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Wave Brilliance Australia is a distributor and supplier of the ExMI pelvic floor rehabilitation system in Australia and New Zealand, a corporate member of the Continence Foundation of Australia, R.A.C.G.P. Accredited Provider and member of the Prostate Cancer Foundation of Australia.
Our Mission Statement - A vision to see, the power to treat
Empowering GP's to treat their patients for disorders of the pelvic floor
At last, a highly effective, affordable treatment option is available at primary care level. We encourage all GP's to evaluate the benefits of ExMI and include this approach into their practice. Please click here to arrange a copy of purchase & rental options
The Role of Extracorporeal Magnetic Innervation (ExMI™)
In the Treatment of Urinary Incontinence
| Class |
Type |
Patho-physiology |
Functional Defect or Level of Severity |
Does ExMI have a role? |
|
Decreased Urethral Resistance
|
Anatomic Support Defects (GSI I/II)
|
Failure of adequate urethral closure
|
Support Defect
|
Yes
|
|
(Stress)
|
|
Greater forces on posterior vs. anterior wall of urethra
|
Anatomic Defect
|
No
|
|
|
|
|
Functional Support
|
Yes
|
|
|
Intrinsic Sphincter Deficiency (ISD)
|
Deficiency in urethral closure mechanism
|
Mild
|
Yes
|
|
|
|
|
Moderate
|
Yes
|
|
|
|
|
Severe
|
Probably Not
|
|
|
Failure to Inhibit the Detrusor
|
Failure to contract pelvic floor releases detrusor reflex
|
Neurogenic – Mild / Moderate
|
Yes
|
|
|
|
|
Neurogenic – Severe
|
No
|
|
|
|
|
Behavioral
|
Yes
|
|
|
|
|
Mechanical
|
Probably Not
|
|
Increased Urethral Resistance (Overflow / Retention)
|
Anatomic Obstruction
|
Urethral compression or narrowing
|
|
No
|
|
|
Functional Obstruction
|
Failure of normal relaxation
|
Neurogenic
|
Yes
|
|
|
|
|
Behavioral (failure to relax external sphincter)
|
Yes
|
|
|
Inhibition of Detrusor Activity
|
Failure to relax pelvic floor muscles inhibits detrusor ability to start and maintain a contraction
|
Neurogenic
|
Yes
|
|
|
|
|
Behavioral
|
Yes
|
|
|
|
|
Situational
|
Yes
|
|
Increased Intravesical Pressure (Urge)
|
Uninhibited Detrusor Contractions
|
Increased intravesical pressure overcomes urethral resistance
|
Overactive Bladder
|
Yes
|
|
|
|
|
Detrusor Hyper Reflexia
|
Yes
|
|
|
|
Decreased accommodation
|
Fibrosis
|
No
|
|
|
|
|
Neurogenic
|
No
|
|
Decreased Intravesical Pressure (Overflow / Retention)
|
Peripheral Denervation or Neuropathy
|
Absent neuro input
|
Congenital
|
No
|
|
|
|
|
Diabetics
|
Perhaps
|
|
|
Detrusor Myopathy
|
Smooth muscle damage
|
Fibrosis
|
No
|
|
|
|
|
Inflammation
|
No
|
|