과활동성 신경인성 방광환자에서 상치골 자기장자극치료의 효과
The Effect of Suprapubic Magnetic Stimulation in Patients with Neurogenic Detrusor Overactivity
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Purpose: To evaluate the effect of suprapubic magnetic stimulation (SMS) with the use of an arm-type magnetic stimulator for the treatment of patients with neurogenic detrusor overactivity. Materials and Methods: Eleven patients with neurogenic detrusor overactivity were enrolled in this study. All patients underwent more than 16 SMS sessions, two times per week, with the use of an arm-type magnetic stimulator. Objective success was defined as a significant reduction (≥50%) in the total number of leakage episodes per 24 hours, whereas subjective success was defined as the request to continue treatment. Results: Five (71.4%) of 7 patients who had urinary incontinence before treatment reported objective success, and 3 patients showed no incontinence. A total of 6 (75.0%) of 8 patients showed increased average voiding volume. One patient showed an adverse effect of back pain after SMS and dropped out. Seven patients (70.0%) of 10 patients wanted to continue this treatment. They showed significant improvements in frequency/volume chart data, quality of life scores, and urodynamic data. Conclusions: SMS can be a safe, non-invasive and effective option for the treatment of neurogenic detrusor overactivity.
Abstract
Purpose: To evaluate the effect of suprapubic magnetic stimulation (SMS) with the use of an arm-type magnetic stimulator for the treatment of patients with neurogenic detrusor overactivity. Materials and Methods: Eleven patients with neurogenic detrusor overactivity were enrolled in this study. All patients underwent more than 16 SMS sessions, two times per week, with the use of an arm-type magnetic stimulator. Objective success was defined as a significant reduction (≥50%) in the total number of leakage episodes per 24 hours, whereas subjective success was defined as the request to continue treatment. Results: Five (71.4%) of 7 patients who had urinary incontinence before treatment reported objective success, and 3 patients showed no incontinence. A total of 6 (75.0%) of 8 patients showed increased average voiding volume. One patient showed an adverse effect of back pain after SMS and dropped out. Seven patients (70.0%) of 10 patients wanted to continue this treatment. They showed significant improvements in frequency/volume chart data, quality of life scores, and urodynamic data. Conclusions: SMS can be a safe, non-invasive and effective option for the treatment of neurogenic detrusor overactivity.
참고문헌 (16)
- Wyndaele JJ, "Conservative treatment of the neuropathic bladder in spinal cord injured patients", Spinal Cord, 39, pp.294~300 (2001)
- Weld KJ, "Effect of bladder management on urological complications in spinal cord injured patients", J Urol, 163, pp.768~772 (2000)
- Elliott DS, "Recent advances in the management of the neurogenic bladder", Urology, 56, pp.76~81 (2000)
- Razdan S, "Current practice patterns in the urologic surveillance and management of patients with spinal cord injury", Urology, 61, pp.893~896 (2003)
- van Balken MR, "The use of electrical devices for the treatment of bladder dysfunction: a review of methods", J Urol, 172, pp.846~851 (2004)
- Aslan AR, "Conservative management in neurogenic bladder dysfunction", Curr Opin Urol, 12, pp.473~477 (2002)
- Katona F, "Intravesical transurethral electrotherapy in meningomyelocele patients", Acta Paediatr Acad Sci Hung, 16, pp.363~374 (1975)
- Fujishiro T, "Magnetic stimulation of thesacral roots for the treatment of urinary frequency and urge incontinence: an investigational study and placebo controlled trial", J Urol, 168, pp.1036~1039 (2002)
- Yamanishi T, "Comparative study of the effects of magnetic versus electrical stimulation on inhibition of detrusor overactivity", Urology, 56, pp.777~781 (2000)
- 정진관, "신경인성방광 환자에서 후부경골신경 자기장자극치료 효과", Korean Journal of Urology, 46(9), pp.956~961 (2005), 대한비뇨기과학회
- Abrams P, "The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society", Neurourol Urodyn, 21, pp.167~178 (2002)
- Kaplan WE, "Intravesical electrical stimulation of the bladder: pro", Urology, 56, pp.2~4 (2000)
- McGuire EJ, "Treatment of motor and sensory detrusor instability by electrical stimulation", J Urol, 129, pp.78~79 (1983)
- Nicholas JL, "Endovesical electrotherapy in treatment of urinary incontinence in spina-bifida patients", Lancet, 2, pp.1276~1277 (1975)
- Ebner A, "Intravesical electrical stimulation--an experimental analysis of the mechanism of action", J Urol, 148, pp.920~924 (1992)
- Gladh G, "Anogenital electrical stimulation as treatment of urge incontinence in children", BJU Int, 87, pp.366~371 (2001)