Flat Magnetic Stimulation for Stress Urinary Incontinence: A Prospective Comparison Study

Area of Science:

• Urology
• Gynecology
• Rehabilitation Medicine

Background:

• Flat Magnetic Stimulation (FMS) utilizes homogenous electromagnetic fields for therapeutic applications.
• Stress urinary incontinence (SUI) is a common condition affecting women, with limited non-surgical options.
• Pelvic floor muscle training (PFMT) is a standard conservative treatment for SUI.

Purpose of the Study:

• To compare the efficacy of FMS versus PFMT in managing SUI.
• To evaluate objective, subjective, quality of life, and instrumental outcomes.
• To assess FMS as a conservative treatment for women with SUI not eligible for surgery.

Main Methods:

• Prospective interventional study comparing FMS and PFMT groups.
• Patients with isolated SUI chose their treatment.
• Outcomes assessed included validated questionnaires (ICIQ-SF, FSFI, IIQ) and rhabdosphincter (RS) volume.
• Subjective and objective cure rates determined by Patient Global Impression of Improvement and stress test.

Main Results:

• FMS treatment led to significant improvements in quality of life and increased RS volume compared to baseline.
• These improvements were significantly greater in the FMS group compared to the PFMT group.
• Both objective and subjective cure rates were observed with FMS.

Conclusions:

• Flat Magnetic Stimulation (FMS) is a safe and effective conservative management option for SUI.
• FMS demonstrates superior outcomes in improving quality of life and objective measures compared to PFMT.
• FMS offers a viable alternative for SUI treatment, particularly for patients unsuitable for surgery.