Electrical stimulation with non-implanted electrodes for overactive bladder in adults

Stewart, Fiona; Gameiro, Orsi Lf; Dib, Regina El; Gameiro, Mônica; Kapoor, Anil; Amaro, João Luiz

doi:10.1002/14651858.cd010098.pub3

Cited by 26 publications

(13 citation statements)

References 124 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Their main flaw is related to the high risk of bias of RCTs and prospective cohort studies that explored the impact of ENS on OAB. In this review, only one meta-analysis [19] provides suggestive evidence of the positive response rate, whose number of participants is significantly greater than other meta-analyses that provide weak evidence. Although approximately 30% of people worldwide suffer from OAB, the heterogeneity and underreporting of symptoms might affect the diagnosis of OAB, which could lead to the small number of research participants.…”

Section: Discussionmentioning

confidence: 99%

Electric nerve stimulation for overactive bladder: an umbrella review

Jiang

et al. 2021

International Journal of Rehabilitation Research

View full text Add to dashboard Cite

Numerous systematic reviews and meta-analyses have reported the effect of electrical nerve stimulation (ENS) on overactive bladder (OAB). However, these results are contradictory. We conducted an umbrella review to summarize the evidence and evaluate the effectiveness of ENS for OAB by using an umbrella review methodology from multiple perspectives with sufficient methodological quality. We searched the PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL and PsycINFO databases and two Chinese databases (CNKI and CBM) to identify articles written in English or Chinese that were published up to 15 February 2021. Two authors of this review independently selected the studies, assessed their quality, and extracted the data from all the included studies. We performed a quality assessment of eligible reviews using the AMSTAR 2.0 tool and estimated the summary effect size, 95% confidence intervals, 95% prediction intervals and heterogeneity. Ten systematic reviews and meta-analyses covering 89 randomized controlled trials and 16 prospective cohort studies with a total population of 5004 participants that investigated the effect of ENS for OAB in terms of 17 different outcomes were identified. ENS seems effective and safety for OAB, with our results showing weak evidence of clinical efficacy and no evidence of side effects. To recommend ENS as a practical treatment option for OAB, however, more high-quality research is needed.

show abstract

Section: Discussionmentioning

confidence: 99%

Electric nerve stimulation for overactive bladder: an umbrella review

Jiang

et al. 2021

International Journal of Rehabilitation Research

View full text Add to dashboard Cite

show abstract

“…Previous systematic reviews have combined percutaneous (needle‐electrode) TNS and transcutaneous (surface electrode) TNS in the same review, hence the current lack of clarity in our understanding of effectiveness, cost‐effectiveness, and best position in the treatment algorithm for each intervention and the tendency to consider them as equivalent. This situation fails to recognize the potential to target each more carefully.…”

Section: Discussionmentioning

confidence: 99%

The effectiveness of transcutaneous tibial nerve stimulation (TTNS) for adults with overactive bladder syndrome: A systematic review

Booth

Connelly

Dickson

et al. 2017

Neurourology and Urodynamics

View full text Add to dashboard Cite

Limited evidence is provided that TTNS is an effective, safe intervention for idiopathic OAB in adults and may be of benefit in those with neurogenic OAB. Further studies are essential to confirm these results as well as to determine efficacy and associated costs for specific patient groups, most effective stimulation dosage, duration of effect, and stimulation regimes for longer-term maintenance.

show abstract

“…This comprehensive pelvic floor rehabilitation program with electrical stimulation offers a safe, effective conservative management option. A Cochrane review showed that electrical stimulation was more effective than both no treatment and treatment with medications for overactive bladder (29). Furthermore, the positive outcome of vaginal electrical stimulation is accomplished with minimal adjustment to the therapy based on the treatment indication, and therefore it is easily reproducible.…”

Section: Discussionmentioning

confidence: 99%

Prospective Outcomes of a Pelvic Floor Rehabilitation Program Including Vaginal Electrogalvanic Stimulation for Urinary, Defecatory, and Pelvic Pain Symptoms

Schmitt¹,

Singh²,

Weaver³

et al. 2017

Female Pelvic Med Reconstr Surg

View full text Add to dashboard Cite

Objectives This study evaluated our experience after implementing a pelvic floor rehabilitation program including behavioral modification, biofeedback, and vaginal electrogalvanic stimulation (EGS). Methods This prospective cohort study evaluated outcomes of patients with pelvic floor dysfunction (urinary or defecatory dysfunction, pelvic pain/dyspareunia) who underwent pelvic floor rehabilitation. Patients received 4 to 7 sessions (1 every 2 weeks) including biofeedback and concluded with 30 minutes of vaginal EGS. Surveys assessed subjective changes in symptoms; success was evaluated using a 10-point visual analog scale (VAS) at the final session (10 most successful). Paired comparisons of responses at baseline and final treatment were evaluated. Results Ninety-four patients were followed through therapy completion. Treatment indications included urinary (89.4%), defecatory (33.0%), and pelvic pain or dyspareunia (30.9%); 44.7% of patients had a combination of indications. Among women with urinary symptoms, the percentage reporting leakage decreased from 92.9% to 79.3% (P=.001), leakage at least daily decreased from 69.0% to 39.5% (P<.001), daily urgency with leakage decreased from 42.7% to 19.5% (P=.001), daily urgency without leakage decreased from 41.5% to 18.3% (P<.001), and median VAS rating (0=not at all, 10=a great deal) of daily life interference decreased from 5 to 1.5 (P<.001). The median success rating was 8, 8, and 7 for treatment of urinary symptoms, pelvic pain/dyspareunia, and bowel symptoms, respectively. Conclusions An aggressive pelvic rehabilitation program including biofeedback with vaginal EGS had a high rate of self-reported subjective success and satisfaction and should be considered a nonsurgical treatment option in patients with pelvic floor dysfunction.

show abstract

Electrical stimulation with non-implanted electrodes for overactive bladder in adults

Abstract: Analysis 2.9. Comparison 2 Electrical stimulation versus conservative treatment, Outcome 9 Number of pads per day. Analysis 2.10. Comparison 2 Electrical stimulation versus conservative treatment, Outcome 10 Number of participants with OAB (objective evaluation

Cited by 26 publications

References 124 publications

Electric nerve stimulation for overactive bladder: an umbrella review

Electric nerve stimulation for overactive bladder: an umbrella review

The effectiveness of transcutaneous tibial nerve stimulation (TTNS) for adults with overactive bladder syndrome: A systematic review

Prospective Outcomes of a Pelvic Floor Rehabilitation Program Including Vaginal Electrogalvanic Stimulation for Urinary, Defecatory, and Pelvic Pain Symptoms

Contact Info

Product

Resources

About