{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T09:37:03Z","timestamp":1787564223016,"version":"build-2736575974"},"reference-count":24,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T00:00:00Z","timestamp":1692662400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Purpose: The aim of this study is to identify and critically evaluate literature regarding the clinical efficacy of extracorporeal magnetic innervation (ExMI) in the treatment of female patients with urinary incontinence (UI). Methods: An analysis was carried out using the following electronic databases: Medline, PubMed, ScienceDirect, and the Cochrane Library (data published between 2008 and 2023). Searches of the above databases were conducted in April 2023. Only randomized clinical studies (RCTs) in English studies were eligible for the study. Randomized controlled trials were included in the review and evaluated with the Downs and Black checklist. Results: Eleven studies met the inclusion criteria. Among these, two studies examined the use of ExMI and PMFT (pelvic floor muscle training) and three studies compared active ExMI versus sham ExMI. Four studies evaluated solely ExMI, and moreover, there was no control group in two of these studies. One study compared the effects of Kegel exercises with ExMI, while another study compared electrostimulation with ExMI. The reviewed studies exhibited significant differences in interventions, populations, and outcome measures. Conclusions: Extracorporeal magnetic stimulation has shown promise as an effective treatment for female urinary incontinence. Whether used alone or as a component of combination therapy, ExMI has the potential to enhance patients\u2019 quality of life (QoL) without significant safety concerns.<\/jats:p>","DOI":"10.3390\/jcm12175455","type":"journal-article","created":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T08:01:21Z","timestamp":1692777681000},"page":"5455","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["The Effects of Extracorporeal Magnetic Innervation in the Treatment of Women with Urinary Incontinence: A Systematic Review"],"prefix":"10.3390","volume":"12","author":[{"given":"Katarzyna","family":"Strojek","sequence":"first","affiliation":[{"name":"Department of Physiotherapy, Nicolaus Copernicus University Collegium Medicum in Bydgoszcz, 85-067 Bydgoszcz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnieszka","family":"Str\u0105czy\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Nicolaus Copernicus University Collegium Medicum in Bydgoszcz, 85-067 Bydgoszcz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnieszka","family":"Radzimi\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Nicolaus Copernicus University Collegium Medicum in Bydgoszcz, 85-067 Bydgoszcz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3938-1571","authenticated-orcid":false,"given":"Magdalena","family":"Weber-Rajek","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Nicolaus Copernicus University Collegium Medicum in Bydgoszcz, 85-067 Bydgoszcz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,8,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1108","DOI":"10.1016\/S0090-4295(99)00037-0","article-title":"Extracorporeal magnetic innervation therapy for stress urinary incontinence","volume":"53","author":"Galloway","year":"1999","journal-title":"Urology"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1016\/S0090-4295(00)00686-5","article-title":"Update on extracorporeal magnetic innervation (EXMI) therapy for stress urinary incontinence","volume":"56","author":"Galloway","year":"2000","journal-title":"Urology"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"17562872211032485","DOI":"10.1177\/17562872211032485","article-title":"Efficacy of magnetic stimulation for female stress urinary incontinence: A meta-analysis","volume":"13","author":"Sun","year":"2021","journal-title":"Ther. Adv. Urol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1080\/01443610802484393","article-title":"Extracorporeal magnetic energy stimulation of pelvic floor muscles for urodynamic stress incontinence of urine in women","volume":"29","author":"Ismail","year":"2009","journal-title":"J. Obstet. Gynaecol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1002\/pri.489","article-title":"Pelvic floor muscle training for stress urinary \u0131ncontinence: A randomized, controlled trial comparing different conservative therapies","volume":"16","author":"Huebner","year":"2011","journal-title":"Physiother. Res. Int."},{"key":"ref_6","unstructured":"Abrams, P., Cardozo, L., Khoury, S., and Wein, A. (2013). Incontinence: 5th International Consultation on Incontinence, Paris, February 2012, ICUD-EAU."},{"key":"ref_7","first-page":"123","article-title":"Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA statement","volume":"3","author":"Moher","year":"2009","journal-title":"Open Med."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1136\/jech.52.6.377","article-title":"The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions","volume":"52","author":"Downs","year":"1998","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e483","DOI":"10.1542\/peds.2003-1038-L","article-title":"A systematic review of interventions to prevent childhood farm injuries","volume":"114","author":"Hartling","year":"2004","journal-title":"Pediatrics"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1046\/j.1365-2648.2003.02566.x","article-title":"Systematic review of patient handling activities starting in lying, sitting and standing positions","volume":"41","author":"Hignett","year":"2003","journal-title":"J. Adv. Nurs."},{"key":"ref_11","first-page":"197","article-title":"Extracorporeal magnetic stimulation (ExMI) versus sham treatment for female genuine stress urinary incontinence. A randomized trial","volume":"165","author":"Gilling","year":"2001","journal-title":"J. Urol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1111\/iju.12289","article-title":"Multicenter, randomized, sham-controlled study on the efficacy of magnetic stimulation for women with urgency urinary incontinence","volume":"21","author":"Yamanishi","year":"2014","journal-title":"Int. J. Urol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1186\/s13063-015-0803-1","article-title":"Magnetic stimulation for stress urinary incontinence: Study protocol for a randomized controlled trial","volume":"16","author":"Lim","year":"2015","journal-title":"Trials"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"2473","DOI":"10.2147\/CIA.S176588","article-title":"A randomized-controlled trial pilot study examining the effect of extracorporeal magnetic innervation in the treatment of stress urinary incontinence in women","volume":"13","author":"Podhorecka","year":"2018","journal-title":"Clin. Interv. Aging"},{"key":"ref_15","first-page":"1019872","article-title":"Assessment of the Effectiveness of Pelvic Floor Muscle Training (PFMT) and Extracorporeal Magnetic Innervation (ExMI) in Treatment of Stress Urinary Incontinence in Women: A Randomized Controlled Trial","volume":"2020","author":"Strojek","year":"2020","journal-title":"BioMed Res. Int."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1097\/WON.0000000000000740","article-title":"Effects of Biofeedback-Guided Pelvic Floor Muscle Training With and Without Extracorporeal Magnetic Innervation Therapy on Stress Incontinence. A Randomized Controlled Trial","volume":"48","author":"Gumussoy","year":"2021","journal-title":"J. Wound Ostomy Cont. Nurs."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Miku\u0161, M., Kalafat\u00edc, D., Vrban\u00edc, A., Gold\u0161tajn, M.S., \u017divkov\u00edc Njavro, M., \u017divkov\u00edc, K., Mar\u00edc, G., and Cor\u00edc, M. (2022). Efficacy Comparison between Kegel Exercises and Extracorporeal Magnetic Innervation in Treatment of Female Stress Urinary Incontinence: A Randomized Clinical Trial. Medicina, 58.","DOI":"10.3390\/medicina58121863"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1007\/s00404-009-1243-5","article-title":"Long-term effects of extracorporeal magnetic innervations in the treatment of women with urinary incontinence: Results of 3-year follow-up","volume":"282","author":"Kilic","year":"2010","journal-title":"Arch. Gynecol. Obstet."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1163","DOI":"10.1007\/s00404-010-1814-5","article-title":"The use of extracorporeal magnetic innervation for the treatment of stress urinary incontinence in older women: A pilot study","volume":"284","author":"Bakar","year":"2011","journal-title":"Arch. Gynecol. Obstet."},{"key":"ref_20","first-page":"52","article-title":"Extracorporeal Magnetic Innervation (ExMI): Assessment of clinical efficacy on stress urinary incontinence","volume":"25","author":"Akbayrak","year":"2014","journal-title":"Fizyoterapi. Rehabilitasyon."},{"key":"ref_21","first-page":"213","article-title":"Randomized controlled trial: Extracor-poreal magnetic innervation versus pelvic floor muscle training in women with stress urinary incontinence","volume":"23","author":"Hayes","year":"2012","journal-title":"Int. Urogynecol. J. Pelvic Floor Dysfunct."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1386","DOI":"10.1111\/j.1464-410X.2008.08329.x","article-title":"A Double-Blind Randomized Controlled Trial of Electromagnetic Stimulation of the Pelvic Floor vs. Sham Therapy in the Treatment of Women with Stress Urinary Incontinence","volume":"103","author":"Gilling","year":"2009","journal-title":"BJU Int."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1159\/000144055","article-title":"Extracorporeal magnetic innervation for the treatment of stress urinary incontinence: Results of two-year follow-up","volume":"81","author":"Dilmen","year":"2008","journal-title":"Urol. Int."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1097\/01.mou.0000172395.54643.4d","article-title":"A critical review on magnetic stimulation: What is its role in the management of pelvic floor disorders?","volume":"15","author":"Quek","year":"2005","journal-title":"Curr. Opin. Urol."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/17\/5455\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T20:39:59Z","timestamp":1760128799000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/17\/5455"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,22]]},"references-count":24,"journal-issue":{"issue":"17","published-online":{"date-parts":[[2023,9]]}},"alternative-id":["jcm12175455"],"URL":"https:\/\/doi.org\/10.3390\/jcm12175455","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,22]]}}}