Mapping the Evidence on Peripheral Magnetic Stimulation for Urinary Incontinence: A Systematic Umbrella Review.
Mohsen Mohammad-Rahimi, Masoud Sahebari, Hanieh Salehi-Pourmehr et al.
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In 30 seconds
This systematic umbrella review evaluated the efficacy and safety of peripheral magnetic stimulation therapy (PMST) for urinary incontinence, synthesizing data from 15 systematic reviews and meta-analyses. PMST showed statistically and clinically significant improvements in objective leakage metrics and subjective symptom indices compared to sham/placebo. The Corrected Covered Area (CCA) was 3.64%, indicating minimal overlap in the evidence base.
Key findings
- PMST demonstrated significant improvements in objective leakage metrics and subjective symptom indices compared to sham/placebo.
- Higher-frequency protocols (35-50 Hz) were primarily used for stress urinary incontinence, while lower frequencies (10-15 Hz) targeted urgency urinary incontinence.
- Adverse events were mild and transient, with no severe complications reported.
Why it matters
Understanding the efficacy and safety of PMST provides clinicians with insights into a noninvasive treatment option for urinary incontinence, potentially enhancing patient care and management strategies.
What to keep in mind
Methodological quality varied significantly among the included reviews, with 25% rated high and the rest moderate or low, limiting the reliability of the findings.