Tecnologia Eletromagnética Focalizada e Manejo Convencional da Incontinência Urinária em Mulheres Adultas: Revisão Sistemática
Focused Electromagnetic Technology and Conventional Management of Urinary Incontinence in Adult Women: A Systematic Review
DOI:
https://doi.org/10.22258/hgh.v10i3.423Resumo
Introdução: A incontinência urinária feminina é uma condição prevalente que afeta significativamente a qualidade de vida. A estimulação eletromagnética focalizada de alta intensidade (High-Intensity Focused Electromagnetic – HIFEM) surgiu como uma alternativa terapêutica não invasiva voltada ao fortalecimento da musculatura do assoalho pélvico. Objetivo: Avaliar a eficácia e a segurança da tecnologia eletromagnética focalizada de alta intensidade em comparação com o manejo convencional em mulheres adultas com incontinência urinária. Métodos: Foi realizada uma revisão da literatura seguindo as diretrizes PRISMA. A busca foi conduzida nas bases de dados Medline, Scopus e Web of Science. Foram identificados 389 registros; após a remoção das duplicatas e a aplicação dos critérios de inclusão e exclusão, 12 estudos foram selecionados. Foram analisadas as características da população, os parâmetros da intervenção e os desfechos clínicos, incluindo qualidade de vida, número de absorventes utilizados e eventos adversos. Resultados: Os estudos incluídos demonstraram redução significativa no número de episódios de perda urinária e no uso diário de absorventes, além de melhorias clinicamente relevantes nos questionários de qualidade de vida. Os benefícios foram consistentes em mulheres com incontinência urinária de esforço e mista. Em comparação com terapias convencionais, como o treinamento da musculatura do assoalho pélvico, a HIFEM apresentou resultados comparáveis ou superiores em alguns estudos, com boa tolerabilidade. Os eventos adversos relatados foram raros, leves e transitórios. Conclusões: A tecnologia HIFEM representa uma alternativa conservadora, não invasiva, eficaz e segura para o tratamento da incontinência urinária feminina. Em comparação com o manejo convencional e outras tecnologias terapêuticas, demonstrou benefícios na redução dos episódios de perda urinária, na diminuição do uso de absorventes e na melhora da qualidade de vida. No entanto, são necessários estudos comparativos que permitam estabelecer com maior precisão sua superioridade ou equivalência em relação a outras opções terapêuticas.Downloads
Referências
Li N, Li L, Zang Y, Wang T, Du H, Yan G. Rehabilitation effect of magnetic stimulation on female stress urinary incontinence: A systematic review and meta-analysis. Int J Gynaecol Obstet. 2026;173(2):686-697. DOI: 10.1002/ijgo.70723.
Leslie SW, Tran LN, Puckett Y. Urinary Incontinence. Treasure Island (FL): StatPearls Publishing; 2025.
Dudoniene V, Kirklyte I, Zlibinaite L, Jerez-Roig J, Rutkauskaite R. Pelvic Floor Muscle Training versus Functional Magnetic Stimulation for Stress Urinary Incontinence in Women: A Randomized Controlled Trial. J Clin Med. 2023;12(9):3157. DOI: 10.3390/jcm12093157.
Lee UJ, Feinstein L, Ward JB, Kirkali Z, Martinez-Miller EE, Matlaga BR, et al. Prevalence of Urinary Incontinence among a Nationally Representative Sample of Women, 2005-2016: Findings from the Urologic Diseases in America Project. J Urol. 2021;205(6):1718-1724. DOI: 10.1097/JU.0000000000001634.
Batmani S, Jalali R, Mohammadi M, Bokaee S. Prevalence and factors related to urinary incontinence in older adults women worldwide: a comprehensive systematic review and meta-analysis of observational studies. BMC Geriatr. 2021;21(1):212. DOI: 10.1186/s12877-021-02135-8.
Abufaraj M, Xu T, Cao C, Siyam A, Isleem U, Massad A, et al. Prevalence and trends in urinary incontinence among women in the United States, 2005-2018. Am J Obstet Gynecol. 2021;225(2):166.e1-166.e12. DOI: 10.1016/j.ajog.2021.03.016.
Akova I. Factors Influencing the Prevalence of Urinary Incontinence in Women and its Impact on Sexual Quality of Life. J Clin Pract Res. 2024;46(1):32-40. DOI: 10.14744/cpr.2024.47955.
Moris L, Heesakkers J, Nitti V, OConnell HE, Peyronnet B, Serati M, et al. Prevalence, Diagnosis, and Management of Stress Urinary Incontinence in Women: A Collaborative Review. Eur Urol. 2025;87(3):292-301. DOI: 10.1016/j.eururo.2024.12.017.
Torres CS, Esparza KG, Celi VA. Urinary Incontinence and Its Relationship with Obstetric, Age, and Ethnic Factors: A Cross-Sectional Study. Healthcare. 2025;13(24):3254. DOI: 10.3390/healthcare13243254.
Samuels JB, Pezzella A, Berenholz J, Alinsod R. Safety and Efficacy of a Non-Invasive High-Intensity Focused Electromagnetic Field Device for Treatment of Urinary Incontinence and Enhancement of Quality of Life. Lasers Surg Med. 2019;51(9):760-766. DOI: 10.1002/lsm.23106.
Guo Q, Pei Q, Dong J. Advances in the research and application of high-intensity focused electromagnetic technology for fat apoptosis and body shaping. Chin J Plast Reconstr Surg. 2022;4(3):123-125. DOI: 10.1016/j.cjprs.2022.06.005.
Leonardo K, Rahardjo HE, Afriansyah A. Noninvasive High-Intensity Focused Electromagnetic Therapy in Women With Urinary Incontinence: A Systematic Review and Meta-Analysis. Neurourol Urodyn. 2025;44(2):424-433. DOI: 10.1002/nau.25658.
Skorupska K, Grzybowska ME, Kubik-Komar A, Rechberger T, Miotla P. Identification of the Urogenital Distress Inventory-6 and the Incontinence Impact Questionnaire-7 cutoff scores in urinary incontinent women. Health Qual Life Outcomes. 2021;19(1):87. DOI: 10.1186/s12955-021-01721-z.
Loposso MN, Ndundu J, Mbunzu D, Matala T, Punga AM, De Ridder D. Assessing quality of life in obstetric fistula patients: Validation of the urogenital distress inventory and Incontinence Impact Questionnaire in Lingala and Kikongo in DR Congo. Neurourol Urodyn. 2019;38(7):1994-2000. DOI: 10.1002/nau.24105.
Utomo E, Korfage IJ, Wildhagen MF, Steensma AB, Bangma CH, Blok BFM. Validation of the urogenital distress inventory and incontinence impact questionnaire in a Dutch population. Neurourol Urodyn. 2015;34(1):24-31. DOI: 10.1002/nau.22496.
Long CY, Lin KL, Yeh JL, Feng CW, Loo ZX. Effect of High-Intensity Focused Electromagnetic Technology in the Treatment of Female Stress Urinary Incontinence. Biomedicines. 2024;12(12):2883. DOI: 10.3390/biomedicines12122883.
Sacarin G, Abu-Awwad A, Razvan N, Craina M, Prodan M, Timircan MO, et al. Prospective Comparative Study of EMSella Therapy and Surgical Anterior Colporrhaphy for Urinary Incontinence: Outcomes and Efficacy. Healthcare. 2025;13(8):864. DOI: 10.3390/healthcare13080864.
Tosun H, Akinsal E, Sonmez G, Baydilli N, Demirci D. Is the High-Intensity Focused Electromagnetic Energy an Effective Treatment for Urinary Incontinence in Women? Ther Clin Risk Manag. 2024;20:811-816. DOI: 10.2147/TCRM.S478919.
Silantyeva E, Zarkovic D, Astafeva E, Soldatskaia R, Orazov M, Belkovskaya M, et al. A Comparative Study on the Effects of High-Intensity Focused Electromagnetic Technology and Electrostimulation for the Treatment of Pelvic Floor Muscles and Urinary Incontinence in Parous Women: Analysis of Posttreatment Data. Female Pelvic Med Reconstr Surg. 2021;27(4):269-273. DOI: 10.1097/SPV.0000000000000807.
Elgayar SL. Combined effects of high-intensity focused electromagnetic therapy and pelvic floor exercises on pelvic floor muscles and sexual function in postmenopausal women. Obstet Gynecol Sci. 2024;67(6):574-585. DOI: 10.5468/ogs.24103.
Wang Y, Shi C, Zhou D, Yu W, Jiao W, Shi G. Efficacy of optimized pelvic floor training of YUN combined with pelvic floor magnetic stimulation on female moderate stress urinary incontinence and sexual function: a retrospective cohort study. Transl Androl Urol. 2022;11(4):554-560. DOI: 10.21037/tau-22-222.
Singhal D, Gopal M. HIFEM procedure for Treatment of Persistent Urinary Incontinence Post-Pelvic Organ Prolapse and Anti-Incontinence Surgery. J Womens Health Care. 2023;12(12):701. DOI: 10.35248/2167-0420.23.12.701.
Jongjakapan A, Temtanakitpaisan T, Pinjaroen K, Chongsomchai C, Temtanakitpaisan A. Effectiveness of High-Intensity Focused Electromagnetic Therapy in Women with Urinary Incontinence. Int Urogynecol J. 2025. DOI: 10.1007/s00192-025-06362-0.
Lopopolo G, Salsi B, Banfi A, Isaza PG, Fusco I. Is It Possible to Improve Urinary Incontinence and Quality of Life in Female Patients? A Clinical Evaluation of the Efficacy of Top Flat Magnetic Stimulation Technology. Bioengineering. 2022;9(4):140. DOI: 10.3390/bioengineering9040140.
Chan WS, Chow WT, Poon YT, Tsang CSL, Yuen HHL, Lui EWY, et al. Effects of High-Intensity Focused Electromagnetic Therapy With Pelvic Floor Muscle Training in Mothers Living With Incontinence: A Pilot for a Randomized Controlled Trial. Womens Health Issues. 2026. DOI: 10.1016/j.whi.2025.12.002.
Filippini M, Biordi N, Curcio A, Comito A, Pennati BM, Farinelli M. A Qualitative and Quantitative Study to Evaluate the Effectiveness and Safety of Magnetic Stimulation in Women with Urinary Incontinence Symptoms and Pelvic Floor Disorders. Medicina. 2023;59(5):879. DOI: 10.3390/medicina59050879.
Braga A, Castronovo F, Caccia G, Papadia A, Regusci L, Torella M, et al. Efficacy of 3 Tesla Functional Magnetic Stimulation for the Treatment of Female Urinary Incontinence. J Clin Med. 2022;11(10):2805. DOI: 10.3390/jcm11102805.
Lenger SM, Chu CM, Ghetti C, Hardi AC, Lai HH, Pakpahan R, et al. Adult female urinary incontinence guidelines: a systematic review of evaluation guidelines across clinical specialties. Int Urogynecol J. 2021;32(10):2671-2691. DOI: 10.1007/s00192-021-04777-z.
Nambiar AK, Arlandis S, Bø K, Cobussen-Boekhorst H, Costantini E, De Heide M, et al. European Association of Urology Guidelines on the Diagnosis and Management of Female Non-neurogenic Lower Urinary Tract Symptoms. Part 1: Diagnostics, Overactive Bladder, Stress Urinary Incontinence, and Mixed Urinary Incontinence. Eur Urol. 2022;82(1):49-59. DOI: 10.1016/j.eururo.2022.01.045.
O’Neil B, Gilmour D. Approach to urinary incontinence in women. Diagnosis and management by family physicians. Can Fam Physician. 2003;49:611-618.
Medeiros Araujo C, De Morais NR, Sacomori C, De Sousa Dantas D. Pad test for urinary incontinence diagnosis in adults: Systematic review of diagnostic test accuracy. Neurourol Urodyn. 2022;41(3):696-709. DOI: 10.1002/nau.24878.
Sharma N, Chakrabarti S. Clinical evaluation of urinary incontinence. J Midlife Health. 2018;9(2):55-60. DOI: 10.4103/jmh.JMH_122_17.
Dumoulin C, Cacciari LP, Hay-Smith EJC. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev. 2018;10(10):CD005654. DOI: 10.1002/14651858.CD005654.pub4.
Subak LL, Wing R, West DS, Franklin F, Vittinghoff E, Creasman JM, et al. Weight Loss to Treat Urinary Incontinence in Overweight and Obese Women. N Engl J Med. 2009;360(5):481-490. DOI: 10.1056/NEJMoa0806375.
Todhunter-Brown A, Hazelton C, Campbell P, Elders A, Hagen S, McClurg D. Conservative interventions for treating urinary incontinence in women: an Overview of Cochrane systematic reviews. Cochrane Database Syst Rev. 2022;9(9):CD012337. DOI: 10.1002/14651858.CD012337.pub2.
Ford AA, Rogerson L, Cody JD, Ogah J. Mid-urethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev. 2015;7(7):CD006375. DOI: 10.1002/14651858.CD006375.pub3.
McKinney JL, Keyser LE, Pulliam SJ, Ferzandi TR. Female Urinary Incontinence Evidence-Based Treatment Pathway: An Infographic for Shared Decision-Making. J Womens Health. 2022;31(3):341-346. DOI: 10.1089/jwh.2021.0266.
Toledano O. Energy-Based Devices: Comparisons and Indications. In: Jindal P, Malhotra N, Joshi S, editors. Aesthetic and Regenerative Gynecology. Singapore: Springer; 2022. p. 37-51. DOI: 10.1007/978-981-16-1743-0_6.
Chen YH, Kuo JH, Huang YT, Lai PC, Ou YC, Lin YC. Evaluating the Efficacy and Safety of Botulinum Toxin in Treating Overactive Bladder in the Elderly: A Meta-Analysis with Trial Sequential Analysis of Randomized Controlled Trials. Toxins. 2024;16(11):484. DOI: 10.3390/toxins16110484.
Orasanu B, Mahajan S. The use of botulinum toxin for the treatment of overactive bladder syndrome. Indian J Urol. 2013;29(1):2-11. DOI: 10.4103/0970-1591.109975.
Ribeiro FC, Silva MLA, Silva MAPSD, Gouveia GPDM, Eufrásio LS, Micussi MTABC. Use of radiofrequency for the treatment of urinary incontinence in women: a systematic review. Rev Assoc Med Bras. 2021;67(12):1857-1862. DOI: 10.1590/1806-9282.20210266.
Ranjbar A, Mehrnoush V, Darsareh F, Kotb A, Zakaria A, Shekari M, et al. Vaginal Laser Therapy for Stress Urinary Incontinence: A Systematic Review of Prospective Randomized Clinical Trials. J Menopausal Med. 2022;28(3):103-111. DOI: 10.6118/jmm.22017.
Roman MP, Ciortea R, Doumouchtsis SK, Malutan AM, Bucuri CE, Ormindean CM, et al. Comparison of Different Treatment Outcomes for Refractory Overactive Bladder: A Systematic Review and Meta-Analysis. Toxins. 2025;17(10):479. DOI: 10.3390/toxins17100479.
Aref-Adib M, Lamb BW, Lee HB, Akinnawo E, Raza MMA, Hughes A, et al. Stem cell therapy for stress urinary incontinence: a systematic review in human subjects. Arch Gynecol Obstet. 2013;288(6):1213-1221. DOI: 10.1007/s00404-013-3028-0.
González-Isaza P, Sánchez-Borrego R, Lugo Salcedo F, Rodríguez N, Vélez Rizo D, Fusco I, et al. Pulsed Magnetic Stimulation for Stress Urinary Incontinence and Its Impact on Sexuality and Health. Medicina. 2022;58(12):1721. DOI: 10.3390/medicina58121721.
Milosevic M, Marquez-Chin C, Masani K, Hirata M, Nomura T, Popovic MR, et al. Why brain-controlled neuroprosthetics matter: mechanisms underlying electrical stimulation of muscles and nerves in rehabilitation. BioMed Eng Online. 2020;19(1):81. DOI: 10.1186/s12938-020-00824-w.
Shah AP, Mevcha A, Wilby D, Alatsatianos A, Hardman JC, Jacques S, et al. Continence and micturition: An anatomical basis. Clin Anat. 2014;27(8):1275-1283. DOI: 10.1002/ca.22388.
Allen C, Keane D. Pathophysiology of urinary incontinence. Rev Gynaecol Pract. 2005;5(2):65-70. DOI: 10.1016/j.rigp.2004.08.001.
Stölting M, Handschin C, Attila B, Sulser T, Eberli D. Noninvasive electromagnetic stimulation for stress urinary incontinence improves regeneration of skeletal muscle, increases nerve ingrowth and acetylcholine receptor clustering. J Urol. 2012;187(4 Suppl):e210. DOI: 10.1016/j.juro.2012.02.586.
He Q, Xiao K, Peng L, Lai J, Li H, Luo D, et al. An Effective Meta-analysis of Magnetic Stimulation Therapy for Urinary Incontinence. Sci Rep. 2019;9(1):9077. DOI: 10.1038/s41598-019-45330-9.
Bo K, Anglès-Acedo S, Batra A, Baekken IH, Chan YL, Jorge CH, et al. International urogynecology consultation chapter 3 committee 2; conservative treatment of patient with pelvic organ prolapse: Pelvic floor muscle training. Int Urogynecol J. 2022;33(10):2633-2667. DOI: 10.1007/s00192-022-05324-0.
Papanikolaou DT, Lampropoulou S, Giannitsas K, Skoura A, Fousekis K, Billis E. Pelvic floor muscle training: Novel versus traditional remote rehabilitation methods. A systematic review and meta-analysis on their effectiveness for women with urinary incontinence. Neurourol Urodyn. 2023;42(5):856-874. DOI: 10.1002/nau.25150.
Ayeleke RO, Hay-Smith EJC, Omar MI. Pelvic floor muscle training added to another active treatment versus the same active treatment alone for urinary incontinence in women. Cochrane Database Syst Rev. 2015;2015(11):CD010551. DOI: 10.1002/14651858.CD010551.pub3.
Ignácio Antonio F, Bo K, Pena CC, Bueno SM, Mateus-Vasconcelos ECL, Fernandes ACNL, et al. Intravaginal electrical stimulation increases voluntarily pelvic floor muscle contractions in women who are unable to voluntarily contract their pelvic floor muscles: a randomised trial. J Physiother. 2022;68(1):37-42. DOI: 10.1016/j.jphys.2021.12.004.
Pilarska B, Strojek K, Radziminska A, Weber-Rajek M, Jarzemski P. Assessing Quality of Life Among Women with Urinary Incontinence—Medical, Psychological, and Sociodemographic Determinants. J Clin Med. 2025;14(14):4839. DOI: 10.3390/jcm14144839.
Shearon TL, Alexander JL. Urinary Incontinence and Quality of Life: A Cross-Sectional Study. OTJR Occup Particip Health. 2025;45(1):105-112. DOI: 10.1177/15394492241256869.
Krhut J, Gärtner M, Mokris J, Horcicka L, Svabik K, Zachoval R, et al. Effect of severity of urinary incontinence on quality of life in women. Neurourol Urodyn. 2018;37(6):1925-1930. DOI: 10.1002/nau.23568.
Tosun H, Akinsal E, Bas U, Sonmez G, Baydilli N, Demirci D. Evaluating the Efficacy of High-Intensity Focused Electromagnetic Therapy for Postprostatectomy Incontinence in Men. Ther Clin Risk Manag. 2025;21:1309-1315. DOI: 10.2147/TCRM.S534674.
DEKA M.E.L.A. S.R.L. PelviTouchTM. Calenzano (IT): DEKA Intimate; 2024. Disponible en: https://www.dekalaser.com
BTL Industries. EMSELLA®. Marlborough (MA): BTL Industries; 2024. Disponible en: https://www.btlnet.com
BTL Industries. Tesla Care® Technical Parameters. Marlborough (MA): BTL Industries; 2024. Disponible en: https://www.btlnet.com
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2026 Erika Paola Delgado Astudillo, Diego Vega Cuadrado, Carem Prieto Fuenmayor, Katty Barahona Ochoa
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Os autores que publicarem nesta revista deverão concordar com os seguintes termos:
- Os autores mantêm os direitos autorais e concedem à revista o direito de primeira publicação, com o trabalho simultaneamente licenciado sob a Creative Commons Attribution 4.0 License, que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
- O Autor pode subscrever acordos contratuais independentes e adicionais para a distribuição não exclusiva da versão da Obra publicada na revista (por exemplo, publicá-la num repositório institucional ou publicá-la num livro) sempre que se proporcione no documento um reconhecimento de sua publicação inicial neste periódico científico.
- Os Autores estão autorizados e tem o apoio para publicar um manuscrito em linha antes da sua publicação (mas não a versão final da Obra formatada em PDF para a Editorial) em repositórios institucionais ou em seu sitio web, antes e durante o processo de envio, já que pode dar lugar a intercâmbios produtivos, e a uma citação antecipada do trabalho publicado (veja The Effect of Open Access).
![](<p><img src="https://www.redib.org/themes/lotura/images/logo.svg" alt="REDIB" /></p>){kind=logo}
![REDIB](<p><img%20src="https://www.redib.org/themes/lotura/images/logo.svg" alt="REDIB" /></p>){kind=logo}
![Ciencia Nueva hará parte del índice de Revistas en Consolidación de América Latina AmeliCA - Gestión de la Comunicación y la Promoción Institucional](<p><img%20src="https://comunicaciones.utp.edu.co/wp-content/uploads/sites/2/Melica-21-de-sep-2021.jpg" alt="Ciencia Nueva hará parte del índice de Revistas en Consolidación de América Latina AmeliCA - Gestión de la Comunicación y la Promoción Institucional" /></p>)
