Clinical Study Of Combined Magnetic And Electrical Stimulation In The Treatment Of Urinary Incontinence After Radical Prostatectomy

Objective: To investigate the clinical efficacy of pelvic floor magnetic stimulation combined with electrical stimulation in the treatment of patients with urinary incontinence after radical prostatectomy.Methods: Case data related to patients who underwent radical prostatectomy for prostate cancer and had postoperative urinary incontinence in our urology department from June 2021 to December 2022 were collected,and 90 patients were screened in and out of the group by inclusion and exclusion criteria.The number of cases included in the study was divided into three groups according to the random number table method;group A was treated with pelvic floor magnetic stimulation(twice a week),group B was treated with pelvic floor electrical stimulation(twice a week),and group C was treated with combined pelvic floor magnetic and electrical stimulation(twice a week).Pretreatment data such as age,Body Mass Iddex(BMI),preoperative PSA,preoperative Gleason score were collected for each group of cases.Urodynamic tests were performed before treatment and after the first,third and sixth months of treatment,and relevant indexes were collected.Urodynamic tests included(maximum urinary flow rate,mean urinary flow rate,urinary output),1-h urine pad weight test,incontinence questionnaire short form(ICI-Q-SF)and incontinence quality of life questionnaire(I-QOL),and statistical analysis of the above data was performed.Results: There were no statistically significant differences in age,BMI,preoperative PSA and preoperative Gleason score among the three groups of patients before treatment(P > 0.05).At the end of 6 months of treatment,the therapeutic effects of all three groups were better than before,and the clinical efficacy of group C was significantly higher than that of groups A and B after 6 months of treatment,with statistically significant differences(P < 0.05);Patients in all three groups had better urodynamic indexes at the end of 6 months of treatment,and patients in group C had significantly better urodynamic indexes than those in groups A and B after 6 months of treatment,and the difference was statistically significant(P < 0.05);The weight of urine pads was lower in all three groups at the end of 6 months of treatment compared with that before treatment,and the weight of urine pads in group C was significantly less than that in groups A and B after 6 months of treatment,with statistically significant differences(P< 0.05);All three groups had lower ICI-Q-SF and higher I-QOL scores than before treatment at the end of 6 months of treatment,and the results of ICI-Q-SF and I-QOL scores in group C were significantly better than those in groups A and B,with statistically significant differences(P < 0.05).Conclusion: Pelvic floor magnetic stimulation combined with electrical stimulation can significantly improve the efficacy of urinary incontinence after radical prostatectomy,and it is particularly remarkable in the recovery of urinary control.The low adverse effects and high efficacy are worthy of clinical promotion.