Estimulación percutánea del nervio tibial en la incontinencia urinaria de urgencia: estudio prospectivo

Urinary incontinence is considered a health problem that both elderly and young people can suffer, most often elderly women. This problem can lead to difficulties in establishing social relationships and dependence, negatively affecting the quality of life of the people who suffer from it. To evaluate and analyze the studies that demonstrate the efficacy of interventions based on the neuromodulation of the posterior tibial nerve as a treatment for the control of urinary incontinence. The search period for articles focused on those published between March 2011 to March 2021, in five databases (Pubmed, Cochrane Library, Scielo, Google Academic and WOS) based on the clinical question, using the keywords derived from the DeCS and MeSH thesauri, combined with the Boolean operators “AND”, “NOT” and “OR”. The search was limited to publications from the last 10 years, in English and Spanish. After applying the selection criteria and evaluating the quality of the methodology, 5.28% (n = 27) of the 511 results were included with filters: 9 systematic reviews, 10 cohorts and 8 randomized controlled trials. After comparing the different articles, it was found that percutaneous stimulation of the tibial nerve is a suitable technique for treating overactive bladder. It is a promising technique in case of pelvic floor dysfunctions and effective for the control of urinary incontinence.

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Neuromodulation of the Posterior Tibial Nerve for the Control of Urinary Incontinence

Astasio-Picado

García-Cano

2022

Medicina

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Effects of Non-pharmacological Interventions Designed for Adults with Overactive Bladder Syndrome: A Systematic Literature Review

박¹,

김²

2020

Korean J Adult Nurs

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The purpose of this study was to review non-pharmacologic intervention programs designed to alleviate symptoms in adults with overactive bladder syndrome. Methods: A systematic search using Korean and English keywords was conducted in nine electronic databases. Ten studies were included in the sample for the systematic review. The Risk of Bias (RoB) and the Risk of Bias Assessment tool for Non-randomized Study (RoBANS) were used to assess methodological rigor and quality of scientific evidence. Results: Randomized Controlled Trials (RCTs) were used in eight studies and quasi-experimental designs were used in two studies. Non-pharmacological interventions included education, acupuncture, Tibial Nerve Stimulation (TNS), exercise (pelvic muscle exercise, Tai-chi), and Heart Rate Variability (HRV) biofeedback. The majority of the literature has been evaluated to have a low risk of bias. Nine out of 10 studies applied interventions on women only. It was shown that education, TNS, exercise, and HRV biofeedback were effective in alleviating overactive bladder syndrome symptoms, but acupuncture's efficacy depended on the frequency and intensity of the intervention. Conclusion: The results provide a basis for developing an intervention program to improve the symptoms of overactive bladder syndrome. Future studies should also include men as subjects. The results of the intervention should be generalized by confirming the consistency and effectiveness of the aforementioned based on its frequency and intensity.

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Estimulación percutánea del nervio tibial en la incontinencia urinaria de urgencia: estudio prospectivo

Cited by 2 publications

References 24 publications

Neuromodulation of the Posterior Tibial Nerve for the Control of Urinary Incontinence

Neuromodulation of the Posterior Tibial Nerve for the Control of Urinary Incontinence

Effects of Non-pharmacological Interventions Designed for Adults with Overactive Bladder Syndrome: A Systematic Literature Review

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