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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 children must
consider these aspects," they
conclude. |
