eISSN: 2299-0038
ISSN: 1643-8876
Menopause Review/Przegląd Menopauzalny
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abstract:
Original paper

Comparison of efficacy of extracorporeal magnetic innervation and Kegel exercises for stress urinary incontinence in adult women: study protocol for a randomized controlled trial

Mislav Mikuš
1
,
Kristina Fišter
2
,
Bernarda Škegro
3
,
Giovanni Buzzaccarini
4
,
Marco Noventa
4
,
Antonio Simone Laganá
5
,
Slavko Orešković
1
,
Mario Ćorić
1
,
Držislav Kalafatić
1
,
Vladimir Banović
1

1.
Department of Obstetrics and Gynecology, University Hospital Center Zagreb, Zagreb, Croatia
2.
School of Medicine, University of Zagreb, Zagreb, Croatia
3.
Sestre milosrdnice, University Hospital Centre, Zagreb, Zagreb, Croatia
4.
Gynaecologic and Obstetrics Clinic, Department of Women’s and Children’s Health, University of Padua, Padua, Italy
5.
Department of Obstetrics and Gynecology, “Filippo Del Ponte” Hospital, University of Insubria, Varese, Italy
Menopause Rev 2021; 20(4)
Online publish date: 2021/11/01
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Stress urinary incontinence (SUI) is defined as a complaint of inadvertent loss of urine occurring as a result of an increase in intraabdominal pressure. Strong evidence supports the use of pelvic floor muscle training (PFMT) as the first-line conservative treatment for SUI. Extracorporeal magnetic stimulation (EMS) is a non-invasive, effective, acceptable, and safe therapeutic modality for SUI. Although PFMT and EMS share most of their influences on the pathophysiology of SUI, it is unclear whether one of these routinely used treatment modalities is superior to another in terms of improvement of clinical outcomes or cost-effectiveness. To the best of our knowledge, no randomized controlled trials have so far directly compared PFMT with EMS. Our aim here is to describe a protocol for such a study.

This will be a parallel-group, single-blind, randomised controlled trial compliant with the SPIRIT, CONSORT, and TIDieR reporting guidelines. Participants will be women aged 18 to 65 years who have previously given at least one vaginal delivery (at least 12 months before joining the study) who present with symptoms of SUI lasting at least 6 months yet have not previously received treatment for it. In the first study arm, patients will receive an eight-week, high-intensity, home-based Kegel exercises regimen. In the second study arm, the treatment scheme will consist of 2 sessions of EMS per week for a total of eight weeks. The primary outcome will be effectiveness of treatment as measured by the International Consultation on Incontinence Questionnaire Urinary Incontinence-Short Form overall score, eight weeks, three months, and six months after commencement of treatment.
keywords:

stress urinary incontinence, extracorporeal magnetic stimulation, pelvic floor, pelvic muscle

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