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Extracorporeal pelvic floor magnetic stimulation in children with voiding dysfunction

 Jae Wook Kim  ;  Myoung Jin Kim  ;  Ji Yeun Noh  ;  Hye Young Lee  ;  Sang Won Han 
 BJU INTERNATIONAL, Vol.95(9) : 1310-1313, 2005 
Journal Title
Issue Date
Child ; Enuresis/therapy* ; Female ; Humans ; Magnetics/therapeutic use* ; Male ; Pelvic Floor ; Physical Stimulation/methods* ; Prospective Studies ; Treatment Outcome ; Urinary Incontinence/therapy*
magnetic stimulation ; urinary incontinence ; enuresis ; child
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.
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1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers
Yonsei Authors
Noh, Ji Yeon(노지연)
Han, Sang Won(한상원) ORCID logo https://orcid.org/0000-0003-0941-1300
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