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Extracorporeal pelvic floor magnetic stimulation in children with voiding dysfunction
Jae Wook Kim1, Myoung Jin Kim, Ji Yeun Noh
1Brain Korea 21 Project for Medical Science, Urological Science Institute, Yonsei University College Of Medicine, Seoul, Korea.
BJU International
|May 17, 2005
Summary
Extracorporeal pelvic floor magnetic stimulation improved overactive bladder symptoms in children, reducing voiding frequency and urge incontinence. Further research is needed to establish its role as a primary treatment.
Area of Science:
- Pediatric Urology
- Neurology
- Pelvic Floor Rehabilitation
Background:
- Overactive bladder (OAB) is common in children, leading to urge incontinence (UI) and urgency-frequency syndrome.
- Current treatments for pediatric OAB have limitations, and non-invasive options are sought.
- Extracorporeal pelvic floor magnetic stimulation (EPFMS) shows promise for adult voiding dysfunction, but pediatric data is limited.
Purpose of the Study:
- To evaluate the efficacy of EPFMS in treating pediatric overactive bladder.
- To assess the impact of EPFMS on urge incontinence and urgency-frequency syndrome in children.
Main Methods:
- A prospective study involving 42 children diagnosed with OAB.
- Children were categorized into UI only, monosymptomatic nocturnal enuresis (MNE), or non-monosymptomatic nocturnal enuresis (nMNE) groups.
- EPFMS was administered twice weekly for 4 weeks, with clinical variables tracked via voiding diaries.
Main Results:
- Significant reductions in voiding frequency and UI frequency were observed in the UI only and nMNE groups.
- The MNE group also showed a significant decrease in voiding frequency.
- Functional bladder capacity increased significantly across all groups, though nocturnal enuresis frequency did not change significantly.
Conclusions:
- EPFMS demonstrates an acute positive effect on pediatric overactive bladder symptoms, particularly urge syndrome.
- Further controlled studies with sham groups and varied stimulation durations are required.
- EPFMS may be a viable treatment option for pediatric voiding dysfunction.