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Background:
Systematic Review

Percutaneous versus Transcutaneous Electrical Stimulation of the Posterior Tibial Nerve in Idiopathic Overactive Bladder Syndrome with Urinary Incontinence in Adults: A Systematic Review

by
Aida Agost-González
1,
Isabel Escobio-Prieto
1,*,
Azahara M. Pareja-Leal
2,
María Jesús Casuso-Holgado
1,
María Blanco-Diaz
3 and
Manuel Albornoz-Cabello
1
1
Departamento de Fisioterapia, Facultad de Enfermería, Fisioterapia y Podología, Universidad de Sevilla, 41009 Sevilla, Spain
2
Servicio Madrileño de Salud, D.A. Norte, 28035 Madrid, Spain
3
Departamento de Fisioterapia, Facultad de Medicina y Ciencias de la Salud, Universidad de Oviedo, 33006 Oviedo, Spain
*
Author to whom correspondence should be addressed.
Healthcare 2021, 9(7), 879; https://doi.org/10.3390/healthcare9070879
Submission received: 6 June 2021 / Revised: 8 July 2021 / Accepted: 11 July 2021 / Published: 13 July 2021
(This article belongs to the Special Issue Neurorehabilitation: Looking Back and Moving Forward)

Abstract

Background: Percutaneous electrical stimulation and transcutaneous electrical stimulation (PTNS and TTNS) of the posterior tibial nerve are internationally recognized treatment methods that offer advantages in terms of treating patients with overactive bladder (OAB) who present with urinary incontinence (UI). This article aims to analyze the scientific evidence for the treatment of OAB with UI in adults using PTNS versus TTNS procedures in the posterior tibial nerve. Methods: A systematic review was conducted, between February and May 2021 in the Web of Science and Scopus databases, in accordance with the PRISMA recommendations. Results: The research identified 259 studies, 130 of which were selected and analyzed, with only 19 used according to the inclusion requirements established. The greatest effectiveness, in reducing UI and in other parameters of daily voiding and quality of life, was obtained by combining both techniques with other treatments, pharmacological treatments, or exercise. Conclusions: TTNS has advantages over PTNS as it is more comfortable for the patient even though there is equality of both therapies in the outcome variables. More research studies are necessary in order to obtain clear scientific evidence.
Keywords: percutaneous electric nerve stimulation; transcutaneous electric nerve stimulation; adult; urinary bladder; overactive; urinary incontinence; tibial nerve percutaneous electric nerve stimulation; transcutaneous electric nerve stimulation; adult; urinary bladder; overactive; urinary incontinence; tibial nerve

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MDPI and ACS Style

Agost-González, A.; Escobio-Prieto, I.; Pareja-Leal, A.M.; Casuso-Holgado, M.J.; Blanco-Diaz, M.; Albornoz-Cabello, M. Percutaneous versus Transcutaneous Electrical Stimulation of the Posterior Tibial Nerve in Idiopathic Overactive Bladder Syndrome with Urinary Incontinence in Adults: A Systematic Review. Healthcare 2021, 9, 879. https://doi.org/10.3390/healthcare9070879

AMA Style

Agost-González A, Escobio-Prieto I, Pareja-Leal AM, Casuso-Holgado MJ, Blanco-Diaz M, Albornoz-Cabello M. Percutaneous versus Transcutaneous Electrical Stimulation of the Posterior Tibial Nerve in Idiopathic Overactive Bladder Syndrome with Urinary Incontinence in Adults: A Systematic Review. Healthcare. 2021; 9(7):879. https://doi.org/10.3390/healthcare9070879

Chicago/Turabian Style

Agost-González, Aida, Isabel Escobio-Prieto, Azahara M. Pareja-Leal, María Jesús Casuso-Holgado, María Blanco-Diaz, and Manuel Albornoz-Cabello. 2021. "Percutaneous versus Transcutaneous Electrical Stimulation of the Posterior Tibial Nerve in Idiopathic Overactive Bladder Syndrome with Urinary Incontinence in Adults: A Systematic Review" Healthcare 9, no. 7: 879. https://doi.org/10.3390/healthcare9070879

APA Style

Agost-González, A., Escobio-Prieto, I., Pareja-Leal, A. M., Casuso-Holgado, M. J., Blanco-Diaz, M., & Albornoz-Cabello, M. (2021). Percutaneous versus Transcutaneous Electrical Stimulation of the Posterior Tibial Nerve in Idiopathic Overactive Bladder Syndrome with Urinary Incontinence in Adults: A Systematic Review. Healthcare, 9(7), 879. https://doi.org/10.3390/healthcare9070879

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