2023, Number 09
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Ginecol Obstet Mex 2023; 91 (09)
Treatment of overactive bladder syndrome by bilateral transcutaneous posterior tibial nerve stimulation
Rodríguez LR, Montiel MRI, Granados MV, Gorbea CV, Ramírez IC
Language: Spanish
References: 18
Page: 653-659
PDF size: 186.00 Kb.
ABSTRACT
Objective: To determine whether bilateral transcutaneous stimulation of the posterior
tibial nerve reduces symptoms of overactive bladder and improves quality of life.
Materials and Methods: Simple, retrospective, cohort study carried out in
patients attended at the gynaecological urology clinic of the Instituto Nacional
de Perinatología Isidro Espinosa de los Reyes in Mexico City, from 8 October
2021 to 14 July 2022 to whom bilateral transcutaneous electrostimulation therapy
of the posterior tibial nerve was applied to treat overactive bladder syndrome.
Study parameters: severity, quality of life and voiding diary in sessions 1, 6 and 12.
Descriptive statistics and paired t-test were used for comparison at baseline and at the
end of treatment; p ‹ 0.05 was considered statistically significant.
Results: Twenty-five patients were studied: 23 with a decrease in King's Health quality
of life score of 24.5 between sessions 1 and 12 (p ‹ 0.001). The decrease in symptom
severity score (OABSS) was 16.6 between sessions 1 and 12 (p ‹ 0.001). Significant
improvement was observed in all voiding diary parameters.
Conclusion: In this sample, bilateral transcutaneous posterior tibial nerve
stimulation significantly decreased overactive bladder symptoms and improved
quality of life.
REFERENCES
Haylen BT, Ridder D, Freeman R, Swift S, Berghmans B,Lee J, et al. An International Urogynecological Association(IUGA) / Internacional Continence Society (ICS) Joint Reporton the Terminology for Female Pelvic Floor Dysfunction.Neurourol Urodynam 2010; 29: 4-20. https://doi.org/10.1002/nau.20798
Vecchioli-Scaldazza C, Morosetti C. Effectiveness and durabilityof solifenacin versus percutaneous tibial nerve stimulationversus their combination for the treatment of women withoveractive bladder syndrome: a randomized controlled studywith a follow-up of ten months. Int Braz J Urol 2018; 44:102-108. https://doi.org/10.1590/S1677-5538.IBJU.2016.0611
Booth J, Connelly L, Dickson S, Duncan F, Lawrence M. Theeffectiveness of transcutaneous tibial nerve stimulation(TTNS) for adults with overactive bladder syndrome: Asystematic review. Neurourol Urodynam 2018; 37: 528-41.https://doi.org/10.1002/nau.23351
Lightner DJ, Gomelsky A, Souter L, Vasavada S. Diagnosisand Treatment of Overactive Bladder (Non-Neurogenic)in Adults: AUA/SUFU Guideline Amendment 2019. J Urol2019; 202: 558-63. doi:10.1097/JU.0000000000000309
Arnold J, McLeod N, Thani R, Rashid P. Overactive BladderSyndrome: Management and Treatment Options. Aust FamPhysician 2012; 41: 878-83. PMID: 23145420
Peyronnet B, Mironska E, Chapple C, Cardozo L, Oekle M,Dmochowski R, et al. A Comprehensive Review of OveractiveBladder Pathophysiology: On the Way to TailoredTreatment. Eur Urol 2019; 75: 988-1000. https://doi.org/10.1016/j.eururo.2019.02.038
Gamble T, Du H, Sand P, Botros S, Rurak M, Goldberg R. Urgeincontinence: estimating environmental and obstetrical riskfactors using an identical twin Study. Int Urogyencol J 2010;21: 939-46. doi:10.1007/s00192-010-1140-2
Leron E, Weintraub AY, Mastrolia S, Schwarzman P. Overactivebladder syndrome: evaluation and management. CurrUrol 2017; 11: 117-25. doi:10.1159/000447205
Bo K, Berghmans B, Morkyed S, Van Kampen M. Evidence-Based Physical Therapy for the Pelvic Floor: Bridging Scienceand Clinical Practice, 2007.
Staskin D, Peters K, MacDiarmid S, Shore N, de Groat W.Percutaneous tibial nerve stimulation: A clinically andcost-effective addition to the overactive bladder algorithmof care. Curr Urol Rep 2012; 13: 227-334. doi: 10.1007/s11934-012-0274-9
Ramírez-Garcia I, Blanco-Ratto L, Kauffman S, Carralero-Martinez A, Sanchez E. Efficacy of transcutaneous stimulationof the posterior tibial nerve compared to percutaneousstimulation in idiopathic overactive bladder syndrome:Randomized control trial. Neurourol Urodyn 2019; 38:261-68. doi: 10.1002/nau.23843
Thomas GP, Dudding TC, Nicholls RJ, Vaizey C. BilateralTranscutaneous Posterior Tibial Nerve Stimulation for theTreatment of Fecal Incontinence. Dis Colon Rectum 2013;56: 1075-79. doi: 10.1097/DCR.0b013e31829bf940
Blaivas J, Panagopoulos G, Weiss J, Somaroo C. Validationof the overactive bladder symptom score. J Urol 2007; 128:543-7. doi: 10.1016/j.juro.2007.03.133
Kelleher C, Cardozo L, Khullar V, Salvatorre S. A new questionnaireto assess the quality of life of urinary incontinentwomen. BJOG 1997; 104: 1374-79. doi: 10.1111/j.1471-0528.1997.tb11006.x
Badia L, Castro D, Conejero J. Validez del cuestionarioKing´s Health para la evaluación de la calidad de vidaen pacientes con incontinencia urinaria. Med Clin (Barc)2000; 17: 647-52. https://doi.org/10.1016/S0025-7753(00)71390-X
Yang DY, Zhao LN, Qiu MX. Treatment for OveractiveBladder: A meta-analysis of transcutaneous tibial nervestimulation versus percutaneous tibial nerve stimulation.Medicine 2021; 100: e25941. doi: 10.1097/MD.0000000000025941
Martin-Garcia M, Trochez RD. Effectiveness of bilateralpercutaneous posterior tibial nerve stimulation for womenwith idiopathic overactive bladder. POGP 2017; 121: 53-58.
Linhares M, Friso B, Aparecida R, Milhem J, Chada E,Gonçalves E. Comparison of transcutaneous electricaltibial nerve stimulation for the treatment of overactivebladder: a multi-arm randomized controlled trial withblinded assessment. Clinics 2021; 76: e3039. doi: 10.6061/clinics/2021/e3039