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Extracorporeal magnetic innervation treatment for urinary incontinence
Background: Extracorporeal magnetic innervation (ExMI) is a new technology used for pelvic muscle strengthening for the treatment of stress urinary incontinence. We explored whether this new technology is effective for patients with urge incontinence, as well as those with stress urinary incontinen...
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Published in: | International journal of urology 2004-08, Vol.11 (8), p.602-606 |
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container_title | International journal of urology |
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creator | YOKOYAMA, TERUHIKO FUJITA, OSAMU NISHIGUCHI, JUN NOZAKI, KUNIHIRO NOSE, HIROYUKI INOUE, MIYABI OZAWA, HIDEO KUMON, HIROMI |
description | Background: Extracorporeal magnetic innervation (ExMI) is a new technology used for pelvic muscle strengthening for the treatment of stress urinary incontinence. We explored whether this new technology is effective for patients with urge incontinence, as well as those with stress urinary incontinence.
Methods: We studied 20 patients with urge incontinence and 17 patients with stress urinary incontinence. The Neocontrol system (Neotonus Inc., Marietta, GA) was used. Treatment sessions were for 20 min, twice a week for 8 weeks. Evaluations were performed by bladder diaries, one‐hour pad weight testing, quality‐of‐life surveys and urodynamic studies.
Results: Of the urge incontinence cases, five patients were cured (25.0%), 12 patients improved (60.0%) and three patients did not show any improvement (15.0%). Leak episodes per day reduced from 5.6 times to 1.9 times at 8 weeks (P |
doi_str_mv | 10.1111/j.1442-2042.2004.00857.x |
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Methods: We studied 20 patients with urge incontinence and 17 patients with stress urinary incontinence. The Neocontrol system (Neotonus Inc., Marietta, GA) was used. Treatment sessions were for 20 min, twice a week for 8 weeks. Evaluations were performed by bladder diaries, one‐hour pad weight testing, quality‐of‐life surveys and urodynamic studies.
Results: Of the urge incontinence cases, five patients were cured (25.0%), 12 patients improved (60.0%) and three patients did not show any improvement (15.0%). Leak episodes per day reduced from 5.6 times to 1.9 times at 8 weeks (P < 0.05). Eight patients with urge incontinence recurred within 24 weeks after the last treatment (47.1%). Of the stress incontinence cases, nine patients were cured (52.9%), seven patients improved (41.1%) and one patient did not show any improvement (6%). In one‐hour pad weight testing, the mean pad weight reduced from 7.9 g to 1.9 g at 8 weeks (P < 0.05). Three patients returned to the baseline values within 24 weeks after the last treatment (17.6%). No side‐effects were experienced by any of the patients.
Conclusion: Although the results for urge incontinence were less effective than for stress urinary incontinence, ExMI therapy offers a new option for urge incontinence as well as stress urinary incontinence.</description><identifier>ISSN: 0919-8172</identifier><identifier>EISSN: 1442-2042</identifier><identifier>DOI: 10.1111/j.1442-2042.2004.00857.x</identifier><identifier>PMID: 15285749</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Science Pty</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Female ; Follow-Up Studies ; Humans ; magnetic innervation ; Magnetics - therapeutic use ; Male ; Middle Aged ; Pelvic Floor - innervation ; Pelvic Floor - physiopathology ; Physical Stimulation - methods ; Spinal Nerve Roots - physiopathology ; Treatment Outcome ; Urinary Bladder - innervation ; Urinary Bladder - physiopathology ; urinary incontinence ; Urinary Incontinence, Stress - therapy ; Urodynamics</subject><ispartof>International journal of urology, 2004-08, Vol.11 (8), p.602-606</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5217-69fb38344c8a09106b3a3147816f8695b52412127b1b09d1c29b2063161c8a3c3</citedby><cites>FETCH-LOGICAL-c5217-69fb38344c8a09106b3a3147816f8695b52412127b1b09d1c29b2063161c8a3c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15285749$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>YOKOYAMA, TERUHIKO</creatorcontrib><creatorcontrib>FUJITA, OSAMU</creatorcontrib><creatorcontrib>NISHIGUCHI, JUN</creatorcontrib><creatorcontrib>NOZAKI, KUNIHIRO</creatorcontrib><creatorcontrib>NOSE, HIROYUKI</creatorcontrib><creatorcontrib>INOUE, MIYABI</creatorcontrib><creatorcontrib>OZAWA, HIDEO</creatorcontrib><creatorcontrib>KUMON, HIROMI</creatorcontrib><title>Extracorporeal magnetic innervation treatment for urinary incontinence</title><title>International journal of urology</title><addtitle>Int J Urol</addtitle><description>Background: Extracorporeal magnetic innervation (ExMI) is a new technology used for pelvic muscle strengthening for the treatment of stress urinary incontinence. We explored whether this new technology is effective for patients with urge incontinence, as well as those with stress urinary incontinence.
Methods: We studied 20 patients with urge incontinence and 17 patients with stress urinary incontinence. The Neocontrol system (Neotonus Inc., Marietta, GA) was used. Treatment sessions were for 20 min, twice a week for 8 weeks. Evaluations were performed by bladder diaries, one‐hour pad weight testing, quality‐of‐life surveys and urodynamic studies.
Results: Of the urge incontinence cases, five patients were cured (25.0%), 12 patients improved (60.0%) and three patients did not show any improvement (15.0%). Leak episodes per day reduced from 5.6 times to 1.9 times at 8 weeks (P < 0.05). Eight patients with urge incontinence recurred within 24 weeks after the last treatment (47.1%). Of the stress incontinence cases, nine patients were cured (52.9%), seven patients improved (41.1%) and one patient did not show any improvement (6%). In one‐hour pad weight testing, the mean pad weight reduced from 7.9 g to 1.9 g at 8 weeks (P < 0.05). Three patients returned to the baseline values within 24 weeks after the last treatment (17.6%). No side‐effects were experienced by any of the patients.
Conclusion: Although the results for urge incontinence were less effective than for stress urinary incontinence, ExMI therapy offers a new option for urge incontinence as well as stress urinary incontinence.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>magnetic innervation</subject><subject>Magnetics - therapeutic use</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pelvic Floor - innervation</subject><subject>Pelvic Floor - physiopathology</subject><subject>Physical Stimulation - methods</subject><subject>Spinal Nerve Roots - physiopathology</subject><subject>Treatment Outcome</subject><subject>Urinary Bladder - innervation</subject><subject>Urinary Bladder - physiopathology</subject><subject>urinary incontinence</subject><subject>Urinary Incontinence, Stress - therapy</subject><subject>Urodynamics</subject><issn>0919-8172</issn><issn>1442-2042</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNqNkMFOGzEQhi3UiqSBV6j21NtuPbbX9kq9VBEJoAiEVMTR8hovcrrrTW0HwtvjkIhemYtHmu8bj36ECsAV5Pq5roAxUhLMSEUwZhXGshbV7gRNPwZf0BQ30JQSBJmgbzGuMQZKQJ6iCdQk86yZosXFLgVtxrAZg9V9Megnb5MzhfPehmed3OiLlEdpsD4V3RiKbXBeh9dMmNEn56039gx97XQf7fnxnaH7xcWf-WW5ul1ezX-vSlMTECVvupZKypiROh-HeUs1BSYk8E7ypm5rwoAAES20uHkEQ5qWYE6BQzaooTP047B3E8Z_WxuTGlw0tu-1t-M2Ks4FBxB1BuUBNGGMMdhObYIb8tkKsNpnqNZqH5XaR6X2Gar3DNUuq9-Pf2zbwT7-F4-hZeDXAXhxvX399GJ1dX2fm6yXB93FZHcfug5_FRdU1OrhZqkkXTF2dzdXmL4BSkuN1w</recordid><startdate>200408</startdate><enddate>200408</enddate><creator>YOKOYAMA, TERUHIKO</creator><creator>FUJITA, OSAMU</creator><creator>NISHIGUCHI, JUN</creator><creator>NOZAKI, KUNIHIRO</creator><creator>NOSE, HIROYUKI</creator><creator>INOUE, MIYABI</creator><creator>OZAWA, HIDEO</creator><creator>KUMON, HIROMI</creator><general>Blackwell Science Pty</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200408</creationdate><title>Extracorporeal magnetic innervation treatment for urinary incontinence</title><author>YOKOYAMA, TERUHIKO ; FUJITA, OSAMU ; NISHIGUCHI, JUN ; NOZAKI, KUNIHIRO ; NOSE, HIROYUKI ; INOUE, MIYABI ; OZAWA, HIDEO ; KUMON, HIROMI</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5217-69fb38344c8a09106b3a3147816f8695b52412127b1b09d1c29b2063161c8a3c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>magnetic innervation</topic><topic>Magnetics - therapeutic use</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pelvic Floor - innervation</topic><topic>Pelvic Floor - physiopathology</topic><topic>Physical Stimulation - methods</topic><topic>Spinal Nerve Roots - physiopathology</topic><topic>Treatment Outcome</topic><topic>Urinary Bladder - innervation</topic><topic>Urinary Bladder - physiopathology</topic><topic>urinary incontinence</topic><topic>Urinary Incontinence, Stress - therapy</topic><topic>Urodynamics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>YOKOYAMA, TERUHIKO</creatorcontrib><creatorcontrib>FUJITA, OSAMU</creatorcontrib><creatorcontrib>NISHIGUCHI, JUN</creatorcontrib><creatorcontrib>NOZAKI, KUNIHIRO</creatorcontrib><creatorcontrib>NOSE, HIROYUKI</creatorcontrib><creatorcontrib>INOUE, MIYABI</creatorcontrib><creatorcontrib>OZAWA, HIDEO</creatorcontrib><creatorcontrib>KUMON, HIROMI</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>YOKOYAMA, TERUHIKO</au><au>FUJITA, OSAMU</au><au>NISHIGUCHI, JUN</au><au>NOZAKI, KUNIHIRO</au><au>NOSE, HIROYUKI</au><au>INOUE, MIYABI</au><au>OZAWA, HIDEO</au><au>KUMON, HIROMI</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Extracorporeal magnetic innervation treatment for urinary incontinence</atitle><jtitle>International journal of urology</jtitle><addtitle>Int J Urol</addtitle><date>2004-08</date><risdate>2004</risdate><volume>11</volume><issue>8</issue><spage>602</spage><epage>606</epage><pages>602-606</pages><issn>0919-8172</issn><eissn>1442-2042</eissn><abstract>Background: Extracorporeal magnetic innervation (ExMI) is a new technology used for pelvic muscle strengthening for the treatment of stress urinary incontinence. We explored whether this new technology is effective for patients with urge incontinence, as well as those with stress urinary incontinence.
Methods: We studied 20 patients with urge incontinence and 17 patients with stress urinary incontinence. The Neocontrol system (Neotonus Inc., Marietta, GA) was used. Treatment sessions were for 20 min, twice a week for 8 weeks. Evaluations were performed by bladder diaries, one‐hour pad weight testing, quality‐of‐life surveys and urodynamic studies.
Results: Of the urge incontinence cases, five patients were cured (25.0%), 12 patients improved (60.0%) and three patients did not show any improvement (15.0%). Leak episodes per day reduced from 5.6 times to 1.9 times at 8 weeks (P < 0.05). Eight patients with urge incontinence recurred within 24 weeks after the last treatment (47.1%). Of the stress incontinence cases, nine patients were cured (52.9%), seven patients improved (41.1%) and one patient did not show any improvement (6%). In one‐hour pad weight testing, the mean pad weight reduced from 7.9 g to 1.9 g at 8 weeks (P < 0.05). Three patients returned to the baseline values within 24 weeks after the last treatment (17.6%). No side‐effects were experienced by any of the patients.
Conclusion: Although the results for urge incontinence were less effective than for stress urinary incontinence, ExMI therapy offers a new option for urge incontinence as well as stress urinary incontinence.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Science Pty</pub><pmid>15285749</pmid><doi>10.1111/j.1442-2042.2004.00857.x</doi><tpages>5</tpages></addata></record> |
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subjects | Adult Aged Aged, 80 and over Female Follow-Up Studies Humans magnetic innervation Magnetics - therapeutic use Male Middle Aged Pelvic Floor - innervation Pelvic Floor - physiopathology Physical Stimulation - methods Spinal Nerve Roots - physiopathology Treatment Outcome Urinary Bladder - innervation Urinary Bladder - physiopathology urinary incontinence Urinary Incontinence, Stress - therapy Urodynamics |
title | Extracorporeal magnetic innervation treatment for urinary incontinence |
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