Electrical Stimulation of the Posterior Tibialis Nerve Improves Symptoms of Poststroke Neurogenic Overactive Bladder in Men: A Randomized Controlled Trial

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dc.contributor.author Monteiro, Ebe Santos
dc.contributor.author Coin de Carvalho, Luciane Bizari
dc.contributor.author Fukujima, Marcia Maiumi
dc.contributor.author Lora, Mayra Ivanoff
dc.contributor.author Prado, Gilmar Fernandes do
dc.date.accessioned 2016-01-24T14:37:49Z
dc.date.available 2016-01-24T14:37:49Z
dc.date.issued 2014-09-01
dc.identifier http://dx.doi.org/10.1016/j.urology.2014.05.031
dc.identifier.citation Urology. New York: Elsevier B.V., v. 84, n. 3, p. 509-514, 2014.
dc.identifier.issn 0090-4295
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/38179
dc.description.abstract OBJECTIVE To evaluate the effectiveness of electrical stimulation of the posterior tibialis nerve in men with neurogenic overactive bladder secondary to ischemic stroke at 45 days and 12 months after treatment.MATERIALS and METHODS We studied 24 patients older than 18 years, with ischemic stroke that occurred between 6 months and 3 years previously and with no prior urinary symptoms. These patients were randomly allocated to receive electrical stimulation of the posterior tibialis nerve twice weekly for 6 weeks (treatment group, n = 12) or general advice and stretching sessions 1 to 3 times monthly for 6 weeks (control group, n = 12). Each session lasted 30 minutes in both groups. the primary outcomes were reduction in urinary frequency, reduction in urinary urgency, and overall improvement in voiding diary variables.RESULTS Patients in the electrical stimulation group, in relation to baseline and to control group, experienced improvement in urinary symptoms, reducing urinary urgency and frequency, and reported subjective improvement after treatment. This effect persisted after 12 months of follow-up. the patients with lesion in right hemisphere, advanced age, and with higher body mass index presented more chance to develop urinary symptoms.CONCLUSION Electrical stimulation of the posterior tibialis nerve is a safe and effective option for the treatment of poststroke neurogenic overactive bladder in men, reducing urinary frequency and urgency. (C) 2014 Elsevier Inc. en
dc.format.extent 509-514
dc.language.iso eng
dc.publisher Elsevier B.V.
dc.relation.ispartof Urology
dc.rights Acesso restrito
dc.title Electrical Stimulation of the Posterior Tibialis Nerve Improves Symptoms of Poststroke Neurogenic Overactive Bladder in Men: A Randomized Controlled Trial en
dc.type Artigo
dc.rights.license http://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Universidade Federal de São Paulo, UNIFESP, Dept Med, São Paulo, Brazil
dc.description.affiliation Universidade Federal de São Paulo, UNIFESP, Dept Neurol, São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, UNIFESP, Dept Med, São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, UNIFESP, Dept Neurol, São Paulo, Brazil
dc.identifier.doi 10.1016/j.urology.2014.05.031
dc.description.source Web of Science
dc.identifier.wos WOS:000341366000005



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