Pelvic floor electrostimulation in women with urinary incontinence and/or overactive bladder syndrome: a systematic review.
Actas Urol Esp 2013;
37:429-44. [PMID:
23246103 DOI:
10.1016/j.acuro.2012.08.003]
[Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2012] [Revised: 08/04/2012] [Accepted: 08/29/2012] [Indexed: 10/27/2022]
Abstract
CONTEXT
Electrostimulation (ES) is one of the techniques employed in conservative treatment of urinary incontinence (UI) and/or overactive bladder syndrome (OAB). Nevertheless, there is controversy in the scientific literature regarding its effectiveness as monotherapy.
OBJECTIVE
To evaluate the scientific evidence on ES of the pelvic floor in women with UI and with/without OAB.
EVIDENCE ACQUISITION
A systematic review of clinical trials was carried out in the following databases: PubMed, Cochrane, PEDro, Elsevier (Doyma) and EnFisPo (1980-2011). Quality of study registries was evaluated and information was obtained from those that presented the inclusion criteria established in the review.
EVIDENCE SYNTHESIS
The 27 clinical trials were included in the review: 13 randomized controlled trials, 11 randomized non-controlled trials and 3 non-randomized trials.
CONCLUSION
Most of the clinical trials conclude that ES is effective in the treatment of UI and OAB in women. However, better methodological quality studies are needed to obtain a higher level of scientific evidence and to know the optimal current modality, type and parameters for each type of UI and OAB.
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