SCIENTIFIC BACKGROUND of BTL EMSELLA TORONTO

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BTL EMSELLA TORONTO: HIFEM TECHNOLOGY CAN IMPROVE QUALITY OF LIFE OF INCONTINENT PATIENTS – PILOT STUDY

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Joseph Berenholz, MD, Michigan, USA
Tracey Sims, MD; George Botros, MD, Liverpool, UK


•30 patients; all types of urinary incontinence
•6 therapies; scheduled 2x a week
•Standardized King´s Health Questionnaire, Number of used hygienic pads


Results:
•95% of treated patients improved quality of life
•67% of treated patients totally eliminated or decreased the use of hygienic pads
•The results were maintained during 6-month follow-up

BTL EMSELLA TORONTO: HIFEM TECHNOLOGY – A NEW PERSPECTIVE IN TREATMENT OF STRESS URINARY INCONTINENCE

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Red Alinsod, MD, Laguna Beach, California
Vasil Vasilev, MD, Sofia, Bulgaria
38th ASLMS Annual Conference on “Energy-based Medicine and Science”, 2018


•30 patients; stress urinary incontinence
•6 therapies; scheduled 2x a week
•Standardized King´s Health Questionnaire


Results:
•93% of treated patients reported decreased negative incontinence impact on quality of life
•The results were maintained during 6-month follow-up

BTL EMSELLA TORONTO: HIFEM TECHNOLOGY – THE NON-INVASIVE TREATMENT OF URINARY INCONTINENCE

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Julene Samuels, MD, Louisville, KY;
Nathan Guerette, MD, Richmond, VA
38th ASLMS Annual Conference on “Energy-based Medicine and Science”, 2018


•20 patients; stress/urge/mixed urinary incontinence
•6 therapies; scheduled 2x a week
•Standardized King´s Health Questionnaire (KHQ)


Results:
•60% improvement in both parts of KHQ
•The results were maintained during 6-month follow-up

BTL EMSELLA TORONTO: HIFEM TECHNOLOGY – Safety and Efficacy of a Non-Invasive (HIFEM) Device for Treatment of Urinary Incontinence and Enhancement of Quality of Life

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Samuels J. MD, Louisville, KY &
Pezzella A. MD, Columbia, SC et al.
Published in LSM journal 7/2019


• 75 women, (55.45±SD=12.80); urinary incontinence
• 6 therapies; scheduled 2x a week
• Standardized ICIQ-UI SF questionnaire
• Number of hygienic pads
• Baseline, After 6th treatment, 3-month follow-up

Results:
• 65 % (p<0.001) average improvement in ICIQ-UI SF score at 3-
month follow-up
• 21 (34.43 %) patients were completely cured from UI symptoms
• Majority of the patients decreased the use of hygienic pads and
44 % eliminated them
• 6-months FU (N=11 patients) – ICIQ-UI 51.91 %
• 1-year FU (11 patients) – ICIQ-UI 36.89 %

A Comparative Study on the Effects of HIFEM Technology and Electrostimulation for the Treatment of Pelvic Floor Muscles and Urinary Incontinence in Parous Women: Analysis of post-treatment data

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Elena Silantyeva, MD et al.,
Hospital Lapino; Moscow, RU & Charles University Prague, CZ
Published in FPMRS journal 1/2020 (official AUGS journal)


•95 parous women of age between 18 and 45
•Three groups of patients (HIFEM, electrostimulation, control)
•HIFEM group: 10 sessions 2-3 times per week
•Electrostimulation group: 10 sessions at least 3 times per week
•3D ultrasound, PFDI-20 Standardized Questionnaire, Subjective evaluation


Results:
•3D Ultrasound: HIFEM significantly improved biometric indices of pelvic floor integrity – enhanced functioning of PFM
•PFDI-20: HIFEM group improved by 52% while electrostimulation group by 18% (P<0.001)
•Subjective assessment revealed two-time greater results after HIFEM treatment (reduced incontinence/laxity symptoms)

3D ultrasound of pelvic floor before (UP) and after (DOWN) HIFEM. Decreased Hiatal area and Anteroposterior diameter

Electromyographic Evaluation of the Pelvic Muscles Activity after High Intensity Focused Electromagnetic Field Procedure and Electrostimulation in Women With Pelvic Floor Dysfunction

Elena Silantyeva, MD et al.,
Hospital Lapino; Moscow, RU & Charles University Prague, CZ
Accepted for publication in International Sexual Medicine journal


•95 parous women of age between 18 and 45
•Three groups of patients (HIFEM, electrostimulation, control)
•HIFEM group: 10 sessions 2-3 times per week
•Electrostimulation group: 10 sessions at least 3 times per week
•EMG measurements of PFM, PFIQ-7 Standardized Questionnaire


Results:
•HIFEM treatment resulted in substantial restoration of PFM strength (maximum and mean voluntary contraction, relaxation and endurance of contraction)
•The improvement rate of PFM electrogenesis ranged on average from 48% to 59%
•Electrostimulation group reached mild-to-moderate improvement of EMG values from 7% to 36%
•PFIQ-7: HIFEM group improved by 57% while electrostimulation group by 32% (P<0.01)

BTL EMSELLA TORONTO: HIFEM® FOR MALE URINARY INCONTINENCE

Hifem procedure enhances quality of life of elderly men with post-prostatectomy incontinence

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Javier Azparren MD, Donostia-San Sebastian, Spain
Judson Brandeis MD, San Ramon, CA, USA


HIGHLIGHTS:
•HIFEM procedure significantly enhanced the quality of life of all treated men.


•Highest improvement was seen in the sleep/energy (-53.3%); emotions (-42.5%); social limitations (-42.2%); role limitations (-31.4%) and incontinence impact (-30.4%) domains.


•Average pad usage was reduced by 1.0 pad/day, two subjects reported to be pad free.

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