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Titolo:
Magnetic stimulation of the sacral roots for the treatment of stress incontinence: An investigational study and placebo controlled trial
Autore:
Fujishiro, T; Enomoto, H; Ugawa, Y; Takahashi, S; Ueno, S; Kitamura, T;
Indirizzi:
Sanraku Hosp, Dept Urol, Tokyo, Japan Sanraku Hosp Tokyo JapanSanraku Hosp, Dept Urol, Tokyo, Japan Univ Tokyo, Fac Med, Inst Med Elect, Dept Neurol & Urol, Tokyo 113, Japan Univ Tokyo Tokyo Japan 113 d Elect, Dept Neurol & Urol, Tokyo 113, Japan
Titolo Testata:
JOURNAL OF UROLOGY
fascicolo: 4, volume: 164, anno: 2000,
pagine: 1277 - 1279
SICI:
0022-5347(200010)164:4<1277:MSOTSR>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
FLOOR ELECTRICAL-STIMULATION; URINARY-INCONTINENCE; INNERVATION; MULTICENTER;
Keywords:
magnetics; sacrum; urinary incontinence; stress; case-control studies;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Fujishiro, T Sanraku Hosp, Dept Urol, Tokyo, Japan Sanraku Hosp Tokyo Japan aku Hosp, Dept Urol, Tokyo, Japan
Citazione:
T. Fujishiro et al., "Magnetic stimulation of the sacral roots for the treatment of stress incontinence: An investigational study and placebo controlled trial", J UROL, 164(4), 2000, pp. 1277-1279

Abstract

Purpose: We designed an investigational study and placebo controlled trialto evaluate the potential efficacy of magnetic stimulation of the sacral roots for the treatment of stress incontinence. Materials and Methods: A total of 75 patients with stress incontinence were studied. A 15 Hz. repetitive magnetic stimulation of the sacral roots with 50% intensity output and duration of 5 seconds per minute was applied for30 minutes. Urodynamic investigations under magnetic stimulation were performed in 13 patients to evaluate acute effects to lower urinary tract function. There were 62 women (mean age 58 years) enrolled in a placebo controlled study to investigate the short-term efficacy of magnetic stimulation. The number of leaks for 3 days, amount of urine loss on a pad test and quality of life score were evaluated before and 1 week after stimulation. Results: The urodynamic investigations revealed an apparent elevation of urethral closure pressure induced by stimulation (mean 8.2 +/- 3.0 cm H2O, p= 0.0000004) and a significant increase in bladder capacity after stimulation (mean 40.0 +/- 51.0 ml., p = 0,0152). In the placebo controlled study the number of leaks and amount of urine loss on a pad test significantly decreased more in the active than in the sham stimulation group (p = 0.0023 and 0.0377, respectively). The quality of life score significantly improved in the active stimulation group (p = 0.0006) in contrast to no significant improvement in the sham stimulation group. The improvement rate in the active stimulation group was 74%, which was significantly higher than the 32% inthe sham stimulation group (p = 0.0009). No adverse effects were noted in any patients. Conclusions: These results suggest that magnetic stimulation of the sacralroots may be useful for the treatment of stress incontinence. Further studies are needed to evaluate the long-term efficacy of this potential treatment.

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Documento generato il 30/03/20 alle ore 19:10:35