Extracorporeal magnetic stimulation of the pelvic floor neuromuscular system in urological practice

Abstract

This study aimed to systematize data on the possibility of using extracorporeal magnetic stimulation of the pelvic floor neuromuscular system in urological practice.

Materials and methods. Based on the available scientific data and our own clinical cases, information regarding the use of extracorporeal magnetic stimulation in the treatment of urological diseases has been summarized. The historical aspects of the application of magnetic stimulation are presented, along with the physical and biological essence of the method, and indications and contraindications to the procedures. The principles of prescribing extracorporeal magnetic stimulation of the pelvic floor neuromuscular system have also been described in detail, and international and Russian data concerning the clinical application of this method in urological practice have been summarized.

Keywords

extracorporeal magnetic stimulation / urinary incontinence / hyperactive bladder / chronic prostatitis / pelvic pain / erectile dysfunction

References

[1] Presman AS. Electromagnetic fields and living nature. Moscow: Nauka; 1968: 289 р. (In Russ).

[2] Пресман А.С. Электромагнитные поля и живая природа. М.: Наука; 1968. 289 с.

[3] Nikitin SS, Kurenkov AL. Magnetic stimulation in the diagnosis and treatment of diseases of the nervous system: a guide for doctors. Moscow: SASHKO; 2003:378 p. (In Russ).

[4] Никитин С.С., Куренков А.Л. Магнитная стимуляция в диагностике и лечении болезней нервной системы: Руководство для врачей. М.: САШКО; 2003. 378 с.

[5] Struppler A, Angerer B, Gundisch C, Havel P. Modulatory effect of repetitive peripheral magnetic stimulation on skeletal muscle tone in healthy subjects: stabilization of the elbow joint. Exp. Brain Res. 2004;157(1):59-66. doi: 10.1007/s00221-003-1817-6.

[6] Struppler A., Angerer B., Gundisch C., Havel P. Modulatory effect of repetitive peripheral magnetic stimulation on skeletal muscle tone in healthy subjects: stabilization of the elbow joint. Exp. Brain Res. 2004;157(1):59–66. doi: 10.1007/s00221-003-1817-6.

[7] Struppler A, Havel P, Muller-Barna P. Facilitation of skilled finger movements by repetitive peripheral magnetic stimulation (RPMS) — a new approach in central paresis. NeuroRehabilitation. 2003;18(1):69-82.

[8] Struppler A., Havel P., Muller-Barna P. Facilitation of skilled finger movements by repetitive peripheral magnetic stimulation (RPMS) — a new approach in central paresis. NeuroRehabilitation. 2003;18(1):69–82.

[9] Kasyan GR. Principles of urinary retention in women: the formula of continence. Urologiia = Urology. 2014;2:94-97. (In Russ).

[10] Касян Г.Р. Принципы удержания мочи у женщин: формула континенции // Урология. 2014. № 2. C. 94–97.

[11] Romikh VV, Sivkov AV. Modern methods of urodynamic assessment of urinary incontinence in women. Obstetrics and Gynecology. 2005;5:53. (In Russ).

[12] Ромих В.В., Сивков А.В. Современные методы уродинамической оценки недержания мочи у женщин // Акушерство и гинекология. 2005. № 5. С. 53.

[13] Ivanova TM, Kulakova NG, Rodnova IG. Method of correction of spinal disorders in patients with inflammatory and degenerative-dystrophic diseases of the lumbosacral spine, complicated by neurological disorders. Patent RUS No. 2429031 2011. (In Russ).

[14] Иванова Т.М., Кулакова Н.Г., Роднова И.Г. Способ коррекции спинномозговых нарушений у больных с воспалительными и дегенеративно-дистрофическими заболеваниями пояснично-крестцового отдела позвоночника, осложненных неврологическими расстройствами. Патент РФ № 2429031, 2011.

[15] Pushkar DYu, Laurent OB, Labazanov GA. Surgical treatment of urinary incontinence in women using a tubular flap from the vagina. Urology and Nephrology. 1996;5:19-21. (In Russ).

[16] Пушкарь Д.Ю., Лоран О.Б., Лабазанов Г.А. Оперативное лечение недержания мочи у женщин с использованием трубчатого лоскута из влагалища // Урология и нефрология. 1996. № 5. С. 19–21.

[17] Pushkar DYu, Kasyan GR, Gvozdev MYu, Lynova YuL, Kupriyanov YuA. Low-invasive operations for correction of urinary incontinence in females. Urologiia = Urology. 2011;4:16–20. (In Russ).

[18] Пушкарь Д.Ю., Касян Г.Р., Гвоздев М.Ю., Лынова Ю.Л., Куприянов Ю.А. Малоинвазивные операции для лечения недержания мочи у женщин // Урология. 2011. № 4. С. 16–20.

[19] Kachmasov AA, Romih VV. Comparative study of the treatment results using mesh prosthesis in women with urinary incontinence. Experimental and Clinical Urology. 2013;2:122-127. (In Russ).

[20] Качмазов А.А., Ромих В.В. Сравнительное исследование результатов лечения недержания мочи у женщин с применением сетчатых имплантов. Экспериментальная и клиническая урология. 2013. № 2. С. 122–127.

[21] Kupriyanov YuA, Tupikina NV, Kasyan GR, Gvozdev MYu, Godunov BN, Pushkar DYu. Minimally invasive sling surgery in patients with stress urinary incontinence. Experimental and Clinical Urology. 2015;2:131-141. (In Russ).

[22] Куприянов Ю.А., Тупикина Н.В., Касян Г.Р., Гвоздев М.Ю., Годунов Б.Н., Пушкарь Д.Ю. Минимально инвазивные петлевые операции у больных, страдающих недержанием мочи // Экспериментальная и клиническая урология. 2015. № 2. С. 131–141.

[23] Kasyan GR, Kolontarev KB, Pushkar DYu. The use of a free synthetic loop in the treatment of urinary incontinence in women. Pharmatecha. Urology. 2008:34-36. (In Russ).

[24] Касян Г.Р., Колонтарев К.Б., Пушкарь Д.Ю. Использование свободной синтетической петли в лечении недержания мочи у женщин // Фарматека. Урология. 2008. С. 34–36.

[25] Apolikhina IA, Romikh VV, Andikyan VM. Modern principles of conservative treatment of urinary incontinence in women. Urologiia = Urology. 2005;5:72-75. (In Russ).

[26] Аполихина И.А., Ромих В.В., Андикян В.М. Современные принципы консервативного лечения недержания мочи у женщин // Урология. 2005. № 5. С. 72–75.

[27] Chandi DD, Groenendijk PM, Venema PL. Functional extracorporeal magnetic stimulation as a treatment for female urinary incontinence: ‘the chair’. BJU Int. 2004;93(4):539-42. doi: 10.1111/j.1464-410x.2003.04659.x.

[28] Chandi D.D., Groenendijk P.M., Venema P.L. Functional extracorporeal magnetic stimulation as a treatment for female urinary incontinence: ‘the chair’. BJU Int. 2004;93(4):539–42. doi: 10.1111/j.1464-410x.2003.04659.x.

[29] Galloway NT, El-Galley RE, Sand PK. Update on extracorporeal magnetic innervation (EXMI) therapy for stress urinary incontinence. Urology. 2000; 56: 82-86. doi: 10.1016/s0090-4295(00)00686-5.

[30] Galloway N.T., El-Galley R.E., Sand P.K. Update on extracorporeal magnetic innervation (EXMI) therapy for stress urinary incontinence // Urology. 2000;56:82–86. DOI: 10.1016/s0090-4295(00)00686-5.

[31] Galloway NT, El-Galley RE, Sand PK, Appell RA, Russell HW, Carlan SJ. Extracorporeal magnetic innervation therapy for stress urinary incontinence. Urology. 1999;53:1108-1111. doi: 10.1016/s0090-4295(99)00037-0.

[32] Galloway N.T., El-Galley R.E., Sand P.K., Appell R.A., Russell H.W., Carlan S.J. Extracorporeal magnetic innervation therapy for stress urinary incontinence. Urology. 1999;53:1108–1111. DOI: 10.1016/s0090-4295(99)00037-0.

[33] Unsal A, Saglam R, Cimentepe E. Extracorporeal magnetic stimulation for the treatment of stress and urge incontinence in women results of 1-year follow-up. Scand J Urol Nephrol. 2003;37(5):424-8. doi: 10.1080/00365590310021258.

[34] Unsal A., Saglam R., Cimentepe E. Extracorporeal magnetic stimulation for the treatment of stress and urge incontinence in women results of 1-year follow-up // Scand J Urol Nephrol. 2003;37(5):424–8. DOI: 10.1080/00365590310021258.

[35] Yokoyama T, Fujita O, Nishiguchi J, Nozaki K, Nose H, Inoue M, Ozawa H, Kumon H. Extracorporeal magnetic innervation treatment for urinary incontinence. Int J Urol. 2004;11:602-606. doi: 10.1111/j.1442-2042.2004.00857.x.

[36] Yokoyama T., Fujita O., Nishiguchi J., Nozaki K., Nose H., Inoue M., Ozawa H., Kumon H. Extracorporeal magnetic innervation treatment for urinary incontinence // Int J Urol. 2004;11:602–606. DOI: 10.1111/j.1442-2042.2004.00857.x.

[37] Hoşcan MB, Dilmen C, Perk H, Soyupek S, Armağan A, Tükel O, Ekinci M. Extracorporeal magnetic innervation for the treatment of stress urinary incontinence: results of two-year follow-up. Urologia Internationalis. 2008;81(2):167-72. doi: 10.1159/000144055.

[38] Hoşcan M.B., Dilmen C., Perk H., Soyupek S., Armağan A., Tükel O., Ekinci M. Extracorporeal magnetic innervation for the treatment of stress urinary incontinence: results of two-year follow-up // Urologia Internationalis. 2008;81(2):167–72. doi: 10.1159/000144055.

[39] Zheleznyakova AI, Apolikhina IA, Ibinayeva IS. Possibilities of medical treatment for female stress urinary incontinence. Obstetrics and Gynecology. 2010;2:17-20. (In Russ).

[40] Железнякова А.И., Аполихина И.А., Ибинаева И.С. Возможности консервативного лечения женщин со стрессовым недержанием мочи // Акушерство и гинекология. 2010. № 2. С. 17–20.

[41] Zheleznyakova AI, Apolikhina IA. Efficiency of the method of extracorporeal magnetic stimulation in the treatment of women with stress urinary incontinence. Materials of the all-Russian Congress “Outpatient Polyclinic Practice - New Horizons”. Moscow, 2010:106-107. (In Russ).

[42] Железнякова А.И., Аполихина И.А. Эффективность метода экстракорпоральной магнитной стимуляции в лечении женщин со стрессовым недержанием мочи // Материалы Всероссийского конгресса «Амбулаторно-поликлиническая практика — новые горизонты». М., 2010. С. 106–107.

[43] Tsia-Shu Lo, Ling-Hong Tseng, Yi-Hao Lin, Ching-Chung Liang, Ching-Yi Lu and Leng Boi Pue. Effect of extracorporeal magnetic energy on bothersome low urinary tract symptoms and quality of life in female patients with stress urinary incontinence and overactive bladder. J Obst Gynaecol Res. 2013;39(11):1526-32. doi: 10.1111/jog.12090.

[44] Tsia-Shu Lo, Ling-Hong Tseng, Yi-Hao Lin, Ching-Chung Liang, Ching-Yi Lu, Leng Boi Pue. Effect of extracorporeal magnetic energy on bothersome low urinary tract symptoms and quality of life in female patients with stress urinary incontinence and overactive bladder // J Obst Gynaecol Res. 2013;39(11):1526–32. DOI: 10.1111/jog.12090.

[45] Abrams PH, Cardoso L, Fall M, Griffiths D, Rosier P, Ulmsten U, van Kerrebroeck Ph, Victor A, Wein A. The standardization of terminology of low urinary tract function: report from the standardization sub-committee of the ICS. Neurol Urodyn. 2002;21:167-178. doi: 10.1002/nau.10052.

[46] Abrams P.H., Cardoso L., Fall M., Griffiths D., Rosier P., Ulmsten U., van Kerrebroeck Ph., Victor A., Wein A. The standardization of terminology of low urinary tract function: report from the standardization sub-committee of the ICS // Neurol Urodyn. 2002;21:167–178. DOI: 10.1002/nau.10052.

[47] Pushkar DYu, Shchaveleva OB. Hyperactive bladder: epidemiology, diagnostics, comparative evaluation of drug therapy. Pharmatecha. 2004;16:26-29. (In Russ).

[48] Пушкарь Д.Ю., Щавелева О.Б. Гиперактивный мочевой пузырь: эпидемиология, диагностика, сравнительная оценка медикаментозной терапии // Фарматека. 2004. № 16. С. 26–29.

[49] Pushkar DYu, Shchaveleva OB, Dyakov VV. Imperative disorders of urination in women. Urologiia = Urology. 2002;4:51-55. (In Russ).

[50] Пушкарь Д.Ю. Щавелева О.Б, Дьяков В.В. Императивные расстройства мочеиспускания у женщин // Урология. 2002. № 4. С. 51–55.

[51] Romikh VV, Sivkov AV. Pharmacotherapy of hyperactive bladder. Consilium Medicum. 2002;4(7):5. (In Russ).

[52] Ромих В.В.,Сивков А.В. Фармакотерапия гиперактивного мочевого пузыря // Consilium Medicum. 2002. Т. 4, № 7. С. 5.

[53] Kasjan GR. Mirabegron – a new drug for treatment of overactive bladder. Urologiia = Urology. 2015;4:121-124. (In Russ).

[54] Касян Г.Р. Мирабегрон — новый препарат для лечения гиперактивного мочевого пузыря // Урология. 2015. № 4. С. 121–124.

[55] Romikh VV, Borisenko LYu, Zakharchenko AV. Mirabegron. Whether will be a revolution in the pharmacotherapy of overactive bladder? Urologiia = Urology. 2015;5:110-117. (In Russ).

[56] Ромих В.В., Борисенко Л.Ю., Захарченко А.В. Мигабегрон. Состоится ли революция в лечении гиперактивного мочевого пузыря? // Урология. 2015. № 5. С. 110–117.

[57] Kaprin AD, Apolikhin OI, Alekseev BY, Sivkov AV, Romikh VV, Zakharchenko AV, Panteleev VV, Romikh FD. Botulinum in modern urology. Meditsinskiy sovet = Medical Council. 2016;10:130-139. doi: 10.21518/2079-701X-2016-10-130-139. (In Russ).

[58] Каприн А.Д., Аполихин О.И., Сивков А.В., Ромих В.В., Захарченко А.В., Пантелеев В.В., Ромих Ф.Д. Ботулинотерапия в современной урологии // Медицинский совет. № 10. 2016. С. 130–139. DOI: 10.21518/2079-701X-2016-10-130-139.

[59] Vodusek DB, Light JK, Libby JM. Detrusor inhibition induced by stimulation of pudendal nerve afferents. Neurourol Urodyn. 1986;5:381-89.

[60] Vodusek D.B., Light J.K., Libby J.M. Detrusor inhibition induced by stimulation of pudendal nerve afferents // Neurourol Urodyn. 1986;5:381–89.

[61] Yokoyama Т, Nishiguchi J, Watanabe T, Nose H, Nozaki K, Fujita O, Inoue M, Kumon H. Comparative study of effects of extracorporeal magnetic innervation versus electrical stimulation for urinary incontinence after radical prostatectomy. Urology. 2004;63(2):264-267. doi: 10.1016/j.urology.2003.09.024.

[62] Yokoyama Т., Nishiguchi J., Watanabe T., Nose H., Nozaki K., Fujita O., Inoue M., Kumon H. Comparative study of effects of extracorporeal magnetic innervation versus electrical stimulation for urinary incontinence after radical prostatectomy // Urology. 2004;63(2):264–267. DOI: 10.1016/j.urology.2003.09.024.

[63] Chang P, Wu C, Huang S, Chen Y, Huang H, Hsu Y, Hsieh M. Extracorporeal magnetic innervation increases functional bladder capacity and quality of life in patients with urinary incontinence after robotic-assisted radical prostatectomy. ICS Abstract. 2015.

[64] Chang P., Wu C., Huang S., Chen Y., Huang H., Hsu Y., Hsieh M. Extracorporeal magnetic innervation increases functional bladder capacity and quality of life in patients with urinary incontinence after robotic-assisted radical prostatectomy // ICS Abstract. 2015.

[65] Nickel JC. Prostatitis: lessons from the 20th century. BJU Int. 2000; 85:179-185. doi: 10.1046/j.1464-410x.2000.00464.x.

[66] Nickel J.C. Prostatitis: lessons from the 20th century // BJU Int. 2000;85:179–185. DOI: 10.1046/j.1464-410x.2000.00464.x.

[67] Tugcu V, Tas S, Eren G, Bedirhan B, Karadag S, Tasci A. Effectiveness of acupuncture in patients with category IIIB chronic pelvic pain syndrome: a report of 97 patients. Pain Med. 2010;11(4):518-523. doi: 10.1111/j.1526-4637.2009.00794.x.

[68] Tugcu V., Tas S., Eren G., Bedirhan B., Karadag S., Tasci A. Effectiveness of acupuncture in patients with category IIIB chronic pelvic pain syndrome: a report of 97 patients // Pain Med. 2010;11(4):518–523. DOI: 10.1111/j.1526-4637.2009.00794.x.

[69] Lee SW, Liong ML, Yuen KH, Leong WS, Chee Ch, Cheah PhY, Choong WPh, Wu Y, Khan N, Choong WL, Yap HW, Krieger JN. Acupuncture versus sham acupuncture for chronic prostatitis/chronic pelvic pain. Am J Med. 2008;121:79. doi: 10.1016/j.amjmed.2007.07.033.

[70] Lee S.W., Liong M.L., Yuen K.H., Leong W.S., Chee Ch., Cheah Ph.Y., Choong W.Ph., Wu Y., Khan N., Choong W.L., Yap H.W., Krieger J.N. Acupuncture versus sham acupuncture for chronic prostatitis/chronic pelvic pain // Am J Med. 2008;121:79. DOI: 10.1016/j.amjmed.2007.07.033.

[71] Kabay S, Kabay SC, Yucel M, Ozden H. Efficiency of posterior tibial nerve stimulation in category IIIB chronic prostatitis/chronic pelvic pain: a Sham-Controlled Comparative Study. Urol Int. 2009;83:33-38. doi: 10.1159/000224865.

[72] Kabay S., Kabay S.C., Yucel M., Ozden H. Efficiency of posterior tibial nerve stimulation in category IIIB chronic prostatitis/chronic pelvic pain: a Sham-Controlled Comparative Study // Urol Int. 2009;83:33–38. doi: 10.1159/000224865.

[73] Anderson RU, Sawyer T, Wise D, Morey A, Nathanson BH. Painful myofascial trigger points and pain sites in men with chronic prostatitis/chronic pelvic pain syndrome. J Urol. 2009;182:2753-2758. doi: 10.1016/j.juro.2009.08.033.

[74] Anderson R.U., Sawyer T., Wise D., Morey A., Nathanson B.H. Painful myofascial trigger points and pain sites in men with chronic prostatitis/chronic pelvic pain syndrome // J Urol. 2009;182:2753–2758. doi: 10.1016/j.juro.2009.08.033.

[75] Lee KC, Choi H, Park HS, Kim JJ, Moon DG. Therapeutic efficacy of extracorporeal magnetic therapy in chronic pelvic pain syndrome. Korean J Urol. 2003;44(7):693-696.

[76] Lee K.C., Choi H., Park H.S., Kim J.J., Moon D.G. Therapeutic efficacy of extracorporeal magnetic therapy in chronic pelvic pain syndrome // Korean J Urol. 2003;44(7):693–696.

[77] Patel А, Rowe E, Laverick L. A prospective, randomized, placebo-controled, double-blinded study of electromagnetic therapy (EXMI) in the treatment of chronic pelvic pain syndrome in men. XVIth Congress of the European Association of Urology. Geneva, 2001.

[78] Patel А., Rowe E., Laverick L. A prospective, randomized, placebo-controled, double-blinded study of electromagnetic therapy (EXMI) in the treatment of chronic pelvic pain syndrome in men // XVIth Congress of the European Association of Urology. Geneva, 2001.

[79] Russian clinical guidelines for urology. Moscow; 2013: 304 р. (In Russ).

[80] Российские клинические рекомендации по урологии. М., 2013. 304 с.

[81] Shafik A, el-Sibai O, Shafik AA. Magnetic stimulation of the cavernous nerve for the treatment of erectile dysfunction in humans. Int J Impot Res. 2000;12(3):137-141.

[82] Shafik A., el-Sibai O., Shafik A.A. Magnetic stimulation of the cavernous nerve for the treatment of erectile dysfunction in humans // Int J Impot Res. 2000;12(3):137–141.

[83] Pelka RB, Jaenicke C, Gruenwald J. Impulse magnetic-field therapy for erectile dysfunction: a double-blind, placebo-controlled study. Adv Ther. 2002;19(1):53-60.

[84] Pelka R.B., Jaenicke C., Gruenwald J. Impulse magnetic-field therapy for erectile dysfunction: a double-blind, placebo-controlled study // Adv Ther. 2002;19(1):53–60.

RIGHTS & PERMISSIONS

Eco-Vector