Stark Vital Nr. 30

Journal of Clinical Medicine

Article Efficacy of 3 Tesla Functional Magnetic Stimulation for the Treatment of Female Urinary Incontinence Andrea Braga 1,2, * , Fabiana Castronovo 1 , Giorgio Caccia 1 , Andrea Papadia 2,3 , Luca Regusci 4 , Marco Torella 5 , Stefano Salvatore 6 , Chiara Scancarello 7 , Fabio Ghezzi 7 and Maurizio Serati 7

1 Department of Obstetrics and Gynecology, EOC—Beata Vergine Hospital, 6850 Mendrisio, Switzerland; fabiana.castronovo@eoc.ch (F.C.); giorgio.caccia@eoc.ch (G.C.) 2 Faculty of Biomedical Sciences, Universit à della Svizzera Italiana, 6900 Lugano, Switzerland; andrea.papadia@eoc.ch 3 Department of Obstetrics and Gynecology, EOC—Civico Hospital, 6900 Lugano, Switzerland 4 Department of General Surgery, EOC—Beata Vergine Hospital, 6850 Mendrisio, Switzerland; luca.regusci@eoc.ch 5 Department of Gyanecology, Obstetric and Reproductive Science, Second University of Naples, 80100 Naples, Italy; marcotorella@iol.it 6 Department of Obstetrics and Gynecology, IRCSS San Raffaele Scientific Institute, 20132 Milan, Italy; stefanosalvatore@hotmail.com 7 Department of Obstetrics and Gynecology, Del Ponte Hospital, University of Insubria, 21100 Varese, Italy; chiarascanca@gmail.com (C.S.); fabio.ghezzi@uninsubria.it (F.G.); mauserati@hotmail.com (M.S.) * Correspondence: andybraga@libero.it or andrea.braga@eoc.ch; Tel.: +41-91-811-35-23; Fax: +41-91-811-30-23 Abstract: Functional magnetic stimulation (FMS) is a new technique for the conservative treatment of Urinary incontinence (UI), based on magnetic induction. It induces controlled depolarization of the nerves, resulting in pelvic muscle contraction and sacral S2-S4 roots neuromodulation. The aim of this study was to assess the efficacy of the new 3 Tesla FMS chair, both in patients with pure stress urinary incontinence (SUI) and in women with pure overactive bladder (OAB) symptoms. A prospective observational study was conducted in our urogynaecologic unit. All the patients involved were consecutive women with pure SUI or pure OAB symptoms treated by a 3 Tesla electromagnetic chair. The primary outcome was a subjective outcome evaluation by the PGI-I Scale and a patient satisfaction scale. The secondary outcome was the change score of the UDI-6, IIQ-7, ICIQ-SF and OAB-q SF questionnaires from baseline to final visit. At 2 months follow-up, 28 out of 60 patients (47%) with SUI symptoms and 20 out of 40 patients (50%) with OAB symptoms declared themselves cured. Considering cured and improved patients, the subjective cure rates were 68.3% (41/60) and 70% (28/40) for patients with SUI and OAB symptoms, respectively. The results of this study showed that the 3 Tesla electromagnetic chair may be an effective option for the treatment of UI.

den nächsten Jahren seinen Platz in den Fitnesscentern erobern. Für die Einzelfit nessanlagen ist es möglich, neue externe Kunden zu gewinnen, die dann womög lich auch noch vom wich tigen Muskeltraining über zeugt werden können. UROGYNECOLOGY 3.0 Hotel Coronado Mendrisio Autobahn 1. Dezember 2023 Information zur Tagung. Direkte Anmeldung unter: https://www.defoe.it/euga aug-course2023 ACHTUNG: Sprachen ENGLISCH und ITALIENISCH Wichtig: Der UNTERSCHIED ZWISCHEN EMS UND FMS : Im Gegensatz zur Elektri schen Muskelstimulation (EMS) ist die bei TESLA Care - Functional Magnetic Stimulation (FMS) verwen dete Technologie wirksa mer und erfordert keinen direkten Hautkontakt, was für Patient:innen angeneh mer ist. FMS erreicht die tieferen Muskelschichten durch magnetische Wellen, was bei EMS nicht möglich ist. Insgesamt wirkt sich die ser Vorteil auf das Gesamt ergebnis der Behandlung aus .

Citation: Braga, A.; Castronovo, F.; Caccia, G.; Papadia, A.; Regusci, L.; Torella, M.; Salvatore, S.; Scancarello, C.; Ghezzi, F.; Serati, M. Efficacy of 3 Tesla Functional Magnetic Stimulation for the Treatment of Female Urinary Incontinence. J. Clin. Med. 2022 , 11 , 2805. https://doi.org/ 10.3390/jcm11102805 Academic Editors: Emilio Sacco, Vincenzo Li Marzi and Riccardo Bientinesi

Received: 30 March 2022 Accepted: 6 May 2022 Published: 16 May 2022

Keywords: functional magnetic stimulation; extracorporeal magnetic innervation; chair; female urinary incontinence; stress urinary incontinence; overactive bladder

Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affil iations.

1. Introduction Urinary incontinence (UI) is a common health problem with a negative impact on female quality of life (QoL). The prevalence of UI in the female population is variable. In the literature, it has been reported to be as high as 55%, and the trend increases with aging [1–3]. The guidelines of the leading urological and urogynaecological societies recommend pelvic floor muscle training (PFMT) as the first-line treatment for different types of UI [4]. In the last years, new technologies and applications, such as electrical stimulation, radiofrequency, laser therapy and pulsed magnetic stimulation, have been introduced in this field as an alternative or in addition to classical rehabilitation. FMS is a technique based on Faraday’s law of magnetic induction, approved by the United States Food and Drug Administration (FDA) in 1998, for stimulating the central and

Copyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).

J. Clin. Med. 2022 , 11 , 2805. https://doi.org/10.3390/jcm11102805

https://www.mdpi.com/journal/jcm

AUSZUG AUS DER MDPI-Studie: Wirksamkeit der funktionellen Magnetstimulation mit FMS Tesla bei der Behandlung der weiblichen Inkontinenz Die funktionelle Magnetstimulation (FMS) ist eine neue Technik, zugelas sen von der Lebensmittel- und Arzneimittelbehörde der Vereinigten Staa ten (FDA), für die konservative Behandlung von Harninkontinenz, die auf magnetischer Induktion beruht. Sie bewirkt eine kontrollierte Depolarisa tion der Nerven, was zu einer Kontraktion der Beckenmuskeln und einer Neuromodulation der sakralen Wurzeln führt. Das Ziel dieser Studie war es, die Wirksamkeit des neuen Tesla-FMS-Sessel zu beurteilen. Schlussfolgerungen Die Ergebnisse dieser Studie zeigen, dass der elektromagnetische Tesla Sessel (FMS Tesla Care, Iskra Medical ® ) eine wirksame Option für die Behandlung von Stressinkontinenz und Symptomen der überaktiven Blase sein kann, mit hoher Patientenakzeptanz und ohne Nebenwirkungen. Die Behandlung ist schmerzlos, die Patientinnen sassen bequem und vollständig bekleidet auf dem Stuhl. Diese Eigenschaft stellt einen Vorteil dar, insbesondere für ältere Menschen.

STARKVITAL 60+ Nr. 30

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