NEW YORK (Reuters Health) - Recent study findings suggest that extracorporeal pelvic floor magnetic stimulation may be an effective treatment in children with voiding dysfunction
NEW YORK (Reuters Health) - Recent study findings suggest that extracorporeal pelvic floor magnetic stimulation may be an effective treatment in children with voiding dysfunction.
In a prospective study, Dr. Sang Won Han and colleagues from Yonsei University College of Medicine, in Seoul, Korea, examined the effect of extracorporeal pelvic floor magnetic stimulation in 42 children diagnosed with an overactive bladder. Complete follow-up data were available for 34 children.
The children were grouped according to their symptoms into the following categories: urge incontinence only, defined as involuntary urinary leakage after urgency; monosymptomatic nocturnal enuresis, defined as nocturnal enuresis with no daytime incontinence; or not monosymptomatic nocturnal enuresis, defined as daytime incontinence plus nocturnal enuresis.
The researchers assessed clinical variables using a voiding diary before and after magnetic stimulation. Magnetic stimulation was administered twice a week for 4 weeks using a size-adjusted magnetic chair. Each session lasted 20 minutes. Results of the study are published in the June issue of the British Journal of Urology International.
The mean daily voiding frequency decreased significantly in the urge incontinence-only and not-monosymptomatic nocturnal enuresis groups after all functional magnetic stimulation treatment sessions. A significant decrease in the frequency of urge incontinence was also observed in these groups. Children in the monosymptomatic nocturnal enuresis group had a significant decrease in voiding frequency.
The researchers observed significant increases in the mean functional bladder capacity in all of the groups.
There were no significant changes in the mean volume or frequency of nocturnal enuresis in the not-monosymptomatic nocturnal enuresis or monosymptomatic nocturnal enuresis groups, Dr. Han and colleagues note.
The authors call for further studies on the duration of stimulation, combined treatments, and controlled studies with a sham-stimulation group. "Future studies on neuromodulation for voiding dysfunction in ch
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