Effects of Magnetic Stimulation in the Treatment of Pelvic Floor Dysfunction

Zalm, Petra J. Voorham‐van der; Pelger, Rob C.M.; Stiggelbout, Anne M.; Elzevier, Henk W.; Lycklama, A.; Nijeholt, Guus A.B. Lycklama à

doi:10.1016/s1569-9056(06)60088-2

Cited by 21 publications

(27 citation statements)

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“…38,99 -103 However, Bradshaw et al, 104 reported no consistent change in OAB symptoms, although acute effects in ambulatory urodynamics such as a significant increase in cystometric capacity and a decrease in amplitude of DO were observed. Voorham-van der Zalm et al, 105 also reported no significant differences in the voiding diary, pad test, quality of life score and urodynamic parameters (no details were reported), although subjects included a mixture of SUI, UUI and mixed urinary incontinence and urgency/frequency. 37 52 women Active (12.5, 50 Hz) vs sham Significantly greater changes in the PFM activity (active > sham)* 15 min, twice daily 12 weeks Improvement in leakage ≥ 50%: active (48%), Sham (13%)* Improvement in pad test: active (62%), sham (13%)* Blowman et al 77 14 women Active (10 Hz, 35 Hz) + PFMT vs sham + PFMT Significant decrease in no of leakage in active (vs sham) 60 min, 6 weeks Jeyaseelan et al 78 27 women Active vs sham Urogenital distress inventory (active > sham*) No change between-groups in other symptom scores, pad test, and FVC Improvements were seen in strength and endurance of PFM Yamanishi et al 79 56 men ES (anal 50 Hz) + PFMT vs sham + PFMT Significant greater continent rate up to 6 months (active > sham*) Postprostatectomy 15 min, twice/day Mean time to achieve continence: active (2.7 months).…”

Section: Magnetic Stimulationmentioning

confidence: 98%

Neuromodulation for the Treatment of Lower Urinary Tract Symptoms

Yamanishi

Kaga

Fuse

et al. 2015

LUTS

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Neuromodulation therapy incorporates electrical stimulation to target specific nerves that control lower urinary tract symptoms (LUTS). The objectives of this article are to review the mechanism of action, the type of neuromodulation, and the efficacy of neuromodulation mainly according to the results of randomized controlled trials. Neuromodulation includes pelvic floor electrical stimulation (ES) using vaginal, anal and surface electrodes, interferential therapy (IF), magnetic stimulation (MS), percutaneous tibial nerve stimulation, and sacral nerve stimulation (SNS). The former four stimulations are used for external periodic (short-term) stimulation, and SNS are used for internal, chronic (long-term) stimulation. All of these therapies have been reported to be effective for overactive bladder or urgency urinary incontinence. Pelvic floor ES, IF, and MS have also been reported to be effective for stress urinary incontinence. The mechanism of neuromodulation for overactive bladder has been reported to be the reflex inhibition of detrusor contraction by the activation of afferent fibers by three actions, i.e., the activation of hypogastric nerve, the direct inhibition of the pelvic nerve within the sacral cord and the supraspinal inhibition of the detrusor reflex. The mechanism of neuromodulation for stress incontinence is contraction of the pelvic floor muscles through an effect on the muscle fibers as well as through the stimulation of pudendal nerves. Overall, cure and improvement rates of these therapies for urinary incontinence are 30-50, and 60-90% respectively. MS has been considered to be a technique for stimulating nervous system noninvasively. SNS is indicated for patients with refractory overactive bladder and urinary retention.

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Section: Magnetic Stimulationmentioning

confidence: 98%

Neuromodulation for the Treatment of Lower Urinary Tract Symptoms

Yamanishi

Kaga

Fuse

et al. 2015

LUTS

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“…6 MS has been used to treat urinary incontinence in women. 7,8 Although promising preliminary clinical reports have been published, 9,10 contradictory clinical studies with opposing outcomes using central 11,12 and peripheral MS 13 treatments identified the need for investigations demonstrating if and how MS could support the cellular machinery of muscle and/or nerves to promote muscle training. 8 Nerve repair and prevention of posttraumatic muscle atrophy represent a major challenge in medical care.…”

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confidence: 99%

Magnetic stimulation supports muscle and nerve regeneration after trauma in mice

et al. 2016

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“…Conversely, Culligan et al [68] reported no differences in pelvic muscle strength between patients receiving active or sham extracorporeal magnetic innervation treatments (ExMI) in the early postpartum period. Voorham-van der Zalm et al [69] reported the clinical results of ExMI of the pelvic floor muscles with functional changes in the pelvic floor musculature, urodynamics, and QoL. They concluded that ExMI did not change pelvic floor function, and the varying outcomes of several studies on ExMI stress the need for critical studies on the effect and the mode of action of electrostimulation and magnetic stimulation.…”

Section: Magnetic Stimulationmentioning

confidence: 99%

Neuromodulation in the Treatment of Overactive Bladder With a Focus on Interferential Therapy

Oh-oka

2010

Curr Bladder Dysfunct Rep

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The application of various forms of neuromodulation has become more common and has been reported to be effective for stress and urgency urinary incontinence. In clinical practice, external (vaginal, anal, and surface electrodes) and internal stimulation (sacral nerve stimulation) are popular treatment modalities. However, appropriate treatment strategies using various neuromodulation techniques with or without pelvic floor muscle training or anticholinergics are still unclear. Further studies are needed not only to elucidate modes of action and to choose the optimal modality to improve results, but also to understand the appropriate indication and reduce morbidity and invasiveness.

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Effects of Magnetic Stimulation in the Treatment of Pelvic Floor Dysfunction

Cited by 21 publications

References 0 publications

Neuromodulation for the Treatment of Lower Urinary Tract Symptoms

Neuromodulation for the Treatment of Lower Urinary Tract Symptoms

Magnetic stimulation supports muscle and nerve regeneration after trauma in mice

Neuromodulation in the Treatment of Overactive Bladder With a Focus on Interferential Therapy

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