The HIFEM™ Treatment of Stress and Mixed Urinary Incontinence in Parous Women: A Case Series Study
Purpose: Urinary incontinence (UI) significantly impacts the quality of life, necessitating a range of treatments, from behavioral changes to surgical interventions. Electromagnetic muscle stimulation (HIFEM™) therapy presents an innovative, non-invasive approach to strengthening pelvic floor muscle...
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MDPI AG
2025-05-01
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| author | Lubomír Mikulášek Dragana Žarković |
| author_facet | Lubomír Mikulášek Dragana Žarković |
| author_sort | Lubomír Mikulášek |
| collection | DOAJ |
| description | Purpose: Urinary incontinence (UI) significantly impacts the quality of life, necessitating a range of treatments, from behavioral changes to surgical interventions. Electromagnetic muscle stimulation (HIFEM™) therapy presents an innovative, non-invasive approach to strengthening pelvic floor muscles (PFMs). Subjects and Methods: This retrospective, non-interventional case series study explores the efficacy and safety of HIFEM™ treatment in parous women experiencing stress (SUI) and mixed urinary incontinence (MUI). Nineteen women (mean age 54 ± 16) underwent six HIFEM™ sessions, with symptom progression tracked using the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF), along with comfort and satisfaction questionnaires. Results: At baseline, the mean ICIQ-UI SF score was 7.9 ± 4.2 points. By the final questionnaire administration, the average score had dropped to 4.7 ± 3.5, reflecting a 50.6% reduction from baseline (<i>p</i> < 0.001). According to ICIQ-UI SF Item 6, 21% of subjects achieved complete continence. Additionally, the percentage of subjects experiencing urine leakage before reaching the toilet declined by 40% after the sixth treatment. Post treatment, the number of subjects who leaked urine while coughing or sneezing decreased by 50%. Conclusions: The treatment has shown high efficacy in lowering the ICIQ-SF scores across the study group, with a significant number of subjects regaining entire continence. |
| format | Article |
| id | doaj-art-e17c1202e5fe4b28817fdb47986c44f0 |
| institution | Kabale University |
| issn | 2673-4397 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Uro |
| spelling | doaj-art-e17c1202e5fe4b28817fdb47986c44f02025-08-20T03:26:56ZengMDPI AGUro2673-43972025-05-0152910.3390/uro5020009The HIFEM™ Treatment of Stress and Mixed Urinary Incontinence in Parous Women: A Case Series StudyLubomír Mikulášek0Dragana Žarković1Clinical Center MUDr. Lubomír Mikulášek, Center Minimally Invasive Gynecological Surgery, Endometriosis, Adenomyosis & Myoma Treatment, Reproductive Medicine, Pelvic Floor Disorders & Minimally Invasive Esthetic Gynecology (CMIGO, CLEA, CLM, CRM, CPFD & CMIEG), 190 16 Prague, Czech RepublicClinical Center of Physiotherapy and Coaching Una Vida, 158 00 Prague, Czech RepublicPurpose: Urinary incontinence (UI) significantly impacts the quality of life, necessitating a range of treatments, from behavioral changes to surgical interventions. Electromagnetic muscle stimulation (HIFEM™) therapy presents an innovative, non-invasive approach to strengthening pelvic floor muscles (PFMs). Subjects and Methods: This retrospective, non-interventional case series study explores the efficacy and safety of HIFEM™ treatment in parous women experiencing stress (SUI) and mixed urinary incontinence (MUI). Nineteen women (mean age 54 ± 16) underwent six HIFEM™ sessions, with symptom progression tracked using the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF), along with comfort and satisfaction questionnaires. Results: At baseline, the mean ICIQ-UI SF score was 7.9 ± 4.2 points. By the final questionnaire administration, the average score had dropped to 4.7 ± 3.5, reflecting a 50.6% reduction from baseline (<i>p</i> < 0.001). According to ICIQ-UI SF Item 6, 21% of subjects achieved complete continence. Additionally, the percentage of subjects experiencing urine leakage before reaching the toilet declined by 40% after the sixth treatment. Post treatment, the number of subjects who leaked urine while coughing or sneezing decreased by 50%. Conclusions: The treatment has shown high efficacy in lowering the ICIQ-SF scores across the study group, with a significant number of subjects regaining entire continence.https://www.mdpi.com/2673-4397/5/2/9stress urinary incontinencemixed urinary incontinenceHIFEM |
| spellingShingle | Lubomír Mikulášek Dragana Žarković The HIFEM™ Treatment of Stress and Mixed Urinary Incontinence in Parous Women: A Case Series Study Uro stress urinary incontinence mixed urinary incontinence HIFEM |
| title | The HIFEM™ Treatment of Stress and Mixed Urinary Incontinence in Parous Women: A Case Series Study |
| title_full | The HIFEM™ Treatment of Stress and Mixed Urinary Incontinence in Parous Women: A Case Series Study |
| title_fullStr | The HIFEM™ Treatment of Stress and Mixed Urinary Incontinence in Parous Women: A Case Series Study |
| title_full_unstemmed | The HIFEM™ Treatment of Stress and Mixed Urinary Incontinence in Parous Women: A Case Series Study |
| title_short | The HIFEM™ Treatment of Stress and Mixed Urinary Incontinence in Parous Women: A Case Series Study |
| title_sort | hifem™ treatment of stress and mixed urinary incontinence in parous women a case series study |
| topic | stress urinary incontinence mixed urinary incontinence HIFEM |
| url | https://www.mdpi.com/2673-4397/5/2/9 |
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