Objective:
To evaluate the usefulness of ext-racorporeal magnetic innervations
(ExMI) therapy in the treatment of various types of urinary
incontinence(UI) Material and Methods: Total of 88 patients with mean
age of 59.76±14.51 (44 male, 44 female) who underwent (ExMI) therapy due
UI were included. The patients were diagnosed to have stress UI (53
patients, 60%), mixed UI (24 patients, 27%), true UI (9 patients, 10%)
and urge UI (2 patients, 3%). Thirty one patients (35%) had UI after
radical Prostatectomy (RP), 13 patients(15%) had UI after transurethral prostatectomy (TURP), 8 patients (9%) had UI after delivery and 35 patients (40%)
were idiopathic. All patients were primary cases without history of
anti-incontinence surgery. All patients have completed 16 sessions of
therapy. Each session is 20 minutes and done three times a week. The
severity of UI was evaluated using 3 rd ,4 question from ICIQ-SF. Results:
Twenty two patients (25%) were cured, 32 (36%) were improved and
25(28%) partially benefited and 9 (10%) patients had failure of therapy. Both
sexes benefited from the therapy; the male score before and after
therapy were 18.25±2.44 and 11.80±5.32 respectively (p=0.001), similarly
the female scores before and after therapy were 16.62±4.67 and
7.91±5.32 respectively (p=0.001). The mean values of symptoms score
before therapy for patients with history of RP and TURP were 18.00± 2.52
and 18.15±2.41 respectively and the post therapeutic , and 5 th score
were 12.44±4.82 and 11.54±5.68 respectively (p=0.001,0.001). Patients
with stress or mixed types of UI showed significant improvements after
therapy; the symptoms scores before therapy were 17.38±3.7 and
17.00±4.38 respectively and after therapy the score became 9.75±5.18 and
7.83±5.28 respectively (p=0.001, p=0.001). Patients with true
incontinence had the least benefit of therapy, the symptoms score before
and after therapy were 19.33±2.17 and 16.33±4.47 respectively (p=0.08).
Conclusion:
ExMI therapy offers a safe and feasible treatment modality for UI. This
kind of therapy is effective for different types of UI which occurred
due to various types etiologies including oncologic surgery.
The least benefit of this modality was in patients with true UI.
Further studies recruiting larger number of patients with longer follow
up period should be carried out to confirm these results.