Safety and Еffectiveness of Magnetic Stimulation in the Rehabilitation of Children with Neurogenic Urinary Incontinence: a Prospective Open Randomized Controlled Clinical Study

Abstract

INTRODUCTION. Urinary incontinence in children is an interdisciplinary problem. The prevalence of urinary incontinence ranges from3.1% to 8.6% and decreases with age. Urinary incontinence can be caused by both organic (diseases of the genitourinary system,neurological pathology) and functional causes. One of the methods of non-drug correction of urinary incontinence is extracorporealmagnetic stimulation, used in adult patients. At the same time, the effectiveness of the method among the pediatric population hasnot been sufficiently studied. AIM. To study the effectiveness and safety of extracorporeal magnetic stimulation in the comprehensive rehabilitation of children withneurogenic urinary incontinence. MATERIAL AND METHODS. A prospective open randomized controlled clinical study included 75 pediatric patients (from 5 years to 16years and 6 months) with a clinical form of day and night urinary incontinence, who were divided by simple randomization into a maingroup (n=39), who received a standard rehabilitation and extracorporeal magnetic stimulation program for 21 days, and a comparisongroup (n=36), in which the standard rehabilitation program did not include the use of extracorporeal magnetic stimulation. RESULTS AND DISCUSSION. A prospective open randomized comparative study revealed that the clinical effectiveness of theextracorporeal magnetic stimulation method in the comprehensive rehabilitation of children with neurogenic urinary incontinenceis 94.8%, which is 25.4% higher than in the comparison group. After treatment, patients in the main group had a noticeable decreasein urinary incontinence episodes, an increase in the micturition volume, and an improvement in the quality of life. Patients withvarious background neurological pathology responded to treatment, which indicates the common pathogenetic mechanisms of thedevelopment of lower urinary tract symptoms in these conditions and the independence of the final effect from the basic diagnosis. CONCLUSION. The use of the perineal extracorporeal magnetic stimulation method in children with neurogenic urinary incontinenceincreases the effectiveness of rehabilitation and is a promising and safe direction of rehabilitation treatment.