Evidence map›Paper›PMID 41051574›Full record

ArticleInternational urogynecology journal2026

Effectiveness of High-Intensity Focused Electromagnetic (HIFEM) Therapy in Women with Urinary Incontinence.

Apiwat Jongjakapan, Teerayut Temtanakitpaisan, Kamonphan Pinjaroen, Chompilas Chongsomchai, Amornrat Temtanakitpaisan

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Article in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Apiwat JongjakapanDepartment of Obstetrics & Gynaecology, Faculty of Medicine, Khon Kaen University, 123 Mittraphap Highway, Khon Kaen, 40002, Muang Khon Kaen, Thailand.
Teerayut TemtanakitpaisanDepartment of Obstetrics & Gynaecology, Faculty of Medicine, Khon Kaen University, 123 Mittraphap Highway, Khon Kaen, 40002, Muang Khon Kaen, Thailand. jacktemtanakitpaisan@hotmail.com.ORCID 0000-0001-9100-5840
Kamonphan PinjaroenDepartment of Obstetrics & Gynaecology, Faculty of Medicine, Khon Kaen University, 123 Mittraphap Highway, Khon Kaen, 40002, Muang Khon Kaen, Thailand.
Chompilas ChongsomchaiDepartment of Obstetrics & Gynaecology, Faculty of Medicine, Khon Kaen University, 123 Mittraphap Highway, Khon Kaen, 40002, Muang Khon Kaen, Thailand.
Amornrat TemtanakitpaisanDepartment of Obstetrics & Gynaecology, Faculty of Medicine, Khon Kaen University, 123 Mittraphap Highway, Khon Kaen, 40002, Muang Khon Kaen, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisUrinary incontinence (UI) affects the quality of life of millions of women. High-intensity focused electromagnetic (HIFEM) therapy is a promising noninvasive treatment, but robust evidence is limited. This study aimed to evaluate the effectiveness of HIFEM therapy in improving UI symptoms, quality of life, and sexual function in Thai women.

methodsThis prospective single-arm interventional study enrolled women aged ≥ 20 years with an International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) score ≥ 6. Women with pelvic organ prolapse stage > 2 or with contraindications to HIFEM therapy were excluded. Participants received six HIFEM sessions over 3 weeks. Outcomes, including the ICIQ-UI SF, Incontinence Impact Questionnaire (IIQ-7), and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-IUGA Revised (PISQ-IR), were assessed at baseline, post-treatment, and 3-month follow-up. Generalised estimating equations, mean/median difference (MD) with 95% confidence intervals (CI), were used for statistical analysis.

resultsFifty-seven women completed the protocol. UI types were stress UI (43.9%), mixed UI (42.1%), and urgency UI (14.0%). Median ICIQ-UI SF significantly decreased at post-treatment (MD -5.21; 95% CI -6.23 to -4.19) and 3 months (MD -5.04; 95% CI -6.13 to -3.94; p < 0.001). IIQ-7 scores improved similarly. Among sexually active women, improvements were noted in arousal/orgasm, and condition impact subscales of PISQ-IR. No significant changes were found in non-sexually active women.

conclusionsHIFEM therapy significantly improved UI symptoms, quality of life, and some aspects of sexual function. Larger comparative trials with long-term follow-up are needed before routine clinical use is recommended.

Indexed as

Magnetic Field TherapyUrinary IncontinenceAdultAgedFemaleHumansMiddle AgedProspective StudiesQuality of LifeSurveys and QuestionnairesTreatment OutcomeHigh-intensity focused electromagnetic therapyQuality of lifeSexual functionUrinary incontinence

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.