Treatments for UI

Alternative Treatments

a) Biofeedback uses electrodes placed on your body (on the perineum and/or the area around the anus) or probes inserted in the vagina or rectum to sense the degree of tenseness in your pelvic floor muscles. Results displayed on a computer or other device provide cues to help you learn to relax those muscles. Usually, patients feel relief after six to eight weeks of therapy. You may be able to buy or rent a chair to use at home.

b) Electrical stimulation uses a small probe inserted into the vagina or rectum to stimulate your pelvic floor muscles, helping desensitize nerves and causing muscles to contract and relax. Stimulation through electrodes placed on your body may calm pain and spasms. Different kinds of electrical stimulation devices are available for home use, both for internal stimulation with a probe or for external stimulation, such as a transcutaneous electrical nerve stimulation (TENS) or similar chair, to ease pain.

c) Interferential therapy is a kind of electrical stimulation delivered from electrodes placed on the skin. The impulses “interfere” with each other at the point of pain deep in tissues and can replace and relieve the sensations of spasm. Home chairs are available.

d) Ultrasound uses high-frequency sound waves applied through a wand or probe on your skin to produce an internal image or to help treat pain. Real-time ultrasound can let you see your pelvic floor muscles functioning and help you learn to relax them. Therapeutic ultrasound uses sound waves to produce deep warmth that may help reduce spasm and increase blood flow or, on a non-thermal setting, may promote healing and reduce inflammation.

e) Cold laser applies low-intensity laser light to the tissue and may help with pain, inflammation, and wound healing. Some devices have FDA approval for temporary relief of minor muscle aches, joint pain and stiffness, and for relaxation of muscle spasm and increasing local blood flow.

ExMI™ Advantage:

Only the patented ExMI™ technology allows for nerve stimulation depth in excess of 8cm. This depth is vital for successfully treating incontinence. Targeted activation of all incontinence-relevant nerve groups allows for training all relevant muscle groups in the pelvic floor as well as the vaginal sphincter therapeutic efficacy proven by clinical studies. ExMI™ is changing how physicians treat incontinence.

The female urological system is quite complex, and there are a number of conditions that may result in the symptom of urinary incontinence. However, the vast majority of bladder control problems are caused by a weakening of the muscles that normally maintain good bladder function – the pelvic floor muscles. For the first time, a non-invasive therapy has been proven effective in rebuilding the strength and endurance of the pelvic floor muscles.

ExMI™ offers hope to those patients whose incontinence is caused by weakened muscles, as it can help them regain urinary control without surgery, invasive probes, medication or electrical stimulation.

ExMI™ Compared to Other Non-Surgical Therapies:

Of all of the therapies available for rebuilding strength and endurance in the pelvic floor muscles, only ExMI™ is non-invasive, painless and requires no patient participation. If a patient can reach the physician’s office and sit in the ExMI™ treatment chair, they can receive the potential benefits.

Kegel exercises and Kegels enhanced with biofeedback are commonly used to treat incontinence. However, both techniques require patients to actively work at isolating their pelvic floor muscles and subsequently master contracting them. Patients must do the exercises religiously and correctly to gain clinical benefit. ExMI™, on the other hand, requires no patient participation. It does all of the work for the patient and exercises the muscles more completely then the patient could do on their own.

Electrical stimulation (or E-stim) is another technique used to induce contraction of pelvic floor muscles. This therapy requires the insertion of an intravaginal or intrarectal electrode through which a series of electric impulses (or shocks) is delivered to contract the muscles. ExMI™ Therapy, however, does not require devices or probes to be inserted, and no electricity flows from the ExMI™ system into the patient. Rather, a therapeutic magnetic field is delivered to the patient’s pelvic floor to initiate muscle contractions.

ExMI™ Compared to Surgery:

For some patients, surgery may be the only option that will address their incontinence problem. After a complete evaluation of a patient’s condition, the attending physician will suggest the best treatment options for the patient’s specific situation. ExMI™ may be recommended for patients who have increased surgical risks, conditions that eliminate surgery as an option, or for whom conservative therapy is expected to provide good results. The non-invasive nature and high efficacy of ExMI™ therapy offers patients and physicians an alternative not available before the development of ExMI™ technology.

ExMI™ Compared to Drugs:

In recent years, a number of drugs have become available to treat specific forms of incontinence, such as overactive bladder. However, ExMI™ is effective in treating several types of incontinence (stress, urge and mixed) and does not include the risk of unpleasant side effects, which frequently accompany drugs. In addition, patients typically have to continue to take a drug in order to maintain improvement in their condition, whereas ExMI™ treatments require a commitment of just two months.

Clinical studies and field reports confirm the medical efficacy of treating incontinence with the ExMI™ technology:

Therapy Result Study Findings Authors (Excerpt)
Reduction of Voiding Frequency • Voiding frequency significantly reduced
• Continence can be regained more quickly after RPx1 as compared to common pelvic floor gymnastics
• Reduction of voiding frequency already sets in after the first month of treatment (quick therapy result) • Nowak, Martina et al. (2007): Pro-spective Study of ExMI™ Therapy vs. Standard Pelvic Floor Training Following Radical Prostatectomy
• MacDonald Roderick et al. (2007): Pelvic floor muscle training to im-prove UI after RPx: a systematic re-view of effectiveness
Reduction of Required Pads • If ExMI™ therapy is started within the first 12 months after RPx, the number of required pads can be reduced to 1/3rd (median)
• Moderate cases do not need any pads anymore • McCammon, Kurt (2008): Multi-Center Study of Extra-corporeal Innervation for Treatment of UI following RP
• Wöllner, Jens (2008): Therapie der Harninkontinenz mit Extracorporeal Magnetic Innervation (ExMI™)
No or Significantly Reduced Involuntary Urine Leakage • Patients are able to better control the act of urination; proven by weight analysis of used pads before and after the therapy (degree of wetness) • Marschall-Kehrel, Daniel (2008): The Magic Magnetic Chair – How to Facilitate Best
• Gruenwald, I. et al. (2001): The Efficacy of ExMI™ in the Treatment of Stress and Urge Incontinence
Quality of Life • Changes in patients’ perceived quality of life have been tracked by standardized questionnaires: patients experience a significant increase in their personal quality of life • Bourcier, Alain: The French Experience on Extracorporeal Magnetic Innervation
• Madersbacher, Helmut: Was bringt die hochenergetische Magnetfeldtherapie? – Ergebnisse einer randomisierten, prospektiven Studie
High Patient Satisfaction • Patients appreciate the non-invasive nature of the therapy, that they do not have to undress
• Patients confirm efficacy in their feedback
• Therapy is painless • Marschall-Kehrel, Daniel (2008): The Magic Magnetic Chair – How to Facilitate Best
• Wöllner, Jens (2008): Therapie der Harninkontinenz mit Extracorporeal Magnetic Innervation (ExMI™)

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