부산대학교 도서관

Objective: Extracorporeal electromagnetic stimulation (ExMS) has been used widely to treat Urinary Incontinance (UI). We aim to analyze the subjective and objective outcomes of ExMS treatment and evaluate factors that could predict satisfaction. Material and Method: Patients who underwent ExMS treatment for UI were evaluated. ExMS was performed twice weekly with 20-minute sessions for six-eight weeks. Subjective satisfaction and objective improvement were evaluated before and three months after treatment with a bladder diary, pad test, and pelvic floor muscle strength assessment. King's Health Questionnaire was used to evaluate quality of life. Result: Eighty-one patients were included. The mean age was 50.4 [+ or -] 9.7 (30-76). Fourty four (54.3%) patients suffered from mixed UI, and 19 (23.5%) and 18 (22.2%) suffered from stress UI and urge UI, respectively. Six patients were cured, 64 (79.1%) were better than before, and the rest noticed no change. After treatment, there were significant improvements in bladder diary, pelvic floor muscle strength, pad test, and King's Health Questionnaire. There was a significant correlation between the type of UI and satisfaction after treatment; women suffering from stress UI were less satisfied when compared to urge or mixed UI. No correlations were found between treatment satisfaction and age, pretreatment pelvic floor muscle strength, 1-hour pad test, or mean number of leakage and urgency episodes. No complications developed. Conclusion: ExMS is an effective treatment for UI with almost 80% subjective satisfaction. Quality of life, pad test, bladder diary, and pelvic floor muscle strength were improved significantly. The UI type (urge or mixed UI) was a significant predictive factor for treatment satisfaction. Keywords: Electromagnetic stimulation, mixed urinary incontinence, overactive bladder syndrome, quality of life, stress urinary incontinence, urinary incontinence Amac: Elektromanyetik dalgalarla tedavi (ExMS) uriner inkontinansin tedavisinde siklikla kullanilmaktadir. Bu calismada, Uriner inkontinansin (IU) sikayetleri olan hastalarda EXMS tedavisinin etkinliginin degerlendirilmesi ve tedavi memnuniyetini etkileyen faktorlerin analiz edilmesi amaclanmistir. Gerec ve Yontem: Uriner inkontinans nedeniyle ExMS tedavisi uygulanan hastalar retrospektif olarak degerlendirilmistir. ExMS, manyetik stimulasyon sandalyesi kullanilarak, haftada uc seans ve her seans 20 dakika olmak uzere alti-sekiz hafta boyunca uygulanmistir. Subjektif memnuniyet, tedavi oncesi ve sonrasinda urojinekolojik semptomlar, bir saatlik ped testi, dort gunluk uriner gunluk, pelvik taban kas gucu ve King Saglik Anketi degerlendirilmistir. Bulgular: Seksen bir hasta calismaya dahil edilmistir. Ortalama yas 50,4 [+ or -] 9,7'dir (30-76). Kirkdort (%54,3) hasta mikst UI, 19 hasta (%23,5) stres UI ve 18 hasta (%22,2) acil UI tanisi almistir. ExMS tedavisinden memnuniyet degerlendirildiginde, alti hasta tamamen iyilestiklerini, 64 hasta (%79,1) daha iyi olduklarini, geri kalan hastalar degisiklik olmadigini belirtmistir. Tedavi sonrasi uriner gunluk, pelvik taban kas gucu, bir saatlik ped testi ve King Saglik Anketi sonuclarinda anlamli duzelme gorulmustur. Uriner inkontinans tipi ile memnuniyet arasinda anlamli iliski bulunmustur. Stres UI sikayeti olan kadinlarda memnuniyet urge veya mikst UI olanlara gore daha dusuk bulunmustur. Bunun disinda yas, ped testi, pelvik taban kas gucu ve ortalama kacak ve aciliyet sayisi ile memnuniyet arasinda anlamli iliski bulunamamistir. Tedavi esnasinda veya sonrasinda herhangi bir komplikasyon gelismemistir. Sonuc: ExMS, UI sikayeti olan kadinlarda etkin bir tedavidir. Subjektif tatmin oranlari %80'e varmaktadir. Objektif olarak ped testi, pelvik taban kas gucu, uriner gunluk ve hayat kalitesinde anlamli duzelmeye neden olmaktadir. Uriner inkontinans tipi (urge veya mikst UI) tedavi memnuniyeti etkileyen bir faktordur. Anahtar Kelimeler: Elektromanyetik stimulasyon, uriner inkontinans, mikst uriner inkontinans, stres uriner inkontinans, asiri aktif mesane, hayat kalitesi
INTRODUCTION Urinary incontinence (UI), the involuntary leakage of urine, is a frequent problem among women with an adverse effect on quality of life (1). The first-line treatment for UI is [...]