Comparative study of effects of extracorporeal magnetic innervation versus electrical stimulation for urinary incontinence after radical prostatectomy

Yokoyama, Teruhiko; Nishiguchi, Jun; Watanabe, Toyohiko; Nose, Hiroyuki; Nozaki, Kunihiro; Fujita, Osamu; Inoue, Madoka; Kumon, Hiromi

doi:10.1016/j.urology.2003.09.024

Cited by 73 publications

(87 citation statements)

References 14 publications

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“…Bis auf einen gelegentlich auftretenden Muskelkater sind keine Nebenwirkungen bekannt. Wissenschaftlich ist die Wirksamkeit der Magnetfeldtherapie allerdings nicht gut belegt; auch hier gibt es nur wenige Studien, die sich speziell auf die Behandlung der männlichen Harninkontinenz beziehen [10]. Darüber hinaus werden die Kosten der Therapie üblicherweise nicht von den Krankenkassen übernommen.…”

Section: Magnetfeldtherapieunclassified

Harninkontinenz des Mannes

Bauer

Oelke

Hübner

et al. 2015

Urologe

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Stress urinary incontinence in men is predominantly iatrogenic whereby radical prostatectomy is the most common cause with persistent stress urinary incontinence rates varying between 10 % and 25 %. The first line therapy for postoperative male stress urinary incontinence is physiotherapy, especially pelvic floor muscle rehabilitation. If conservative treatment fails to show sufficient improvement, surgical therapy is recommended. Several treatment options are currently available for the surgical treatment of male stress urinary incontinence including artificial sphincters, adjustable and functional sling systems, bulking agents and implantable balloon systems.

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Section: Magnetfeldtherapieunclassified

Harninkontinenz des Mannes

Bauer

Oelke

Hübner

et al. 2015

Urologe

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“…Moore et al [25] [20,25,31]. Im Gegensatz hierzu zeigte ein ähnliches Studiendesign von Wille et al [28] beim Vergleich von BBT alleine (n=46) vs. BBT, BF und ES (n=47) keinen zusätzlichen Vorteil einer solchen Kombinationstherapie.…”

Section: Elektrostimulationstherapieunclassified

“…Das schnell wechselnde Magnetfeld führt zu einer De-und Repolarisation der motorischen Nervenenden im Beckenboden und damit zu einer wiederholten kräfti-gen Kontraktion der quergestreiften Muskulatur des Beckenbodens und des urethralen und analen Sphinkters. Zusätz-lich führt eine Stimulation der afferenten Nervenbahnen zur Detrusorhemmung [31,32]. Im Vergleich zur Elektrostimulation zeichnet sich die Magnetstimulation durch eine bessere Eindringtiefe und eine höhere Intensität aus.…”

Section: Magnetfeldtherapieunclassified

Konservative Therapie der postoperativen Harninkontinenz des Mannes

Nyarangi‐Dix

Schultz-Lampel²,

Hohenfellner

et al. 2010

Urologe

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Urinary incontinence in men most commonly occurs after radical prostatectomy. Of these patients, 3-23% remain incontinent a year after prostatectomy. Data on conservative therapy for postoperative incontinence is contradictory. Nonetheless, conservative treatment strategies must generally be attempted before any operative technique. Early pelvic floor muscle training with or without biofeedback therapy and duloxetine seem to have a positive effect on continence. Further randomised controlled studies are necessary to accurately assess other conservative therapeutic options such as extracorporeal magnetic innervation and electrical stimulation therapy.

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“…There were several studies on the role of Pelvic Muscle Exercises (PME), Electrical Stimulation (ES), and biofeedback (BFB) (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21). Of thesis studies, some showed better continence for PME group (3,(6)(7)(8)(9)(10)(11)(12)(13), while others did not show improvement (4,5,(14)(15)(16)(17)(18)(19)(20).…”

Section: Introductionmentioning

confidence: 99%

“…Of thesis studies, some showed better continence for PME group (3,(6)(7)(8)(9)(10)(11)(12)(13), while others did not show improvement (4,5,(14)(15)(16)(17)(18)(19)(20). ES is one method, which may enhance the success of PME in patients with incontinence after RP (12,24).…”

Section: Introductionmentioning

confidence: 99%

Radikal Prostatektomi Sonrası Üriner İnkontinansın Düzelmesinde Pelvik Tabanda Biofeedback ve Elektrik Stimülasyonunun Etkisi

Ahmed¹,

Mohammed²,

Amansour³

2012

tftr

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Objective: Urinary incontinence (UI) is one of the most distressing postoperative problems of radical prostatectomy (RP) and negatively affects the quality of life (QOL). We assessed the effect of pelvic muscle exercises (PME), electrical stimulation (ES) and biofeedback (BFB) on UI after RP. Materials and Methods: 80 patients, who underwent RP, were randomized into three groups. Group I (n=26) received instructions about PME, group II (n=26) received ES and group III (n=28) received ES plus BFB. The treatment was started one week after catheter removal, twice a week for 12 weeks. The evaluation of continence was performed at time 0, 6, 12 weeks, and 24 weeks during follow-up, using the 24-hour pad test and the QOL using the incontinence impact questionnaire -7 (IIQ-7). Results: The mean leakage weight became significantly lower (p<0.05) in group III than in groups II and I starting at 6 weeks until 24 weeks of follow-up. A significant difference (p<0.05) between the groups in terms of percentage of continent patients was achieved from 12 weeks (71.42%, 53.85% and 34.62%) to 24 weeks (96.43%, 76.92% and 65.38%) for groups III, II and I, respectively. Conclusion: Early, noninvasive therapy with ES and BFB has a significant positive effect on the duration and the degree of UI and QOL. Turk J Phys Med Re hab 2012;58:170-6. Key Words: Urinary incontinence; radical prostatectomy; electrical stimulation; biofeedback Özet Amaç: Üriner inkontinans (Üİ) radikal prostatektominin (RP) en sıkıntı verici ameliyat sonrası komplikasyonlarından olup, yaşam kalitesini (YK) olumsuz etkiler. Bu çalışmada pelvik kas egzersizleri (PKE), elektrik stimülasyonu (ES) ve biofeedback (BFB) uygulamasının RP sonrası Üİ üzerindeki etkisini araştırdık. Gereç ve Yöntem: RP geçirmiş 80 hasta üç gruba randomize edildi. Grup I e (n=26) PKE, Grup II'ye (n=26) ES ve Grup III'e (n=28) ES artı BFB verildi. Kateterin çıkarılmasından bir hafta sonra başlanan tedavi on iki hafta boyunca haftada iki gün uygulandı. 0, 6, 12 ve 24. haftalardaki takip sırasında kontinans 24 saatlik ped testi ile yaşam kalitesi ise inkontinans etki anketi-7 (IIQ-7) ile değerlendirilmiştir. Bulgular: Grup I de, altıncı haftadan başlayarak 24 üncü hafta takiplerine kadar görülen ortalama sızıntı miktarı Grup I ve II ye göre önemli ölçüde daha azdı. Gruplarda kontinans oranı bakımından 12. haftada (Grup III, II ve I için sırasıyla %71,42, %53,85 ve %34,62) ve 24 üncü haftada (%94,43, %76,92 ve %65,38) önemli farklara ulaşıldı. Sonuç: ES ve BFB ile erken noninvaziv terapinin Üİ süresi ve derecesi ile YK üzerinde önemli bir etkisi bulunmaktadır. Türk Fiz T›p Re hab Derg

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Comparative study of effects of extracorporeal magnetic innervation versus electrical stimulation for urinary incontinence after radical prostatectomy

Cited by 73 publications

References 14 publications

Harninkontinenz des Mannes

Harninkontinenz des Mannes

Konservative Therapie der postoperativen Harninkontinenz des Mannes

Radikal Prostatektomi Sonrası Üriner İnkontinansın Düzelmesinde Pelvik Tabanda Biofeedback ve Elektrik Stimülasyonunun Etkisi

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