URINARY INCONTINENCE AND BTL EMSELLA
DOI:
https://doi.org/10.32782/2077-6594.4.1.2021.247012Keywords:
urinary incontinence, Kegel exercises, BTL EMSELLA, lower urinary tractAbstract
In the article, the author analyzes urinary incontinence, the influence of kegel exercises and high-performance fossilized electromagnetic field technology to stimulate deep pelvic floor muscles and restore neuromuscular control using the BTL EMSELLATM device for urinary incontinence. EMSELLA uses high performance fossilized electromagnetic field (HIFEM) technology to stimulate deep pelvic floor muscles and restore neuromuscular control.
It is designed for strengthening the muscles of the pelvic floor, shaping the muscles of the seat and treating urine leakage.
Materials and methods. The study followed an institutional review board approved protocol. A total of 20 women (54.40 ± 11.70 years, 1.75 ± 1.38 deliveries) who showed symptoms of stress, urge, or mixed urinary incontinence were enrolled. They received six HIFEM treatments (2 per week) in duration of 28 minutes. Outcomes were evaluated after the sixth treatment and at the 3-month follow-up. The statistical analysis was conducted by paired T-test and Pearson correlation coefficient (α=0.05).
Results. After the sixth session, 18 out of 20 patients (80.34%) reported significant reduction of their symptoms. The average improvement of 48.90% in ICIQ-SF score was observed after the sixth treatment, which further increased to 63.40% at the follow-up (both P < 0.001). Individually, the highest level of improvement was reached in patients suffering from mixed urinary incontinence (68.95%). The reduction of absorbent pads averaged 45.85% after the sixth treatment and 54.78% at 3 months (both P < 0.001), while almost 75% of patients (reported decreased number of used pads.
Conclusions. This study demonstrated that HIFEM technology is able to safely and effectively treat a wide range of patients suffering from urinary incontinence. After six treatments, an improvement in ICIQ-SF score and reduction in absorbent pads usage was observed. Based on subjective evaluation, these changes positively influenced quality of life.
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