Home and outpatient electrostimulation in the treatment of urinary incontinence in women: a systematic review

被引：0

作者：

Caetano, Suele Moura Oliveira Coelho ^{[1
]}

Pereira, Elma Gomes ^{[1
]}

Ribeiro, Aline Moreira ^{[2
]}

Brito, Julia Barros ^{[1
]}

dos Santos, Clarcson Placido Conceicao ^{[3
]}

机构：

[1] Bahiana Sch Med & Publ Hlth, Salvador, Brazil

[2] Univ Sao Paulo, Ribeirao Preto, Brazil

[3] Bahiana Sch Med & Publ Hlth, Postgrad Program Med & Human Hlth, Rua Silveira Martins,n3386,Cabula, BR-41150000 Salvador, BA, Brazil

来源：

BMC WOMENS HEALTH | 2025年 / 25卷 / 01期

关键词：

Urinary incontinence; Transcutaneous electrical nerve stimulation; Electroestimulation; Women; Systematic review; TIBIAL NERVE-STIMULATION; OVERACTIVE BLADDER SYNDROME; ELECTRICAL-STIMULATION; URODYNAMICS; OXYBUTYNIN; COMMITTEE;

D O I：

10.1186/s12905-025-03568-8

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Introduction and hypothesisUrinary incontinence (UI) is defined as any involuntary loss of urine and can be associated with urgency and/or physical exertion. Electrical stimulation (ES) has recently been identified as a proven therapeutic alternative for UI, with few side effects and low cost. This systematic review, registered on the Prospective Register of Systematic Reviews (RD42024528812), investigated whether home-based ES would be as viable as outpatient ES in the treatment of women with UI.MethodsStudy selection was conducted by two independent researchers across the following databases: Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Embase, Web of Science, Scopus, and PEDro (search conducted on February 25, 2024). We also searched the reference lists of eligible articles. There were no restrictions on date and language. The RoB2 and GRADE tools were used to assess methodological quality and evidence recommendation.Results723 articles were found, and four trials were eligible. Very low-quality evidence indicated statistically significant differences in cure rates or improvement of urinary symptoms in women treated with both outpatient and home-based ES. Low-quality evidence recommends home-based ES in maintaining improvement of urinary symptoms, and moderate-quality evidence indicates no severity of symptoms in the home-based group.ConclusionHome-based ES is shown to be as effective as outpatient ES in the treatment of UI in women. However, data analysis revealed low-quality evidence regarding the cure or improvement of the women's conditions.

引用

页数：12

共 53 条

[1] Fourth International Consultation on Incontinence Recommendations of the International Scientific Committee: Evaluation and Treatment of Urinary Incontinence, Pelvic Organ Prolapse, and Fecal Incontinence [J].

Abrams, P. ;

Andersson, K. E. ;

Birder, L. ;

Brubaker, L. ;

Cardozo, L. ;

Chapple, C. ;

Cottenden, A. ;

Davila, W. ;

de Ridder, D. ;

Dmochowski, R. ;

Drake, M. ;

DuBeau, C. ;

Fry, C. ;

Hanno, P. ;

Smith, J. Hay ;

Herschorn, S. ;

Hosker, G. ;

Kelleher, C. ;

Koelbl, H. ;

Khoury, S. ;

Madoff, R. ;

Milsom, I. ;

Moore, K. ;

Newman, D. ;

Nitti, V. ;

Norton, C. ;

Nygaard, I. ;

Payne, C. ;

Smith, A. ;

Staskin, D. ;

Tekgul, S. ;

Thuroff, J. ;

Tubaro, A. ;

Vodusek, D. ;

Wein, A. ;

Wyndaele, J. J. .

NEUROUROLOGY AND URODYNAMICS, 2010, 29 (01) :213-240

[2] The standardisation of terminology in lower urinary tract function: Report from the standardisation sub-committee of the International Continence Society (Reprinted from Neurourology and Urodynamics, vol 21, pg 167-178, 2002) [J].

Abrams, P ;

Cardozo, L ;

Fall, M ;

Griffiths, D ;

Rosier, P ;

Ulmsten, U ;

Van Kerrebroeck, P ;

Victor, A ;

Wein, A .

UROLOGY, 2003, 61 (01) :37-49

[3]

Abrams P, 2013, 5 INT CONSULTATION I

[4]

[Anonymous], 2020, Clinical protocol and therapeutic guidelines for non-neurogenic urinary incontinence ministry of health Brasilia-DF

[5] Transvaginal electrical stimulation in the treatment of urinary incontinence [J].

Barroso, JCV ;

Ramos, JGL ;

Martins-Costa, S ;

Sanches, PRS ;

Muller, AF .

BJU INTERNATIONAL, 2004, 93 (03) :319-323

[6] Efficacy of physical therapeutic modalities in women with proven bladder overactivity [J].

Berghmans, B ;

van Doorn, EV ;

Nieman, F ;

de Bie, R ;

van den Brandt, P ;

Van Kerrebroeck, P .

EUROPEAN UROLOGY, 2002, 41 (06) :581-587

[7]

Burkhard F., 2016, Eau guidelines on urinary incontinence

[8]

Caetano S., 2024, PROSPERO

[9] Role of Transcutaneous Electrical Nerve Stimulation in Treating Children With Overactive Bladder From Pooled Analysis of 8 Randomized Controlled Trials [J].

Cui, Huanqin ;

Yao, Yi ;

Xu, Zhunan ;

Gao, Zhenli ;

Wu, Jitao ;

Zhou, Zhongbao ;

Cui, Yuanshan .

INTERNATIONAL NEUROUROLOGY JOURNAL, 2020, 24 (01) :84-94

[10] Self-management of overactive bladder at home using transcutaneous tibial nerve stimulation: a qualitative study of women's experiences [J].

Daly, Ciara M. E. ;

Loi, Lynette ;

Booth, Jo ;

Saidan, Dalia ;

Guerrero, Karen ;

Tyagi, Veenu .

BMC WOMENS HEALTH, 2021, 21 (01)

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