Efectividad de la neuromodulación del nervio tibial posterior en el tratamiento del síndrome de la vejiga hiperactiva. Revisión

Abstract

Introduction: The overactive bladder syndrome is a problem of neuromuscular origin that implies hyperactivity of the detrusor muscle due to the hypersensitivity of the muscarinic receptors. Currently, medical treatment is based on the use of muscarinic receptor inhibitors, but this treatment has low adherence and multiple side effects. Neuromodulation of the posterior tibial nerve is a conservative approach that can avoid these problems. Objective: To verify the scientific evidence of the treatment of overactive bladder through neuromodulation of the posterior tibial nerve. Objective the effects of neuromodulation on urinary symptoms in patients with OAB. To compare the adverse effects of antimuscarinic treatment and neuromodulation. Development: The design and structure of the review followed the recommendations of the PRISMA group. The databases used were Medline, Scopus and Pedro. Full-text articles in English and Spanish were selected for a period of time between 2008 and 2020. The selected articles were evaluated using a 14-item assessment list for quantitative studies. Conclusions: Posterior tibial nerve stimulation is an equally beneficial treatment as antimuscarinic drugs for the treatment of overactive bladder syndrome, but it does not present the problems associated with it and improves the quality of life of the subjects who suffer from it.