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Pelvic floor electrostimulation in women with urinary incontinence and/or overactive bladder syndrome: a systematic
J Jerez-Roig1, D L B Souza, A Espelt
1Servicio de Rehabilitación, Hospital Can Misses, Ibiza, España.
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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