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Extracorporeal pelvic floor magnetic stimulation in children with voiding dysfunction
Author(s) -
Kim Jae Wook,
Kim Myoung Jin,
Noh Ji Yeun,
Lee Hye Young,
Han Sang Won
Publication year - 2005
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/j.1464-410x.2005.05524.x
Subject(s) - pelvic floor , extracorporeal , pelvic floor dysfunction , stimulation , medicine , urology , surgery
OBJECTIVE To determine the effect of extracorporeal pelvic floor magnetic stimulation in children with an overactive bladder, as although such stimulation is an effective treatment for voiding dysfunction such as urge incontinence (UI) and urgency‐frequency syndrome, experience in children is scarce. PATIENTS AND METHODS This prospective study included 42 children diagnosed with an overactive bladder, based on urodynamic or video‐urodynamic study; a complete follow‐up was available in 34. The children were grouped into those with UI only, not monosymptomatic nocturnal enuresis (nMNE), or MNE, according to their symptoms. Clinical variables were assessed by recording a voiding and nocturnal enuresis diary before and after magnetic stimulation, the latter being administered twice a week for 4 weeks using a size‐adjusted magnetic chair (each session took 20 min). RESULTS The UI only and nMNE group had a significant decrease in voiding frequency and frequency of UI ( P < 0.05); the MNE group also had a significant decrease in voiding frequency ( P < 0.05). There was a significant increase in functional bladder capacity in all groups ( P < 0.05) but no significant decrease in the mean volume and frequency of NE in the nMNE and MNE groups ( P > 0.05). CONCLUSIONS Extracorporeal pelvic floor magnetic stimulation has an acute effect on voiding dysfunction such as urge syndrome in children. However, controlled studies with a sham‐stimulation group and various durations of stimulation are necessary for its application as a primary treatment for voiding dysfunction in children.