#474
PARASACRAL TRANSCUTANEOUS ELECTRICAL STIMULATION IN OVERACTIVE BLADDER IN OLDER WOMEN: A RANDOMIZED AND CONTROLLED CLINICAL TRIAL
Alves A1, Ayres D1, Jacomo R1, Pereira L1, Barbosa M1, Hosein K2, Manley M2, Doralp S2, Paplinskie S2, Mottola M2
1. University of Brasilia, 2. The University of Western Ontario
KEYWORDS: Conservative Treatment, Physiotherapy, Overactive Bladder, Gerontology, Quality of Life (QoL)
Changes inherent to the aging process may be related to the increased prevalence of voiding dysfunction in older women, including overactive bladder (OAB) (1). Parasacral transcutaneous electrical stimulation (PTES) is used as a minimally invasive intervention alternative for the treatment of OAB, and its results are evidenced by the improvement of the clinical picture and urodynamic variables in children, and by the ability to produce effects similar to tibial nerve electrostimulation when quality of life and voiding habits in elderly women were studied (2). It is believed that the mechanism of action of PTES is based on the activation of large-caliber afferent fibers, which suppress information from Aδ and C fibers (physiologically involved in the bladder sensory mechanism), resulting in the non-activation of the micturition reflex. In addition, stimulation of sacral fibers produces increased muscle tone in the pelvic floor and activation of the sympathetic efferent fibers, resulting in the activation of the inhibitory reflexes involved in the bladder filling phase (3). The study aims to evaluate the effects of PTES on voiding habits and quality of life in older women with OAB.
Read the full abstract text here: https://www.ics.org/2020/abstract/474
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