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The effectiveness of magnetic stimulation for patients with pelvic floor dysfunction: A systematic review and

Hong Pan1, Yong Bao2, Honghao Cao3

  • 1College of Preventive Health and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.

Neurourology and Urodynamics
|September 18, 2018
PubMed
Abstract

Insights

Magnetic stimulation (MS) offers no convincing evidence for treating pelvic floor dysfunction (PFD). Further large-scale, well-designed trials are necessary to determine its true therapeutic value.

Area of Science:

  • Urology
  • Gynecology
  • Rehabilitation Medicine

Background:

  • Pelvic floor dysfunction (PFD) encompasses a range of conditions affecting the pelvic floor muscles.
  • Magnetic stimulation (MS) is a non-invasive therapeutic modality explored for various medical conditions.

Approach:

  • A systematic review and meta-analysis were conducted following PRISMA guidelines, searching five databases up to November 2017.
  • Included studies focused on the effects of MS on PFD, with meta-analysis of RCTs and narrative analysis performed.

Key Points:

  • Low-level evidence from 20 studies (1019 patients) indicated MS did not significantly improve ICIQ-SF, QOL scores, or leakage episodes.
  • Meta-analysis showed no significant improvement in ICIQ-SF, QOL, leakage, or pad test results compared to sham interventions.
  • Narrative review found no convincing evidence for MS efficacy in chronic pelvic floor pain, detrusor overactivity, or overactive bladder.

Conclusions:

  • Current evidence does not support the use of MS for managing PFD.
  • The effectiveness of MS for PFD remains uncertain, necessitating larger, high-quality trials with standardized outcomes.
Keywords:
device safetyelectromagnetic therapypelvic floor disordersquality of liferandomized controlled trialsreview

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