Authors: (including presenting author): :
Liu MY (1), Lai KP (1), Yang YM(1)
Affiliation: :
Geriatric Urology Centre, Tung Wah Hospital
Introduction: :
Extracorporeal Magnetic Innervation (EXMI)Therapy has become a favored treatment method in urinary incontinence in recent years. This report presents the effects of EXMI treatment on urinary symtoms, incontinence conditions and quality of life of older patients with urinary incontinence
Objectives: :
To provide supportive environment for urinary incontinence patient To promote wellbeing of patients with less embarrassment due to incontinence To reduce urinary incontinence To improve patient satisfaction and positive perception
Methodology: :
Total 29 patients with 12 females and 17 males with demonstrable stress urinary incontinence, mixed urinary incontinence and post TURP urinary incontinence were recruited from January 2017 to December 2018. Assessment and counselling were given after recruitment. The patients were educated to sit fully clothed in Neocontrol chair for 20 minutes in each session (within the seat is a magnetic field generator that produces the rapidly changing magnetic field flux)which exercises the pelvic floor muscles to rebuild strength and endurance. 2 sessions each week with total 32 sessions in 16 weeks were administered. The urinary incontinence condition and quality of life of patients were reviewed according to bladder diary and qualitative questionnaire (International Consultation on Incontinence Questionnaire - Urinary Incontinence Short Form)on 16th visit and 32nd visit respectively.
Result & Outcome: :
The data of 22 patients recruited from January 2017 to December 2018 was evaluated. 8 females and 14 males completed 32nd visit with 4 females and 3 males defaulted with no reason. The mean age of patients was 68. 14 (63.5%) patients used 0-2 pads per day. 8(36.3%)patients reduced to use pad. The average numbers of pad use was reduced from more than 6 to 1 per day. 13(59%) patients perceived frequency of incontinence episodes from more than 5 times per day to one time per day at 32nd visit. 12(54.5%)patients felt the severity of incontinence reduced from "wet through clothing or underwear to padful of dropful". 20(90.9%)patients agreed that there was an improvement after EXMI. EXMI offers an alternative approach for the treatment of urinary incontinence especially effective for both stress and mixed incontinence. The best result was achieved in those patients who had used no more than 3 pads per day and had no prior continence surgery
