SciELO - Scientific Electronic Library Online

 
vol.73 issue3SÍNDROME DE RUBÉOLA CONGENITA: PRIMER CASO CLÍNICO EN CHILE POST PROGRAMA DE REVACUNACIÓN author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

Share


Revista chilena de obstetricia y ginecología

Print version ISSN 0048-766XOn-line version ISSN 0717-7526

Abstract

RICCI A, Paolo; FREUNDLICH K, Odette; SOLA D, Vicente  and  PARDO S, Jack. NEUROMODULACIÓN PERIFÉRICA EN EL TRATAMIENTO DE LA INCONTINENCIA DE ORINA: EFECTO DE LA ESTIMULACIÓN TRANSCUTÁNEA DEL NERVIO TIBIAL POSTERIOR SOBRE LA VEJIGA HIPERACTIVA. Rev. chil. obstet. ginecol. [online]. 2008, vol.73, n.3, pp.209-213. ISSN 0048-766X.  http://dx.doi.org/10.4067/S0717-75262008000300011.

Objective: To demonstrate objectively the efficiency of the neuromodulation with the transcuteneous posterior tibial nerve stimulation in overactive bladder, in a patient with urge incontinence, refractory to traditional treatments. Patient: A case of urinary mixed incontinence is presented. The TVT-Secur was used for the stress urinary incontinence. The urge-incontinence due to overactive bladder was treated by transcutaneous tibial nerve neuromodulation when refractory appearing to the treatment with medicines and physiotherapy by thirty days. The action of the neuromodulation is demonstrated objectively by cystometry. Monochannel urodynamic equipment was used. The Biomed 2000 equipment was used for the transcutaneous neuromodulation, with stimuli in continuos way to 20 Hertz and 200 milliseconds. Results: The transcutaneous tibial nerve neuromodulation is able to inhibit the contraction of the detrusor, in a patient with urge-incontinence refractory to medical treatment. This is demonstrated objectively by the disappearance of the contraction noninhibited of the detrusor in the uridinamic cistometry. The maximum cystometric capacity increases and the urge-incontinence sensation diminish. Conclusión: The tibial nerve transcutaneous stimulation is an effective treatment in the overactive bladder, and the objective acute effect can be observed on the urodynamic cystometry. This therapy corresponds to a noninvasive treatment.

Keywords : Urinary incontinence; overactive detrusor; overactive bladder; urge incontinence; urodynamic.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License