The first experience of using a low-intensity traveling pulsed magnetic field in patients with prostate cancer with urinary incontinence after radical prostatectomy
- Authors: Musaev I.E.1,2, Grushina T.I.3, Gusakova E.V.1,2, Darenkov S.P.1, Proskokov A.A.1,4, Pinchuk I.S.1,4, Pronkin E.A.1,2
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Affiliations:
- Central State Medical Academy of Department of Presidential Affairs
- Lopukhin Federal Research and Clinical Center of Physical-Chemical Medicine of Federal Medical Biological Agency
- Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine
- Federal State Budget Institution Clinical hospital
- Issue: Vol 22, No 4 (2023)
- Pages: 291-298
- Section: Original studies
- URL: https://journals.rcsi.science/1681-3456/article/view/255380
- DOI: https://doi.org/10.17816/rjpbr624180
- ID: 255380
Cite item
Abstract
BACKGROUND: To date, there are few studies in the literature that have examined the efficacy of extracorporeal magnetic stimulation alone for urinary incontinence in patients after radical prostatectomy.
AIM: The purpose of the study is to obtain preliminary data on the effectiveness and safety of a low-frequency low-intensity traveling pulsed magnetic field in patients with long-term urinary incontinence after radical prostatectomy.
MATERIALS AND METHODS: 22 patients (mean age is 66.3±6.8 years) with stage TI-IIIAN0M0 prostate cancer were observed. To assess the type and degree of urinary incontinence, urination diaries, a cough test, a 24h pad-test, the number of nocturnal mictions, and the OAB-q SF questionnaire were analyzed. Patients were divided into 2 comparable groups: 1 (main group) ― a combination of exercises for the pelvic floor muscles and a local pulsed magnetic field, 2 (control group) ― exercises for the pelvic floor muscles, a rehabilitation course of 10 days.
RESULTS: All patients showed a stressful form of urinary incontinence. Mild urinary incontinence was observed in 75% of patients in group 1 and in 70% of patients in group 2; moderate urinary incontinence was observed in 25% and 30% of the group, respectively. 50% of patients suffered from nocturia. According to the OAB-q SF questionnaire, there were no statistically significant differences between patients in both groups: 8.1±1.6 points versus 8.0±1.5 points (p=0.9), respectively. As a result of the rehabilitation course, the cough test remained positive in 66.7% of patients in the main group and in 80% of patients in the control group. According to this indicator, the combined method of rehabilitation was more effective than exercise therapy by 13.3%. Nocturia stopped in half of the patients in the main group and in 10% of the patients in the control group. The overall incidence of urinary incontinence episodes decreased in 75% of patients in the main group and in 40% of patients in the control group. The effectiveness of the combined rehabilitation method was 35%. The OAB-q SF questionnaire showed no statistically significant differences between the groups: 6.2+0.9 and 6.9+1.3 points (p=0.8), respectively.
CONCLUSION: Local traveling pulsed magnetic field increases the effectiveness of therapeutic exercises in rehabilitation of patients with long-standing urinary incontinence after radical prostatectomy. The obtained data can serve as a basis for further well-organized studies on a larger number of patients allowing to make unambiguous conclusions.
Full Text
##article.viewOnOriginalSite##About the authors
Ivan E. Musaev
Central State Medical Academy of Department of Presidential Affairs; Lopukhin Federal Research and Clinical Center of Physical-Chemical Medicine of Federal Medical Biological Agency
Email: tgmi97@yandex.ru
ORCID iD: 0000-0003-1502-0488
SPIN-code: 7336-0431
Russian Federation, Moscow; Moscow
Tatiana I. Grushina
Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine
Email: tgrushina@gmail.com
ORCID iD: 0000-0002-0945-4266
SPIN-code: 5275-6509
MD., Dr. Sci. (Med.)
Russian Federation, MoscowElena V. Gusakova
Central State Medical Academy of Department of Presidential Affairs; Lopukhin Federal Research and Clinical Center of Physical-Chemical Medicine of Federal Medical Biological Agency
Email: gusakova07@mail.ru
ORCID iD: 0000-0003-3254-0354
SPIN-code: 5913-9674
MD., Dr. Sci. (Med.), Professor
Russian Federation, Moscow; MoscowSergey P. Darenkov
Central State Medical Academy of Department of Presidential Affairs
Email: darenkov@list.ru
ORCID iD: 0000-0002-3797-7160
SPIN-code: 9206-8949
MD., Dr. Sci. (Med.), Professor
Russian Federation, MoscowAleksey A. Proskokov
Central State Medical Academy of Department of Presidential Affairs; Federal State Budget Institution Clinical hospital
Email: dr.proskokov@mail.ru
MD, Cand. Sci. (Med.), Associate Professor
Russian Federation, Moscow; MoscowIlya S. Pinchuk
Central State Medical Academy of Department of Presidential Affairs; Federal State Budget Institution Clinical hospital
Email: dr.pinchuk@inbox.ru
SPIN-code: 1823-0836
MD, Cand. Sci. (Med.), Associated Professor
Russian Federation, Moscow; MoscowEvgenii A. Pronkin
Central State Medical Academy of Department of Presidential Affairs; Lopukhin Federal Research and Clinical Center of Physical-Chemical Medicine of Federal Medical Biological Agency
Author for correspondence.
Email: dr.pronkin@gmail.com
ORCID iD: 0000-0001-9011-2150
SPIN-code: 2501-6429
MD, Cand. Sci. (Med.)
Russian Federation, Moscow; MoscowReferences
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