Flat Magnetic Stimulation for Stress Urinary Incontinence: A Prospective Comparison Study

Background: Flat Magnetic Stimulation (FMS) is characterized by a stimulation generated by electromagnetic fields with a homogenous profile. One possible application is the treatment of stress urinary incontinence (SUI). We aimed to compare the objective, subjective, quality of life, and instrumenta...

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Main Authors: Matteo Frigerio, Marta Barba, Alice Cola, Giuseppe Marino, Silvia Volontè, Tomaso Melocchi, Desirèe De Vicari, Serena Maruccia
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Bioengineering
Subjects:
Online Access:https://www.mdpi.com/2306-5354/10/3/295
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author Matteo Frigerio
Marta Barba
Alice Cola
Giuseppe Marino
Silvia Volontè
Tomaso Melocchi
Desirèe De Vicari
Serena Maruccia
author_facet Matteo Frigerio
Marta Barba
Alice Cola
Giuseppe Marino
Silvia Volontè
Tomaso Melocchi
Desirèe De Vicari
Serena Maruccia
author_sort Matteo Frigerio
collection DOAJ
description Background: Flat Magnetic Stimulation (FMS) is characterized by a stimulation generated by electromagnetic fields with a homogenous profile. One possible application is the treatment of stress urinary incontinence (SUI). We aimed to compare the objective, subjective, quality of life, and instrumental outcomes in women with SUI not eligible for surgery undergoing either FMS or pelvic floor muscle training (PFMT). Methods: This was a prospective interventional study. After proper counseling, patients with isolated SUI were divided according to their treatment of choice into FMS and PFMT groups. At baseline and after treatment, patients completed the International Consultation on Incontinence Questionnaire-Short Form, the Female Sexual Function Index, and the Incontinence Impact Questionnaire, and volumetric measurement of the urethral rhabdosphincter (RS) was performed. The Patient Global Impression of Improvement questionnaire and stress test defined subjective and objective cure rates, respectively. Results: We observed improvements in urinary-related quality of life scores and an increase in RS volume after FMS compared to baseline. All these outcomes were significantly better compared to women who underwent PFMT. Conclusion: Our study demonstrated that FMS is a safe and effective conservative option for SUI management in terms of objective and subjective cure rates.
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spelling doaj.art-2d242c60a9134126bdd0ee40383dd73a2023-11-17T09:39:17ZengMDPI AGBioengineering2306-53542023-02-0110329510.3390/bioengineering10030295Flat Magnetic Stimulation for Stress Urinary Incontinence: A Prospective Comparison StudyMatteo Frigerio0Marta Barba1Alice Cola2Giuseppe Marino3Silvia Volontè4Tomaso Melocchi5Desirèe De Vicari6Serena Maruccia7Department of Gynecology, ASST Monza, San Gerardo Hospital, 20900 Monza, ItalyGynecology and Obstetrics Department, University of Milano-Bicocca, 20126 Milano, ItalyDepartment of Gynecology, ASST Monza, San Gerardo Hospital, 20900 Monza, ItalyDepartment of Gynecology, ASST Monza, San Gerardo Hospital, 20900 Monza, ItalyDepartment of Gynecology, ASST Monza, San Gerardo Hospital, 20900 Monza, ItalyDepartment of Gynecology, ASST Monza, San Gerardo Hospital, 20900 Monza, ItalyDepartment of Gynecology, ASST Monza, San Gerardo Hospital, 20900 Monza, ItalyDepartment of Urology, ASST Santi Paolo e Carlo, San Paolo Hospital, 20142 Milano, ItalyBackground: Flat Magnetic Stimulation (FMS) is characterized by a stimulation generated by electromagnetic fields with a homogenous profile. One possible application is the treatment of stress urinary incontinence (SUI). We aimed to compare the objective, subjective, quality of life, and instrumental outcomes in women with SUI not eligible for surgery undergoing either FMS or pelvic floor muscle training (PFMT). Methods: This was a prospective interventional study. After proper counseling, patients with isolated SUI were divided according to their treatment of choice into FMS and PFMT groups. At baseline and after treatment, patients completed the International Consultation on Incontinence Questionnaire-Short Form, the Female Sexual Function Index, and the Incontinence Impact Questionnaire, and volumetric measurement of the urethral rhabdosphincter (RS) was performed. The Patient Global Impression of Improvement questionnaire and stress test defined subjective and objective cure rates, respectively. Results: We observed improvements in urinary-related quality of life scores and an increase in RS volume after FMS compared to baseline. All these outcomes were significantly better compared to women who underwent PFMT. Conclusion: Our study demonstrated that FMS is a safe and effective conservative option for SUI management in terms of objective and subjective cure rates.https://www.mdpi.com/2306-5354/10/3/295magnetic stimulationstress urinary incontinencepelvic floorquality of lifeultrasound
spellingShingle Matteo Frigerio
Marta Barba
Alice Cola
Giuseppe Marino
Silvia Volontè
Tomaso Melocchi
Desirèe De Vicari
Serena Maruccia
Flat Magnetic Stimulation for Stress Urinary Incontinence: A Prospective Comparison Study
Bioengineering
magnetic stimulation
stress urinary incontinence
pelvic floor
quality of life
ultrasound
title Flat Magnetic Stimulation for Stress Urinary Incontinence: A Prospective Comparison Study
title_full Flat Magnetic Stimulation for Stress Urinary Incontinence: A Prospective Comparison Study
title_fullStr Flat Magnetic Stimulation for Stress Urinary Incontinence: A Prospective Comparison Study
title_full_unstemmed Flat Magnetic Stimulation for Stress Urinary Incontinence: A Prospective Comparison Study
title_short Flat Magnetic Stimulation for Stress Urinary Incontinence: A Prospective Comparison Study
title_sort flat magnetic stimulation for stress urinary incontinence a prospective comparison study
topic magnetic stimulation
stress urinary incontinence
pelvic floor
quality of life
ultrasound
url https://www.mdpi.com/2306-5354/10/3/295
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