Transcutaneous Electrical Nerve Stimulation for Treating Neurogenic Lower Urinary Tract Dysfunction: A Systematic Review

European Urology
Tobias GrossThomas M Kessler

Abstract

Transcutaneous electrical nerve stimulation (TENS) is a promising therapy for non-neurogenic lower urinary tract dysfunction and might also be a valuable option in patients with an underlying neurological disorder. We systematically reviewed all available evidence on the efficacy and safety of TENS for treating neurogenic lower urinary tract dysfunction. The review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement. After screening 1943 articles, 22 studies (two randomised controlled trials, 14 prospective cohort studies, five retrospective case series, and one case report) enrolling 450 patients were included. Eleven studies reported on acute TENS and 11 on chronic TENS. In acute TENS and chronic TENS, the mean increase of maximum cystometric capacity ranged from 69ml to 163ml and from 4ml to 156ml, the mean change of bladder volume at first detrusor overactivity from a decrease of 13ml to an increase of 175ml and from an increase of 10ml to 120ml, a mean decrease of maximum detrusor pressure at first detrusor overactivity from 18 cmH20 to 72 cmH20 and 8 cmH20, and a mean decrease of maximum storage detrusor pressure from 20 cmH20 to 58 cmH2O and from 3 cmH20 to 8 cmH2O,...Continue Reading

References

Nov 13, 2008·International Urology and Nephrology·Krzysztof RadziszewskiRafal Swiecicki
Feb 11, 2012·Journal of Neurotrauma·Lisa A SimpsonUNKNOWN Spinal Cord Injury Rehabilitation Evidence Scire Research Team
Jan 3, 2013·Neurourology and Urodynamics·Eloy OpissoNico J M Rijkhoff
Jul 3, 2013·Nature Reviews. Urology·Jamie BartleyKenneth Peters
Jun 13, 2015·Lancet Neurology·Jalesh N PanickerThomas M Kessler
Aug 26, 2015·European Urology·Jan GroenBertil Blok

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Citations

Jul 26, 2019·Evidence-based Complementary and Alternative Medicine : ECAM·Shauh-Der YehChih-Wei Peng
Feb 14, 2020·Scientific Reports·Sven P R LuijtenBertil F M Blok
Oct 25, 2017·Der Urologe. Ausg. A·T M Kessler, S de Wachter
May 21, 2021·Neuromodulation : Journal of the International Neuromodulation Society·Sam ParittotokkapornSimon J O'Carroll

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