Enuresis at night (urinary incontinence) can cause serious stress both in children and adolescents, and in their parents, as the online publication for girls and women from 14 to 35 years old Pannochka reports.. net Although the underlying causes of enuresis are not fully understood, it is believed that both psychological and physical factors play a role in the development of this condition..

In a new study published in the specialized journal Restorative Neurology and Neuroscience, Egyptian scientists confirmed that episodes are significantly reduced with repeated magnetic stimulation of the spinal nerves and the quality of life of patients with urinary incontinence increases.

The study was conducted at the Asyut University Hospital in Asyut, in central Egypt. The study involved 41 volunteer patients, who were divided into two groups who received either real magnetic stimulation of the spinal nerves, or a simulation of the procedure using exactly the same equipment. The study was blind, that is, patients (unlike doctors) could not know whether they were being treated for real.

Each participant underwent a total of 10 procedures, 5 per week. A magnetic stimulator was placed over the lumbosacral spine. The stimulator worked at a frequency of 15 Hz for 10 seconds with 30 second breaks. The same equipment was used to simulate the procedure in the placebo group, but the stimulation was so weak that its effect on the spinal nerves was impossible..

The authors note that all patients included in the study at least 3 months before took the tricyclic antidepressant imipramine at a dose of 25 mg / day once a night, but without a satisfactory result. All participants continued to take this drug during the study and after it in the same dose..

One week after treatment, the average number of episodes in the active group fell from 5.7 to 0.3 per week, while in the placebo group, from 6.5 to 1.8 episodes per night. Although in the second case there was also a significant decrease in the frequency of episodes (placebo effect), in the first group the effect was more pronounced, and success was fixed for a long time after the end of the course.

A month later, in the group that received the actual stimulation, the frequency of episodes remained at 1.0 per week, but in the placebo group it reached 5.2 episodes per week. As shown by standard polls of patients a month after the experiment, their quality of life, level of social activity and optimism significantly increased.

“Apparently, magnetic stimulation of the spinal nerves in our patients directly improved bladder control. This treatment may affect reuptake of norepinephrine and serotonin in nerve cells..

Previously, we already assumed that the rSMS mechanism of action is associated with the capture of neurotransmitters, and now our conclusions are confirmed by practice, ”says professor of neurology Eam M Khedr, head of the neurology department, lead author of the study.

The professor says that magnetic stimulation of the spinal nerves with enuresis can be prescribed as a highly effective and harmless alternative treatment. Although additional research is needed to confirm the effectiveness and safety of rSMS, the authors believe in the great future of this method..

medbe. ru.