Extracorporeal magnetic innervation therapy: Assessment of clinical efficacy in relation to urodynamic parameters

Department of Urology, Reinier de Graaf Group, Delft, The Netherlands.
Scandinavian Journal of Urology and Nephrology (Impact Factor: 1.24). 05/2008; 42(5):433-6. DOI: 10.1080/00365590802022177
Source: PubMed


Clinical efficacy and urodynamic changes in women treated by extracorporeal magnetic innervation therapy (ExMI) were studied.
Women, presenting with urge, stress and mixed urinary incontinence, were included in a prospective study. ExMI was applied by an electromagnetic chair. To document clinical efficacy, a voiding diary and visual analogue scale were completed before and after treatment, together with a pad test. Detrusor overactivity (DO) and urethral instability (URI) were urodynamically documented. Clinical success was defined as more than 50% improvement in symptoms.
Sixteen patients were included. At baseline, DO was observed in 10 patients, and URI in 12 patients. DO did disappear at follow-up in 60%, and a decrease in URI was seen in 66%. No significant clinical improvement was seen at follow-up.
Although significant changes in urodynamic variables were observed, no significant improvement in clinical efficacy was seen after ExMI.

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