Management of overactive bladder review: the role of percutaneous tibial nerve stimulation

Wibisono, Elita; Rahardjo, Harrina Erlianti

doi:10.13181/mji.v25i4.1385

Cited by 4 publications

(9 citation statements)

References 41 publications

(57 reference statements)

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“…The causes of high heterogeneity are also related to the patients' sex, age, and medical history; the severity, duration and previous treatment of OAB symptoms; urodynamic factors, such as detrusor overactivity, bladder capacity, compliance and pressure; and the patients' mental state. Studies have found that the ENS has a better effect on nonneurogenic OAB than on neurogenic OAB [20,30]. However, our results show that the evidence of successful treatment with ENS is the same for neurogenic, nonneurogenic and refractory OAB.…”

Section: Discussioncontrasting

confidence: 57%

“…On the other hand, it is also to bear the brunt that standards and units of OAB evaluation items vary [20]. Although the evaluation results are objective for urodynamic evaluation, to a certain extent, the long time and high cost affect the evaluation.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, it is also to bear the brunt that standards and units of OAB evaluation items vary [20].…”

Section: Discussionmentioning

confidence: 99%

“…1. The 10 remaining articles [13][14][15][16][17][18][19][20][21][22] reported data from 39 different meta-analyses that examined three areas: Clinical efficacy, safety and quality of life.…”

Section: Characteristics Of the Included Systematic Review And Meta-a...mentioning

confidence: 99%

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Electric nerve stimulation for overactive bladder: an umbrella review

Jiang

et al. 2021

International Journal of Rehabilitation Research

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Numerous systematic reviews and meta-analyses have reported the effect of electrical nerve stimulation (ENS) on overactive bladder (OAB). However, these results are contradictory. We conducted an umbrella review to summarize the evidence and evaluate the effectiveness of ENS for OAB by using an umbrella review methodology from multiple perspectives with sufficient methodological quality. We searched the PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL and PsycINFO databases and two Chinese databases (CNKI and CBM) to identify articles written in English or Chinese that were published up to 15 February 2021. Two authors of this review independently selected the studies, assessed their quality, and extracted the data from all the included studies. We performed a quality assessment of eligible reviews using the AMSTAR 2.0 tool and estimated the summary effect size, 95% confidence intervals, 95% prediction intervals and heterogeneity. Ten systematic reviews and meta-analyses covering 89 randomized controlled trials and 16 prospective cohort studies with a total population of 5004 participants that investigated the effect of ENS for OAB in terms of 17 different outcomes were identified. ENS seems effective and safety for OAB, with our results showing weak evidence of clinical efficacy and no evidence of side effects. To recommend ENS as a practical treatment option for OAB, however, more high-quality research is needed.

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Section: Discussioncontrasting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

“…On the other hand, it is also to bear the brunt that standards and units of OAB evaluation items vary [20].…”

Section: Discussionmentioning

confidence: 99%

Section: Characteristics Of the Included Systematic Review And Meta-a...mentioning

confidence: 99%

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Electric nerve stimulation for overactive bladder: an umbrella review

Jiang

et al. 2021

International Journal of Rehabilitation Research

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“…Percutaneous tibial nerve stimulation is an office procedure in which electrical stimulation via an acupuncture needle is delivered in twelve 30-minute weekly sessions, followed by monthly maintenance therapy. Industry-supported studies of percutaneous tibial nerve stimulation have reported subjective improvement of 60% (95% CI, 49%-75%), with low rates of transient local adverse events (8.5%) and efficacy similar to that of anticholinergic medications …”

Section: Methodsmentioning

confidence: 99%

Urinary Incontinence in Women

Lukacz

Santiago‐Lastra

Albo

et al. 2017

JAMA

305

222

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Urinary incontinence symptoms are highly prevalent among women, have a substantial effect on health-related quality of life and are associated with considerable personal and societal expenditure. Two main types are described: stress urinary incontinence, in which urine leaks in association with physical exertion, and urgency urinary incontinence, in which urine leaks in association with a sudden compelling desire to void. Women who experience both symptoms are considered as having mixed urinary incontinence. Research has revealed overlapping potential causes of incontinence, including dysfunction of the detrusor muscle or muscles of the pelvic floor, dysfunction of the neural controls of storage and voiding, and perturbation of the local environment within the bladder. A full diagnostic evaluation of urinary incontinence requires a medical history, physical examination, urinalysis, assessment of quality of life and, when initial treatments fail, invasive urodynamics. Interventions can include non-surgical options (such as lifestyle modifications, pelvic floor muscle training and drugs) and surgical options to support the urethra or increase bladder capacity. Future directions in research may increasingly target primary prevention through understanding of environmental and genetic risks for incontinence.

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Treatment for overactive bladder

2021

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Background: We aim to compare the safety and effectiveness of transcutaneous tibial nerve stimulation (TTNS) versus percutaneous tibial nerve stimulation (PTNS) in treating overactive bladder. Methods: A systematical search on PubMed, Embase, clinicalTrial.gov, and Cochrane Library Central Register of Controlled Trials from January 1, 1999 to November 1, 2020 was performed. The primary outcomes were the changes in a 3-day voiding diary. Quality of life scores were also evaluated. Review Manager 5.3 (Cochrane Collaboration, Oxford, UK) was applied to conduct all statistical analyses. Results: A total of 4 trials (2 randomized controlled trials, 1 retrospective study, and 1 before-after study) with 142 patients were eventually enrolled. Compared with PTNS, TTNS had a similar performance in the voiding frequency in 24 hours (mean difference [MD] = −0.65, 95% confidence interval [CI]: −1.35 to 0.05, P = .07), the number of urgency episodes in 24 hours (MD = 0.13, 95% CI: −0.36 to 0.62, P = .60), the number of incontinence episodes in 24 hours (MD = 0.01, 95% CI: −0.13 to 0.14, P = .93), as well as in the nocturia frequency (MD = −0.14, 95% CI: −0.52 to 0.24, P = .47). Moreover, comparable results were observed regarding HRQL scores ( P = .23) and incontinence quality of life scores ( P = .10) in both groups. The total complication rate in the current study was 2.1% (3/142). No adverse events were identified in the TTNS group. Conclusion: Current data supported that TTNS is as effective as PTNS for the treatment of overactive bladder, moreover, with no reported adverse events. However, the evidence is low-grade and well-designed prospective studies with a large sample size are warranted to verify our findings.

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Management of overactive bladder review: the role of percutaneous tibial nerve stimulation

Cited by 4 publications

References 41 publications

Electric nerve stimulation for overactive bladder: an umbrella review

Electric nerve stimulation for overactive bladder: an umbrella review

Urinary Incontinence in Women

Treatment for overactive bladder

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