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Organo Oficial de la Sociedad Mexicana de Urología

2011, Number 3

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Rev Mex Urol 2011; 71 (3)

Neuromodulation through electromagnetic wave therapy (Neotonus chair) for urge incontinence: an experience in Mexico

Pérez-Martínez C, Vargas-Díaz IB

Language: Spanish
References: 18
Page: 156-159
PDF size: 394.67 Kb.


ABSTRACT

Introduction: Neuromodulation with the Neotonus electromagnetic wave chair has been successfully used in patients with urge incontinence.
Objective: To evaluate the response of patients with overactive bladder to neuromodulation with the Neotonus chair.
Methods: From January 2008-2010 case records of women with treatment-refractory urge incontinence treated with neuromodulation utilizing the Neotonus chair were reviewed. Data referring to age, perineometer contraction measurements, quality of life index, and number of incontinence towels used in 24 hours (bladder diary) before and after therapy, respectively, were collected. Data recorded in Excel were processed by means of chi-square test and t-test with 95% confidence interval using the SPSS statistical program.
Results: Thirty-three complete case records were evaluated. Mean age was 58.03 years (13.34 SD). Before and after therapy, respectively, mean contraction measurement with perineometer was 10.55 cm H2O (DS 9.43) and 24.15 cm H2O (10.04 SD) (p ‹0.000 t-test); mean quality of life index was 45.42 points (12.81 SD) and 75.97 points (11.71 SD) (p ‹0.000 t-test); mean number of incontinence towels used was 4.45 (2.88 SD) and 0.36 (0.60 SD) (p ‹0.000 t-test).
Conclusions: All variables showed statistically significant difference (p ‹0.000 t-test) after use of the chair, especially in quality of life index and number of incontinence towels used. In the present series the correlation index for being able to discontinue incontinence towel use was 0.76 and for maintaining satisfaction in regard to quality of life index was 0.71 with the Neotonus chair. This treatment is suggested for patients that do not respond to “conventional” urge incontinence management.


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