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KMID : 0877720090130020128
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Journal of Korean Continence Society
2009 Volume.13 No. 2 p.128 ~ p.133
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The Effect of Suprapubic Magnetic Stimulation in Patients with Neurogenic Detrusor Overactivity
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Song Ho-Sook
Myung Mi-Young
Shin Tae-Young
Jung Hae-Do
Jin Long-Hu
Yoon Sang-Min
Lee Tack
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Abstract
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Purpose: To evaluate the effect of suprapubic magnetic stimulation (SMS) with the use of an arm-type magnetic stimulator for the treatment of patients with neurogenic detrusor overactivity.
Materials and Methods: Eleven patients with neurogenic detrusor overactivity were enrolled in this study. All patients underwent more than 16 SMS sessions, two times per week, with the use of an arm-type magnetic stimulator. Objective success was defined as a significant reduction (≥50%) in the total number of leakage episodes per 24 hours, whereas subjective success was defined as the request to continue treatment.
Results: Five (71.4%) of 7 patients who had urinary incontinence before treatment reported objective success, and 3 patients showed no incontinence. A total of 6 (75.0%) of 8 patients showed increased average voiding volume. One patient showed an adverse effect of back pain after SMS and dropped out. Seven patients (70.0%) of 10 patients wanted to continue this treatment. They showed significant improvements in frequency/volume chart data, quality of life scores, and urodynamic data.
Conclusions: SMS can be a safe, non-invasive and effective option for the treatment of neurogenic detrusor overactivity.
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KEYWORD
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Bladder, Suprapubic, magnetic, Detrusor overactivity
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