<![CDATA[Introduction: Urinary incontinence (UI) is common in women and may impair quality of life. Pelvic floor muscle dysfunction contributes to stress and mixed urinary incontinence. High-Intensity Focused Electromagnetic (HIFEM) therapy is a promising non-invasive modality for improving pelvic floor muscle function. Objective: This study aims to evaluate whether HIFEM can offer a more effective alternative for managing urinary incontinence. Material & Methods: 31 women were enrolled in this cohort study. Patients are assessed before and after intervention using the International Consultation on Incontinence Questionnaire—Urinary Incontinence—Short Form (ICIQ-UI-SF). The intervention is a 28-minute HIFEM stimulation with 33 sequences and intensities between 50 to 100% and sequential amplitude modulation, once a week within 4 weeks. Results: 26 participants (83.8%), dominated by mixed-type UI (17 patients), followed by 7 stress-type and 2 urge-type, have experienced an improvement in UI symptoms and showed improvement in ICIQ scores, while the other 5 participants (16.2%) showed insignificant progress after the intervention. The enhanced group reported a transition from moderate-severe symptoms to mild symptoms or complete recovery, and statistical analysis showed a significance value of p = 0.001 (p < 0.05). Conclusion: The HIFEM stimulation procedure significantly alleviates urinary incontinence patients, particularly the mixed-type. Keywords: HIFEM, urinary incontinence, pelvic floor muscles training.]]>
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