Pelvic Floor Magnetic Stimulation in Women With Idiopathic Overactive Bladder

  • STATUS
    Recruiting
  • participants needed
    76
  • sponsor
    Pamukkale University
Updated on 19 February 2024

Summary

In clinical practice, Bladder Traininhg (BT) and Magnetic stimulation (MS) are frequently used together in the treatment of women with idiopathic overactive bladder (OAB). Up to our knowledge, there is no study evaluating the combined effect of magnetic stimulation and bladder training in women with idiopathic OAB in the literature. Moreover, there is no recommendation on conservative treament combinations in the guidelines due to insufficient data. At this stage, studies are needed to determine whether it will be effective to use MS in combination with other conservative treatment options. In addition, in the light of our clinical experience, we think that this issue is still open for research. In our study, adding MS to BT in women with idiopathic AAM is thought to contribute additionally to the efficacy of treatment with BT.

Our study is the first prospective randomized controlled trial that compares the efficacy of BT and BT plus MS in women with idiopathic OAB. In this study, we aimed to evaluate the efficacy of MS added to BT on incontinence-related QoL and clinical parameters in women with idiopathic OAB.

Description

This study is a prospectively randomized, controlled trial. The trial is held at Urogynecological Rehabilitation Unit of XXXX, Physical Medicine and Rehabilitation Department between September 2020 and November 2021. The local ethics committee approve the study (approvel no: 60116787-020/37878). Patients are informed about the purpose and contents of the study and all women give written consent to participate.

By using a random number generator, all patients which included the study were randomized into two groups as follows: The Group 1 received BT program alone, the Group 2 received BT plus MS.

Group 1: Bladder Training (BT) - Control group All women were informed about BT for 30 minutes. Then it was given as a written brochure to be implemented as a home program.

BT, consisting of four stages, did not contain any PFMT programs in two groups.

Group 2: BT plus MS Patients are told to sit on the chair with a magnetic coil below the chair. When a volume conductor is in serted by this magnetic eld, an eddy current ow is generated. This eddy current stimulates nerve or muscle of the pelvic oor. To apply MS, the device was set to generate its maximum stimuli, with a stimulation pulse width of 200 s and a stimulation repetition cycle of 10 Hz in accordance with the literature (10,13-15). When setting the device at each treatment session, patients were interviewed so that they received stimuli at the maximum stimulation intensity (maximum tolerable stimulation intensity) (10). MS was applied two days a week, 20 minutes a day, a total of 12 sessions for 6 weeks. MS sessions were performed by other physician.

Details
Condition Reduction of Urge Incontinence Episodes After the Magnetic Stimulation Added to Bladder Training in Women With Idiopathic Overactive Bladder
Age 18years - 100years
Treatment Magnetic stimulation -Armchair type (MS), Bladder Training (BT)
Clinical Study IdentifierNCT04450511
SponsorPamukkale University
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

Women over the age of 18 with clinical diagnosis of idiopathic OAB
Urodynamically conrmed detrusor overactivity (the presence of detrusor
contractions in the lling phase of saline cystometry) Not tolerated or
unresponsive to antimuscarinics and discontinued at least 4 weeks Able to give
written, informed consent Able to understand the precedures, advantages and
possible side effects Willing and able to complate the voiding diary and QoL
questionnaire The strength of PFM 3/5 and more

Exclusion Criteria

History of BT, MS therapy Pregnancy or intention to become pregnant during the
study Current vulvovaginitis or urinary tract infections or malignancy More
than stage 2 according to the pelvic organ prolapse quantification (POP-Q)
Cardiac pacemaker, implanted defibrillator, coronary artery stent Ongoing
treatment for arrhythmia Lower abdominal pain or dysmenorrhea yet to be
diagnosed Electronic device or metallic implant applied to areas between the
lumbar region and lower extremities Previous urogyneceological surgery within
months Ongoing surgical treatment or treatment with implantable devices for
urinary incontinence or use of intrauterin copper devices Neurogenic bladder
signs of neurologic abnormalities at objective examination; history of the
peripheral or central neurologic pathology Ultrasonographic evidence of PVR
volume more than 100 ml
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