Published online Jun 30, 2006.
https://doi.org/10.4111/kju.2006.47.6.645
Therapeutic Efficacy of Extracorporeal Magnetic Therapy on Low Urinary Tract Symptoms and Sexual Function in Chronic Pelvic Pain Syndrome
Abstract
Purpose
To find whether extracorporeal magnetic innervation (ExMi) changes the low urinary tract symptoms and sexual function in patients with chronic pelvic pain syndrome (CPPS).
Materials and Methods
ExMi treatment was performed in 51 patients, diagnosed as National Institute of Health (NIH) type III prostatitis, with each treatment session composed of 10 min at 40Hz, 2 min rest and 10 min at 50Hz. Both before and after the completion of 8 sessions of ExMi, self-administered NIH-chronic prostatitis symptom index (NIH-CPSI) and International Index of Erectile Function (IIEF) questionnaires were completed to assess the changes in the patient's symptoms.
Results
Following the ExMi treatment, 25 of the 40 patients experienced a 30% or greater improvement of low urinary tract symptoms. The total NIH-CPSI scores ranged from 22.4 to 15.6 (p<0.05). Each domain of the NIH-CPSI was as follows: pain, from 9.0 to 6.2; urination, from 6.7 to 4.8 and effect on the quality of life, from 6.6 to 4.5, and 11 of the 26 patients experienced a 15% or greater improvement of their sexual function. The mean total IIEF scores ranged from 44.1±13.5 to 51.6±11.3 (p<0.05). Each domain of the IIEF was as follows: erectile function, from 19.5±7.0 to 21.7±5.6 (p<0.05); intercourse satisfaction, from 7.4±2.2 to 9.5±2.2 (p<0.05); orgasm function, from 6.5±2.2 to 6.6±2.6 (p=0.516); sexual desire, from 6.2±1.9 to 6.3±1.6 (p=0.294) and overall satisfaction from 5.4±1.5 to 7.3±1.3 (p<0.05).
Conclusions
From the result, ExMi was shown to reduce the lower urinary tract symptoms, and enhances the sexual function in CPPS, suggesting ExMi is effective and may help in the management of CPPS.
Fig. 1
The NIH-CPSI scores before and after 8 sessions of ExMi treatment in CPPS patients. The total NIH-CPSI scores and all domains of the NIH-CPSI show statistically significant differences. NIH-CPSI: National Institute of Health-chronic prostatitis symptom index, ExMi: extracorporeal magnetic innervation, CPPS: chronic pelvic pain syndrome. QoL: quality of life.
Fig. 2
NIH-CPSI scores before and after 8 sessions of ExMi treatment in CPPS patients above and below 50 years of age. There are no differences between the two age groups in relation to ExMi efficacy: p=0.659. NIH-CPSI: National Institute of Health-chronic prostatitis symptom index, ExMi: extracorporeal magnetic innervation, CPPS: chronic pelvic pain syndrome.
Fig. 3
IIEF scores before and after 8 sessions of ExMi treatment in CPPS patients. The total IIEF score and those for the erectile function, intercourse satisfaction and overall satisfaction in domains of the IIEF all show statistically significant differences. IIEF: International Index of Erectile Function, ExMi: extracorporeal magnetic innervation, CPPS: chronic pelvic pain syndrome.
Fig. 4
IIEF scores before and after 8 sessions of ExMi treatment in CPPS patients above and below 50 years of age. There are no differences between the two groups in relation to ExMi efficacy: p=0.234. IIEF: International Index of Erectile Function, ExMi: extracorporeal magnetic innervation, CPPS: chronic pelvic pain syndrome.
Table 1
The results of the ExMi treatment according to the NIH-CPSI improvement scale
Table 2
The results of the ExMi treatment according to the IIEF improvement scale
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