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Titre : | Long-Term Sacral Magnetic Stimulation for Refractory Stress Urinary Incontinence (2014) |
Auteurs : | Po-Yi Tsai ; Chih-Pin Wang ; Chin-Yi Hsieh |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/12, 2014) |
Article en page(s) : | p. 2231-2238 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Incontinence urinaire ; Magnétothérapie ; Qualité de vie ; Rééducation et réadaptation |
Mots-clés: | Magnetic Field Therapy ; Quality of life ; Urinary incontinence ; Urodynamics ; Urodynamique |
Résumé : |
Objective To evaluate the effects of sacral magnetic stimulation (SMS) on functional and urodynamic improvement in patients with refractory stress urinary incontinence (SUI). Design A sham-controlled, double-blind, parallel study design with a 4.5-month follow-up. Setting A tertiary hospital. Participants Women (age, 4575y) with SUI refractory to first-line management (N=34) were allocated to either an experimental (n=20) group or a sham (n=14) group. Interventions The SMS protocol consisted of 5-Hz, 20-minute treatments administered over the bilateral third sacral roots, with the intensity set at approximately 70% of the maximal output, for 12 consecutive weekdays. Main Outcome Measures Urodynamic assessments and 2 life stress questionnaires, namely, the Urge-Urinary Distress Inventory (U-UDI) and the Overactive Bladder Questionnaire (OAB-q), were administered pre- and post-SMS intervention. We administered the U-UDI (primary outcome measure) and the OAB-q at 3-week intervals during the follow-up period until 18 weeks after the final intervention. Results The experimental group exhibited significant improvements in both U-UDI and OAB-q scores postintervention (P=.011.014) and at follow-up visits (P<.001 compared with the sham group. in addition significant increases bladder capacity urethral functional length and pressure transmission ratio were noted postintervention. multivariate regression analysis revealed that patients more severe symptoms benefited from sms. a poorer baseline u-udi score shorter associated greater response to> Conclusions Our observations of a greater response to SMS in patients with more severe SUI than in those with mild symptoms, as well as the long-term benefits of the treatment, confirm the efficacy of SMS in treating SUI. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S000399931400505X |