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Revista mexicana de urología
On-line version ISSN 2007-4085Print version ISSN 0185-4542
Abstract
PEREZ−MARTINEZ, Carlos et al. Neuromodulation through electrical stimulation of the tibial nerve for the treatment of enuresis: current status. Rev. mex. urol. [online]. 2019, vol.79, n.3, e09. Epub Nov 27, 2020. ISSN 2007-4085.
Objective:
Enuresis is urinary incontinence in children and it negatively affects their quality of life, causing psychologic and social stress. There is no consensus on the treatment of enuresis using neuromodulation through percutaneous, electrical posterior tibial nerve stimulation (PTNS). The present review analyzes the current status of enuresis treatment with neuromodulation through PTNS.
Materials and Methods:
A systematic search in the PubMed, Cochrane, and Scopus databases was carried out for articles on enuresis published within the last ten years, in Spanish and English.
Results:
Only 5 articles referred to PTNS and enuresis, 3 in English and 2 in Spanish. The overall clinical response rate was from 9% to 85%, with almost no adverse effects. Treatment was reported as ineffective in 20% of patients in one of the studies.
Conclusions:
Neuromodulation through PTNS offers good results as treatment for enuresis, but controlled studies are needed to determine its therapeutic relevance, especially regarding the monosymptomatic condition.
Keywords : Enuresis; Tibial nerve; Neuromodulation; Electrical nerve stimulation; Children.