A novel device for selective extracorporeal magnetic innervation: results on women with stress urinary incontinence

You have accessJournal of UrologyCME1 Apr 2023MP37-16 A NOVEL DEVICE FOR SELECTIVE EXTRACORPOREAL MAGNETIC INNERVATION: RESULTS ON WOMEN WITH STRESS URINARY INCONTINENCE Serena Maruccia, Marta Barba, Alice Cola, Silvia Volontè, Giuseppe Marino, Tomaso Melocchi, Desirè de Vicari, Stefano Terzoni, and Matteo Frigerio Serena MarucciaSerena Maruccia More articles by this author , Marta BarbaMarta Barba More articles by this author , Alice ColaAlice Cola More articles by this author , Silvia VolontèSilvia Volontè More articles by this author , Giuseppe MarinoGiuseppe Marino More articles by this author , Tomaso MelocchiTomaso Melocchi More articles by this author , Desirè de VicariDesirè de Vicari More articles by this author , Stefano TerzoniStefano Terzoni More articles by this author , and Matteo FrigerioMatteo Frigerio More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003275.16AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The international guidelines include conservative and surgical treatments for stress urinary incontinence on women. Extracorporeal magnetic stimulation (EMS) is a conservative option for pelvic floor disorders. MS is a non-invasive therapeutic device that interacts with the neuromuscular tissue through an electromagnetic field, thus inducing intense contractions that stimulate pelvic floor muscles. Recently, the TOP Flat Magnetic Stimulation (TOP FMS) has been developed as new generation of traditional magnetic chairs. This new technology generates electromagnetic fields with a homogenous profile optimized for the stimulation of the pelvic area, allowing greater recruitment of muscle fibres without creating areas of uneven stimulation intensity. We sought to assess the short-term outcomes, both subjective and objective, in women suffering from SUI. METHODS: In this non-randomized trial, a clinical interview was performed to investigate the presence of isolated or predominant stress urinary incontinence (SUI), subsequently confirmed by a stress test. Urogenital examination was used to exclude significant prolapse (POP-Q stage >2 or higher). Patients could choose to receive the new treatment (eight sessions of 25 minutes of TOP FMS in one month) or home-based, unsupervised, non-personalized pelvic floor muscles training (PFMT) according to the International Urogynecological Association leaflets for one month. At baseline (T0) and at the end of the treatments (T1) the International Consultation on Incontinence Questionnaire-Short Form questionnaire (ICIQ-SF) and the Incontinence Impact Questionnaire (IIQ-7- SF) were administered. The stress test was performed again after treatment and the Patient Global Impression of Improvement (PGI-I) questionnaire was administered. RESULTS: 50 patients were enrolled (1:1 allocation ratio). Improved PGI-I scores were reported by 72% intervention patients vs 20% controls (p<0.001) after 1 month. According to the stress test at T1 (1 month), the objective cure rate resulted 40% for TOP FMS and 0% for PFMT (p<0.001). Significant improvements were observed in the TOP FMS, IIQ-7 and ICIQ-SF scores (p<0.05) but not in the FSFI-19 scores. No adverse events were reported either with TOP FMS or PFMT. CONCLUSIONS: The TOP FMS appears promising in patients with isolated or predominant SUI, compared to than unsupervised, non-individualized PFMT, in treating SUI in women. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e520 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Serena Maruccia More articles by this author Marta Barba More articles by this author Alice Cola More articles by this author Silvia Volontè More articles by this author Giuseppe Marino More articles by this author Tomaso Melocchi More articles by this author Desirè de Vicari More articles by this author Stefano Terzoni More articles by this author Matteo Frigerio More articles by this author Expand All Advertisement PDF downloadLoading ...