Urinary incontinence: Clinical observation on 30 patients undergoing treatment with F.R.E.M.S (Frequency Rhythmic Electrical Modulation System)

• Main Authors: Massimo Massari, Patrizia Desideri, Paolo Menchinelli, Lucia Cerrito, Luciano De Giovanni
• Format: Article
• Language: English
• Published: PAGEPress Publications 2015-09-01
• Series: Archivio Italiano di Urologia e Andrologia
• Subjects: Urge incontinence; F.R.E.M.S.; Lorenz therapy; Neuromodulation; Electrostimulation
• Online Access: http://www.pagepressjournals.org/index.php/aiua/article/view/5551
• ISSN: 1124-3562; 2282-4197

Aim of the study: Urge incontinence is considered to be a dysfunctional pathology of social interest due to the psychological and relational implications of such disability, the elevated number of affected patients and the consequent treatment costs. We propose an innovative non-pharmacological and non-invasive care methodology: Frequency rhythmic electrical modulation system (F.R.E.M.S.) therapy (FT), based on the administration of electric fields of monophasic pulsed, negative, asymmetric current, generated by a neurostimulator with the characteristics of low variable frequency, high voltage and very low impulse duration. Material and Methods: 30 patients were studied with urodynamic evaluation and radiological diagnostic techniques, and underwent 2 cycles of 15 days therapy, with a 12 months follow-up. Results: In 93% of cases, we obtained a positive result, with either disappearance or improvement of symptoms. Conclusion: Although the Authors believe that clinical results deserve further neurohistological and immunohistochemical studies, in order to define the anathomophysiological and biochemical changes induced by FT, they propose it as a possible alternative to traditional pharmacological therapy and electrical stimulation.