Stress urinary incontinence (SUI) is a common problem, especially among women of reproductive and postmenopausal age. The pathology significantly reduces the quality of life of female patients, causing psychological discomfort and limitations in social activity. Modern non-invasive treatment methods, such as extracorporeal electromagnetic stimulation (ES), are becoming an important direction in the therapy of SUI.

To evaluate the efficacy of extracorporeal electromagnetic stimulation in women with SUI type 1-2 using ultrasound monitoring of the pelvic floor muscles before and after treatment.

The study included 20 women aged 35 to 45 years with diagnosed SUI type 1-2.  
 All participants underwent an initial examination including history, urinary diaries, pelvic floor ultrasound (PFU) and completion of the ICIQ-UI SF questionnaire.  
 Patients received ES treatment at a frequency of 2 sessions per week, 10 sessions total. The duration of one session was 20 min. 
The procedure was performed on the Salus Talent Pro device, power 3 Tesla. 
The stimulation mode was multimodal with a combination of frequencies from 2-3 Hz to 35 Hz. This frequency spectrum corresponds to the modes of operation of the nervous system in the alpha and betta rhythm, has a stimulating effect on the nervous system, and as a consequence, the inclusion of muscle-tone effect.
   Ultrasound control of the pelvic floor muscles was carried out before and after the course of treatment.  
   Clinical dynamics was assessed according to the ICIQ-UI SF scale and subjective feelings of the patients.

Before treatment:
   - The average thickness of m. puborectalis according to ultrasound was 7.2 ± 1.1 mm.  
   - The mean ICIQ-UI SF score was 14.5 ± 2.3, indicating a significant decrease in the quality of life.  
   - 80% of patients reported frequent episodes of urinary incontinence during physical activity, coughing or sneezing.  

After treatment
   - Mean m. puborectalis thickness increased to 9.8 ± 1.3 mm (p < 0.01).  
   - The mean ICIQ-UI SF scale score decreased to 5.2 ± 1.8 (p < 0.01).  
   - Positive dynamics was observed in 90% of patients:  
   - 65% had complete disappearance of urinary incontinence symptoms.  
   - 25% showed significant improvement (rare episodes of incontinence).  
   - Ultrasonography confirmed an improvement in the tone of the pelvic floor muscles.  
   - 95% of the patients reported improved quality of life.  
   - 85% were willing to recommend this treatment to other women.

Compared to other non-surgical interventions for SUI, such as pelvic floor muscle training (PFMT) or intravaginal electrical stimulation, ES appears to offer comparable or superior outcomes with less dependence on patient compliance. PFMT, although effective, often requires months of consistent practice to achieve results, and adherence rates can be low. In contrast, ES provides passive stimulation without requiring active participation from the patient, making it a more convenient option for individuals with busy lifestyles or limited access to supervised therapy.

Moreover, the safety profile of ES is favorable, with no adverse events reported during the study period. This contrasts with invasive treatments like midurethral sling surgery, which, while highly effective, carry risks of complications such as infection, erosion, or voiding dysfunction. For women seeking a minimally invasive yet efficacious solution, ES represents a promising alternative.

Extracorporeal electromagnetic stimulation showed high efficacy in the treatment of SUI type 1-2 due to the muscle-tone effect.
Ultrasound control allowed an objective assessment of changes in muscle size.  
The method is safe, non-invasive and well tolerated by the patients.