Extracorporeal magnetic innervation therapy: assessment of clinical efficacy in relation to urodynamic parameters.
OBJECTIVE
Clinical efficacy and urodynamic changes in women treated by extracorporeal magnetic innervation therapy (ExMI) were studied.


METHODS
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.


RESULTS
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.


CONCLUSIONS
Although significant changes in urodynamic variables were observed, no significant improvement in clinical efficacy was seen after ExMI.
Groenendijk
P M
PM
Department of Urology, Reinier de Graaf Group, Delft, The Netherlands. groenenp@rdgg.nl
Halilovic
M
M
Chandi
D D
DD
Heesakkers
J P F A
JP
Voorham-Van Der Zalm
P J
PJ
Lycklama Anijeholt
A A B
AA
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007537:Isometric Contraction / Q000502:physiology; D055909:Magnetic Field Therapy / Q000295:instrumentation*; D008875:Middle Aged; D017773:Pelvic Floor / Q000294:innervation / Q000503:physiopathology; D011446:Prospective Studies; D053201:Urinary Bladder, Overactive / Q000503:physiopathology / Q000628:therapy*; D014549:Urinary Incontinence / Q000503:physiopathology / Q000628:therapy*; D014563:Urodynamics / Q000502:physiology