Marta Barba, Alice Cola, Ilaria Re, Desirèe De Vicari, Clarissa Costa, Matteo Frigerio, Benedetta Da Pozzo, Serena Maruccia
{"title":"平磁刺激治疗肛门失禁：一项前瞻性研究。","authors":"Marta Barba, Alice Cola, Ilaria Re, Desirèe De Vicari, Clarissa Costa, Matteo Frigerio, Benedetta Da Pozzo, Serena Maruccia","doi":"10.2147/IJWH.S512439","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Magnetic Stimulation (MS) works on neuromuscular tissue by creating a specific electromagnetic field capable of inducing an intense muscular contraction thereby deeply stimulating pelvic floor muscles and restoring neuromuscular function in a non-invasive manner. Flat MS (FMS) has a more homogeneous electromagnetic field which permits a greater recruitment of muscle fibers. With this study we aimed to evaluate the severity of symptoms and quality of life before and after treatment with Flat Magnetic Stimulation in women with anal incontinence.</p><p><strong>Methods: </strong>This was a prospective observational study conducted from September 2023 to December 2023. At baseline and after the treatment, sexual function and the severity of anal incontinence and were evaluated through validated St. Mark's and the Female Sexual Function Index - 19 (FSFI-19) scores respectively. The subjective improvement rate was determined through the Patient Global Impression of Improvement (PGI-I) questionnaire.</p><p><strong>Results: </strong>We observed that there was a significant improvement in the St.Mark score both absolute and stratified according to the degree of severity, whereas there was no evidence of improvement in sexual function, accessed with the FSFI-19 score.</p><p><strong>Conclusion: </strong>FMS represents an effective and safe non-invasive treatment for anal incontinence, resulting in patients' QOL improvement and decrease of incontinence scores.</p>","PeriodicalId":14356,"journal":{"name":"International Journal of Women's Health","volume":"17 ","pages":"1115-1122"},"PeriodicalIF":2.5000,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12025822/pdf/","citationCount":"0","resultStr":"{\"title\":\"Flat Magnetic Stimulation for Anal Incontinence: A Prospective Study.\",\"authors\":\"Marta Barba, Alice Cola, Ilaria Re, Desirèe De Vicari, Clarissa Costa, Matteo Frigerio, Benedetta Da Pozzo, Serena Maruccia\",\"doi\":\"10.2147/IJWH.S512439\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Magnetic Stimulation (MS) works on neuromuscular tissue by creating a specific electromagnetic field capable of inducing an intense muscular contraction thereby deeply stimulating pelvic floor muscles and restoring neuromuscular function in a non-invasive manner. Flat MS (FMS) has a more homogeneous electromagnetic field which permits a greater recruitment of muscle fibers. With this study we aimed to evaluate the severity of symptoms and quality of life before and after treatment with Flat Magnetic Stimulation in women with anal incontinence.</p><p><strong>Methods: </strong>This was a prospective observational study conducted from September 2023 to December 2023. At baseline and after the treatment, sexual function and the severity of anal incontinence and were evaluated through validated St. Mark's and the Female Sexual Function Index - 19 (FSFI-19) scores respectively. The subjective improvement rate was determined through the Patient Global Impression of Improvement (PGI-I) questionnaire.</p><p><strong>Results: </strong>We observed that there was a significant improvement in the St.Mark score both absolute and stratified according to the degree of severity, whereas there was no evidence of improvement in sexual function, accessed with the FSFI-19 score.</p><p><strong>Conclusion: </strong>FMS represents an effective and safe non-invasive treatment for anal incontinence, resulting in patients' QOL improvement and decrease of incontinence scores.</p>\",\"PeriodicalId\":14356,\"journal\":{\"name\":\"International Journal of Women's Health\",\"volume\":\"17 \",\"pages\":\"1115-1122\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-04-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12025822/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Women's Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2147/IJWH.S512439\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Women's Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/IJWH.S512439","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Flat Magnetic Stimulation for Anal Incontinence: A Prospective Study.
Introduction: Magnetic Stimulation (MS) works on neuromuscular tissue by creating a specific electromagnetic field capable of inducing an intense muscular contraction thereby deeply stimulating pelvic floor muscles and restoring neuromuscular function in a non-invasive manner. Flat MS (FMS) has a more homogeneous electromagnetic field which permits a greater recruitment of muscle fibers. With this study we aimed to evaluate the severity of symptoms and quality of life before and after treatment with Flat Magnetic Stimulation in women with anal incontinence.
Methods: This was a prospective observational study conducted from September 2023 to December 2023. At baseline and after the treatment, sexual function and the severity of anal incontinence and were evaluated through validated St. Mark's and the Female Sexual Function Index - 19 (FSFI-19) scores respectively. The subjective improvement rate was determined through the Patient Global Impression of Improvement (PGI-I) questionnaire.
Results: We observed that there was a significant improvement in the St.Mark score both absolute and stratified according to the degree of severity, whereas there was no evidence of improvement in sexual function, accessed with the FSFI-19 score.
Conclusion: FMS represents an effective and safe non-invasive treatment for anal incontinence, resulting in patients' QOL improvement and decrease of incontinence scores.
期刊介绍：
International Journal of Women''s Health is an international, peer-reviewed, open access, online journal. Publishing original research, reports, editorials, reviews and commentaries on all aspects of women''s healthcare including gynecology, obstetrics, and breast cancer. Subject areas include: Chronic conditions including cancers of various organs specific and not specific to women Migraine, headaches, arthritis, osteoporosis Endocrine and autoimmune syndromes - asthma, multiple sclerosis, lupus, diabetes Sexual and reproductive health including fertility patterns and emerging technologies to address infertility Infectious disease with chronic sequelae including HIV/AIDS, HPV, PID, and other STDs Psychological and psychosocial conditions - depression across the life span, substance abuse, domestic violence Health maintenance among aging females - factors affecting the quality of life including physical, social and mental issues Avenues for health promotion and disease prevention across the life span Male vs female incidence comparisons for conditions that affect both genders.
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