Abstract：
OBJECTIVES:To evaluate the effect of extracorporeal magnetic innervation (ExMI) therapy in children with refractory monosymptomatic nocturnal enuresis (MNE). METHODS:A total of 55 children (34 boys and 21 girls, median age 8.0 years, range 5 to 13) who wetted the bed more than twice per week because of MNE that was refractory to treatment with desmopressin, anticholinergics, and enuretic alarm were assessed prospectively using a voiding diary before and after ExMI, administered once a week for at least 4 weeks with a size-adjusted magnetic chair (each session lasted 20 minutes). RESULTS:After all sessions of ExMI, the mean frequency of nocturnal enuresis decreased significantly to 2.09 +/- 2.47 in all patients (P = 0.04), and the mean functional bladder capacity increased 1.88 times in all patients (P = 0.00). In total, 63.6% of our patients had a nocturnal enuresis frequency of less than 50% after a mean of 6.62 +/- 4.26 ExMI sessions. CONCLUSIONS:From our results, reduced functional bladder capacity might be the main pathophysiologic cause in children with MNE refractory to established treatment. ExMI might have an acute inhibitory effect in these children with refractory MNE by increasing functional bladder capacity. However, long-term follow-up data and controlled study with a sham-stimulation group are necessary to determine the durability of this new therapy for refractory MNE.
journal_name
Urologyjournal_title
Urologyauthors
Kang SH,Bae JH,Shim KS,Park HS,Cheon J,Lee JG,Yoon DK,Kim JJ,Moon du Gdoi
10.1016/j.urology.2007.05.027subject
Has Abstractpub_date
2007-09-01 00:00:00pages
576-80issue
3eissn
0090-4295issn
1527-9995pii
S0090-4295(07)00662-0journal_volume
70pub_type
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