Lim R, Liong M, long W, et al. (2016) Pulsed Magnetic Stimulation for Stress Urinary Incontinence: 1-Year Followup Results. The Journal of Urology.
This randomised, double-blind, sham controlled study was performed in 120 female subjects at least 21 years old with stress urinary incontinence. Treatment involved pulsed magnetic stimulation using QRS PelviCenter 1010 for 2 sessions per week for 2 months (16 sessions).
At 2 months 45 of 60 subjects (75%) in the active arm vs 13 of 60 (21.7%) in the sham arm were treatment responders (p <0.001).
At 14 months, subjects who received 32 sessions of active pulsed magnetic stimulation had the highest percentage of treatment responders (18 of 24 or 75.0%), followed by those who received 16 sessions (26 of 36 or 72.2% and 28 of 41 or 68.3%) and those who did not receive any active pulsed magnetic stimulation (4 of 19 or 21.1%) (p <0.001).
Encouraging long term response rates, improved PFM function, high patient acceptance and low dropout rates show that PMS is an attractive and promising nonsurgical alternative.
Bo K, Herbert R (2013) There is not yet strong evidence that exercise regimens other than pelvic floor muscle training can reduce stress urinary incontinence in women: a systematic review. J Physio Vol 59,Issue 3, 159-168.
Alternative exercise regimens such as pilates, the Paula method and abdominal training should not yet be recommended for use in clinical practice for women with stress urinary incontinence.
Dumoulin C et al (2014) Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev. May 2014;14(5).
The review provides support for the widespread recommendation that PFMT be included in first-line conservative management programmes for women with stress and any type of urinary incontinence. Long-term effectiveness of PFMT needs to be further researched.
Grewar H, McLean L. 2008 The integrated continence system: A manual therapy approach to the treatment of stress urinary incontinence. Manual Therapy, 13:375-386.
Stress urinary incontinence (SUI) constitutes a large-scale public health concern. The integrated continence system (ICS) developed by the authors is an evidence-based model that demonstrates how urinary incontinence is maintained through the interaction of three structural systems (intrinsic urethral closure, urethral support and lumbopelvic stability) and three modifiable factors (motor control, musculoskeletal and behavioural). The purpose of the ICS is first, to demonstrate the important role that manual physiotherapists can play in the treatment of SUI and second, to guide clinical practice decisions in order to improve clinical outcomes among women with SUI.
Hirakawa T (2013) Randomised controlled trial of pelvic floor muscle training with or without biofeedback for urinary incontinence. Int Urogynecol J. Aug;24(8): 1347-54.
The results indicate that PFMT is effective for treating SUI. There is no apparent add-on effect of BF training in short-term follow-up.
Lim R et al (2015) Magnetic stimulation for stress urinary incontinence: study protocol for a randomised controlled trial NCBI.
Available from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4477591/
This trial of the effectiveness of QRS-PelviCenter treatment is completed and is awaiting publication to the Journal of Urology. Research outcome reports are available directly from the Coregood Institute.
Siegel A (2014) Pelvic Floor Muscle Training in Males: Practical Applications. Urology 84:1-7.
Pelvic floor muscle training (PFMT) should be employed as a first line approach for erectile dysfunction (ED), overactive bladder (OAB), premature ejaculation (PE), chronic pelvic pain syndrome (CPPS) and post void dribbling (PVT).