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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
Main Authors: YOKOYAMA, TERUHIKO, FUJITA, OSAMU, NISHIGUCHI, JUN, NOZAKI, KUNIHIRO, NOSE, HIROYUKI, INOUE, MIYABI, OZAWA, HIDEO, KUMON, HIROMI
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container_title International journal of urology
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creator YOKOYAMA, TERUHIKO
FUJITA, OSAMU
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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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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 &lt; 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 &lt; 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. 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In one‐hour pad weight testing, the mean pad weight reduced from 7.9 g to 1.9 g at 8 weeks (P &lt; 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. 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In one‐hour pad weight testing, the mean pad weight reduced from 7.9 g to 1.9 g at 8 weeks (P &lt; 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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