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Functional Magnetic Stimulation (FMS) appears to modulate autonomic and somatic nervous systems that innervate the lower urinary tract. Stimulation of the pudendal afferent nerve near the third sacral root induces relaxation of the detrusor muscles and reinforcement of urethral sphincter. Some preliminary studies had indicated the positive effect of FMS on stress urinary incontinence. Investigators aimed to evaluate the immediate and long-term effect of this method on stress urinary incontinent patients.
5 Hz repetitive magnetic stimulation was applied over bilateral sacral roots for 20 minutes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| experimental group | Experimental | Real FMS, 5 Hz, 20 minutes per day, for 10 weekdays. |
|
| sham group | Sham Comparator | sham FMS, 5 Hz, 20 min per day, for 10 weekdays. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FMS (Magstim rapid2) | Device | 5 Hz FMS, over bilateral sacral roots. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Symptom scoring on Urge-Urinary Distress Inventory questionnaire | up to 5 months |
| Measure | Description | Time Frame |
|---|---|---|
| Cystometry and stress urethral pressure profile as measures of objective incontinence improvement | up to 5 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Po-Yi Tsai, MD | Contact | 886-28757293 | pytsai@vghtpe.gov.tw |
| Name | Affiliation | Role |
|---|---|---|
| Po-Yi Tsai, MD | Dep of PMR, Taipei VGH | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Taipei Veteran General Hospital | Recruiting | Taipei | 11217 | Taiwan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25073008 | Derived | Tsai PY, Wang CP, Hsieh CY, Tsai YA, Yeh SC, Chuang TY. Long-term sacral magnetic stimulation for refractory stress urinary incontinence. Arch Phys Med Rehabil. 2014 Dec;95(12):2231-8. doi: 10.1016/j.apmr.2014.07.010. Epub 2014 Jul 27. |
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| ID | Term |
|---|---|
| D053206 | Nocturnal Enuresis |
| ID | Term |
|---|---|
| D004775 | Enuresis |
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D019960 | Elimination Disorders |
| D001523 | Mental Disorders |