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Magnetic stimulation in the treatment of female urgency urinary incontinence: a systematic review
International Urogynecology Journal ( IF 1.8 ) Pub Date : 2023-03-06 , DOI: 10.1007/s00192-023-05492-7
Anja Antić 1 , Maja Pavčnik 1 , Adolf Lukanović 2, 3 , Miha Matjašič 4 , David Lukanović 2, 3
Affiliation  

Introduction and hypothesis

This systematic review analyzes published studies about magnetic stimulation (MS) treatment for UUI and determines whether this treatment is effective and non-invasive.

Methods

A systematic literature search was conducted using PubMed, the Cochrane Library, and Embase. The international standard for reporting results of systematic reviews and meta-analyses (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) was used to guide the methodology of this systematic review. The key search terms were as follows: “magnetic stimulation” and “urinary incontinence.” We limited the time frame to articles published from 1998, when the FDA approved MS as a conservative treatment option for UI. The last search was performed on 5 August 2022.

Results

Two authors independently reviewed 234 article titles and abstracts, of which only 5 fitted the inclusion criteria. All 5 studies included women with UUI, but every study had different diagnostic and entry criteria for patients. They also differed in their treatment regimens and methodological approaches to assessing the efficacy of treating UUI with MS, which made it impossible to compare the results. Nonetheless, all five studies established that MS is an effective and non-invasive way of treating UUI.

Conclusions

The systematic literature review led to the conclusion that MS is an effective and conservative way of treating UUI. Despite this, literature in this area is lacking. Further randomized controlled trials are needed, with standardized entry criteria, UUI diagnostics, MS programs, and standardized protocols to measure the efficacy of MS in UUI treatment, with a longer follow-up period for post-treatment patients.



中文翻译:

磁刺激治疗女性急迫性尿失禁:系统评价

引言和假设

本系统综述分析了已发表的有关 UUI 磁刺激 (MS) 治疗的研究,并确定该治疗是否有效且非侵入性。

方法

使用 PubMed、Cochrane 图书馆和 Embase 进行了系统的文献检索。系统评价和荟萃分析结果报告的国际标准(系统评价和荟萃分析的首选报告项目)用于指导本次系统评价的方法。关键搜索词如下:“磁刺激”和“尿失禁”。我们将时间范围限制为 1998 年以来发表的文章,当时 FDA 批准 MS 作为 UI 的保守治疗选择。最后一次搜索于 2022 年 8 月 5 日进行。

结果

两位作者独立审阅了 234 篇文章标题和摘要,其中只有 5 篇符合纳入标准。所有 5 项研究均纳入患有 UUI 的女性,但每项研究对患者都有不同的诊断和进入标准。他们的治疗方案和评估 MS 治疗 UUI 疗效的方法也不同,这使得无法对结果进行比较。尽管如此,所有五项研究均证实 MS 是治疗 UUI 的有效且非侵入性的方法。

结论

系统文献综述得出的结论是,MS 是治疗 UUI 的有效且保守的方法。尽管如此,该领域的文献仍然缺乏。需要进一步的随机对照试验,采用标准化的进入标准、UUI 诊断、MS 项目和标准化方案来衡量 MS 在 UUI 治疗中的疗效,并对治疗后患者进行更长的随访期。

更新日期:2023-03-06
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