approach to the treatment of urinary incontinence. Urol Clin North Am 1991;18(2):393-407. [CrossRef] google scholar
  • Voorham-van der Zalm PJ, Pelger RCM, Stiggelbout AM, Elzevier HW, Lyclama à Nijeholt GAB. Effects of magnetic stimulation in the treatment of pelvic floor dysfunction. BJU Int 2006;97(5):1035-8. [CrossRef] google scholar
  • Galloway NT, El-Galey RE, Sand PK, Appell RA, Russell HW, Carlan SJ. Extracorporeal magnetic innervation therapy for stress urinary incontinence. Urology 1999;53(6):1108-11. [CrossRef] google scholar
  • Yamanishi T, Yasuda K, Suda S, Ishikawa N, Sakakibara R, Hattori T. Effect of functional continuous magnetic stimulation for urinary incontinence. J Urol 2000;163(2):456- 9. [CrossRef] google scholar
  • Chandi DD, Groenendijk PM, Venema PL. Functional extracorporeal magnetic stimulation as a treatment for female urinary incontinence: ‘the chair’. BJU Int 2004;93(4):539-42. [CrossRef] google scholar
  • Groenendijk PM, Halilovic M, Chandi D, Heesakkers JPFA, Vorrham-Van der Zalm PJ, Lycklama Anijeholt AAB. Extracorporeal magnetic innervation therapy: assessment of clinical efficacy in relation to urodynamic parameters. Scand J Urol Nephrol 2008;42(5):433-6. [CrossRef] google scholar
  • Yokoyama T, Fujita O, Nishiguchi J, Nozaki K, Nose H, Inoue M, et al. Extracorporeal magnetic innervation treatment for urinary incontinence. Int J Urol 2004;11(8):602-6. [CrossRef] google scholar
  • Almedia FG, Bruschini H, Srougi M. Urodynamic and clinical evaluation of 91 female patients with urinary incontinence treated with perineal magnetic stimulation: 1-year followup. J Urol 2004;171(4):1571-4. [CrossRef] google scholar
  • But I. Conservative treatment of female urinary incontinence with functional magnetic stimulation. Urology 2003;61(3):558-61. [CrossRef] google scholar
  • Bolukbas N, Vural M, Karan A, Yalcin O, Eskiyurt N. Effectiveness of functional magnetic versus electrical stimulation in women with urinary incontinence. Eura Medicophys 2005;41(4):297-301. google scholar
  • Fujishiro T, Enomoto H, Ugawa Y, Takahashi S, Ueno S, Kitamura T. Magnetic stimulation of the sacral roots for the treatment of stress incontinence: an investigational study and placebo controlled trial. J Urol 2000;164(4):1277-9. [CrossRef] google scholar
  • Gilling PJ, Wilson LC, Westenberg AM, McAllister WJ, Kennett KM, Frampton CM, et al. A double-blind randomized controlled trial of electromagnetic stimulation of the pelvic floor vs sham therapy in the treatment of women with stress urinary incontinence. BJUI 2009;103(10):1386-90. [CrossRef] google scholar
  • Lim R, Liong ML, Leong WS, Karim Khan NA, Yuen KH. Pulsed magnetic stimulation for stress urinary incontinence: 1-year follow-up results. J Urol. 2017;197(5):1302-8. [CrossRef] google scholar
  • Yamanishi T, Suzuki T, Sato R, Kaga K, Kaga M, Fuse M. Effects of magnetic stimulation on urodynamic stress incontinence refractory to pelvic floor muscle training in a randomized sham-controlled study. Low Urin Tract Symptoms 2019;11(1):61-5. [CrossRef] google scholar
  • Lim R, Lee SW, Tan PY, Liong ML, Yuen KH. Efficacy of electromagnetic therapy for urinary incontinence: a systematic review. Neurourol Urodyn 2015;34(8):713-22. [CrossRef] google scholar

Citations

Copy and paste a formatted citation or use one of the options to export in your chosen format


EXPORT



APA

Güngör Uğurlucan, F., Yaşa, C., Çapan, N., Taş, İ.S., Ertürk, E., & Yalçın, Ö. (2024). EFFICACY OF EXTRACORPOREAL ELECTROMAGNETIC STIMULATION FOR THE TREATMENT OF URINARY INCONTINENCE AND THE PREDICTIVE FACTORS FOR SATISFACTION. Journal of Istanbul Faculty of Medicine, 87(2), 139-144. https://doi.org/10.26650/IUITFD.1283129


AMA

Güngör Uğurlucan F, Yaşa C, Çapan N, Taş İ S, Ertürk E, Yalçın Ö. EFFICACY OF EXTRACORPOREAL ELECTROMAGNETIC STIMULATION FOR THE TREATMENT OF URINARY INCONTINENCE AND THE PREDICTIVE FACTORS FOR SATISFACTION. Journal of Istanbul Faculty of Medicine. 2024;87(2):139-144. https://doi.org/10.26650/IUITFD.1283129


ABNT

Güngör Uğurlucan, F.; Yaşa, C.; Çapan, N.; Taş, İ.S.; Ertürk, E.; Yalçın, Ö. EFFICACY OF EXTRACORPOREAL ELECTROMAGNETIC STIMULATION FOR THE TREATMENT OF URINARY INCONTINENCE AND THE PREDICTIVE FACTORS FOR SATISFACTION. Journal of Istanbul Faculty of Medicine, [Publisher Location], v. 87, n. 2, p. 139-144, 2024.


Chicago: Author-Date Style

Güngör Uğurlucan, Funda, and Cenk Yaşa and Nalan Çapan and İnci Sema Taş and Emircan Ertürk and Önay Yalçın. 2024. “EFFICACY OF EXTRACORPOREAL ELECTROMAGNETIC STIMULATION FOR THE TREATMENT OF URINARY INCONTINENCE AND THE PREDICTIVE FACTORS FOR SATISFACTION.” Journal of Istanbul Faculty of Medicine 87, no. 2: 139-144. https://doi.org/10.26650/IUITFD.1283129


Chicago: Humanities Style

Güngör Uğurlucan, Funda, and Cenk Yaşa and Nalan Çapan and İnci Sema Taş and Emircan Ertürk and Önay Yalçın. “EFFICACY OF EXTRACORPOREAL ELECTROMAGNETIC STIMULATION FOR THE TREATMENT OF URINARY INCONTINENCE AND THE PREDICTIVE FACTORS FOR SATISFACTION.” Journal of Istanbul Faculty of Medicine 87, no. 2 (May. 2024): 139-144. https://doi.org/10.26650/IUITFD.1283129


Harvard: Australian Style

Güngör Uğurlucan, F & Yaşa, C & Çapan, N & Taş, İS & Ertürk, E & Yalçın, Ö 2024, 'EFFICACY OF EXTRACORPOREAL ELECTROMAGNETIC STIMULATION FOR THE TREATMENT OF URINARY INCONTINENCE AND THE PREDICTIVE FACTORS FOR SATISFACTION', Journal of Istanbul Faculty of Medicine, vol. 87, no. 2, pp. 139-144, viewed 5 May. 2024, https://doi.org/10.26650/IUITFD.1283129


Harvard: Author-Date Style

Güngör Uğurlucan, F. and Yaşa, C. and Çapan, N. and Taş, İ.S. and Ertürk, E. and Yalçın, Ö. (2024) ‘EFFICACY OF EXTRACORPOREAL ELECTROMAGNETIC STIMULATION FOR THE TREATMENT OF URINARY INCONTINENCE AND THE PREDICTIVE FACTORS FOR SATISFACTION’, Journal of Istanbul Faculty of Medicine, 87(2), pp. 139-144. https://doi.org/10.26650/IUITFD.1283129 (5 May. 2024).


MLA

Güngör Uğurlucan, Funda, and Cenk Yaşa and Nalan Çapan and İnci Sema Taş and Emircan Ertürk and Önay Yalçın. “EFFICACY OF EXTRACORPOREAL ELECTROMAGNETIC STIMULATION FOR THE TREATMENT OF URINARY INCONTINENCE AND THE PREDICTIVE FACTORS FOR SATISFACTION.” Journal of Istanbul Faculty of Medicine, vol. 87, no. 2, 2024, pp. 139-144. [Database Container], https://doi.org/10.26650/IUITFD.1283129


Vancouver

Güngör Uğurlucan F, Yaşa C, Çapan N, Taş İS, Ertürk E, Yalçın Ö. EFFICACY OF EXTRACORPOREAL ELECTROMAGNETIC STIMULATION FOR THE TREATMENT OF URINARY INCONTINENCE AND THE PREDICTIVE FACTORS FOR SATISFACTION. Journal of Istanbul Faculty of Medicine [Internet]. 5 May. 2024 [cited 5 May. 2024];87(2):139-144. Available from: https://doi.org/10.26650/IUITFD.1283129 doi: 10.26650/IUITFD.1283129


ISNAD

Güngör Uğurlucan, Funda - Yaşa, Cenk - Çapan, Nalan - Taş, İnciSema - Ertürk, Emircan - Yalçın, Önay. “EFFICACY OF EXTRACORPOREAL ELECTROMAGNETIC STIMULATION FOR THE TREATMENT OF URINARY INCONTINENCE AND THE PREDICTIVE FACTORS FOR SATISFACTION”. Journal of Istanbul Faculty of Medicine 87/2 (May. 2024): 139-144. https://doi.org/10.26650/IUITFD.1283129



TIMELINE


Submitted28.10.2023
Accepted30.01.2024
Published Online08.03.2024

LICENCE


Attribution-NonCommercial (CC BY-NC)

This license lets others remix, tweak, and build upon your work non-commercially, and although their new works must also acknowledge you and be non-commercial, they don’t have to license their derivative works on the same terms.


SHARE




Istanbul University Press aims to contribute to the dissemination of ever growing scientific knowledge through publication of high quality scientific journals and books in accordance with the international publishing standards and ethics. Istanbul University Press follows an open access, non-commercial, scholarly publishing.