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Radiofrequency as the new opportunity in treating overactive bladder and urge urinary incontinence - a single-arm pilot study [Elektronski vir]Franić, Damir ; Franic Ivanisevic, Maja ; Verdenik, Ivanfirst_pagesettingsOrder Article Reprints Open AccessArticle Radiofrequency as the New Opportunity in Treating Overactive Bladder and Urge Urinary Incontinence—A Single-Arm Pilot Study by Damir Franić ... 1,2,*ORCID,Maja Franić Ivanišević 3 andIvan Verdenik 4ORCID 1 Ginekologija Dr. Franić d.o.o., 3250 Rogaška Slatina, Slovenia 2 Medical Faculty, University of Maribor, 2000 Maribor, Slovenia 3 Obstetric and Gynecology Unit, Health Centre Slovenske Konjice, 3210 Slovenske Konjice, Slovenia 4 Research Unit, University Gynecological Clinic Ljubljana, 1000 Ljubljana, Slovenia * Author to whom correspondence should be addressed. Medicina 2024, 60(2), 197; https://doi.org/10.3390/medicina60020197 Submission received: 29 November 2023 / Revised: 2 January 2024 / Accepted: 15 January 2024 / Published: 24 January 2024 (This article belongs to the Special Issue New Advances in Female Pelvic Floor Dysfunctions Management: 2nd Edition) Downloadkeyboard_arrow_down Browse Figures Versions Notes Abstract Background and Objectives: Until now, overactive bladder (OAB) with or without urge urinary incontinence (UUI) has been treated mainly in two ways: with behavioral methods and patient education, or using antimuscarinic drugs and/or beta-3 adrenergic receptor agonists. Unfortunately, these drugs may cause side effects in some women or are insufficiently effective, so patients abandon them. Therefore, in this pilot study, radiofrequency was evaluated as a new option in the treatment of OAB and UUI. Materials and Methods: Nineteen patients were enrolled in this pilot study using radiofrequency (RF), where the level of OAB and UUI was assessed using the validated ICIQ-OAB questionnaire. RF was applied four times for 20 min, once a week. Two weeks after treatment, the level of OAB and UUI was reassessed and processed statistically and the treatment effect evaluated. Results: Using the ICIQ-OAB, the severity of OAB and UUI was assessed: 0–3 mild symptoms; 4–7 moderate symptoms; 8–11 severe symptoms; 12–16 very severe symptoms. Before treatment, 10.5% of patients had mild symptoms, 21.1% moderate symptoms, 63.2% severe symptoms and 5.3% very severe symptoms. After treatment, 42.9% had mild symptoms, 50% moderate symptoms and 7% severe OAB and UUI symptoms. All four main symptoms—frequency, nocturia, urgency and incontinence—decreased statistically significantly, with the best results being found in urgency (p = 0.002). Conclusions: Based on this pilot study, RF seems a very promising method in the treatment of OAB and UUI. To extend our initial findings, it is necessary to perform a prospective, randomized and placebo-controlled study in order to obtain reliable results and to determine for how long one set of treatment maintains the results obtained immediately after the end of that treatment. In this way, we may determine how often the treatment needs to be repeated, if necessary, and when.Vir: Medicina [Elektronski vir]. - ISSN 1648-9144 (Vol. 60, no. 2, art. 197, 2024, str. 1-9)Vrsta gradiva - e-članekLeto - 2024Jezik - angleškiCOBISS.SI-ID - 182748675
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Franić, Damir | 40347 |
Franic Ivanisevic, Maja | ![]() |
Verdenik, Ivan | 05015 |
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in: SICRIS
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