Desfechos da eletroestimulação do nervo tibial posterior no tratamento da bexiga neurogênica

Autores

DOI:

https://doi.org/10.34024/rnc.2021.v29.11683

Palavras-chave:

Bexiga urinária neurogênica, Estimulação elétrica, Nervo tibial posterior, Sintomas clínicos

Resumo

Objetivo. Investigar os desfechos clínicos da eletroestimulação do nervo tibial posterior (ENTP) no tratamento da bexiga neurogênica (BN) em pacientes com diversos distúrbios neurológicos. Método. Foi realizada uma revisão de integrativa de ensaios clínicos publicados nos últimos cinco anos, nas bases de dados PubMed, Embase, Cochrane library e ScienceDirect. Os descritores usados foram: “Urinary bladder”, “Neurogenic”, “Electric stimulation” e “Posterior tibial”. Foram incluídos na revisão os ensaios clínicos com pacientes exclusivamente neurológicos, com sintomas de BN, conscientes, que realizavam ingestão de água contínua e sem contraindicações para a eletroestimulação. Foram excluídos os estudos que fizeram uso de animais, que utilizaram outras intervenções nos indivíduos submetidos à ENTP e que tiveram em sua amostra pessoas com lesões neurais periféricas graves. Resultados. Foram encontrados 287 artigos, sendo, no final da análise, selecionados apenas seis. A amostra total entre os estudos foi composta por indivíduos de ambos os sexos, portadores de três distúrbios neurológicos distintos: Lesão medular, Parkinson e Esclerose múltipla. Todas as aplicações ocorreram unilateralmente, no modo corrente contínua, com parâmetros entre 10 ou 20 HZ e largura de pulso de 200 µs. Como resultado, a ENTP alcançou desfechos positivos na qualidade de vida e na diminuição de sintomas como frequência urinária, incontinência urinária, urgência urinária e noctúria. Conclusão. A ENTP demostra trazer bons desfechos clínicos a portadores de BN e sua aplicação pode ser usada, com segurança, no tratamento de pacientes com disfunções neurológicas distintas.

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Referências

Phé V, Chartier–kastler E, Panicker J. Management of neurogenic bladder in patients with multiple sclerosis. Nat Rev Urol 2016;13:275-88. https://doi.org/10.1038/nrurol.2016.53

Przydacz M, Denys P, Corcos J. What do we know about neurogenic bladder prevalence and management in developing countries and emerging regions of the world? Ann Phys Rehabil Med 2017;60:341-6. https://doi.org/10.1016/j.rehab.2017.02.008

Liao L. Evaluation and management of neurogenic bladder: what is new in china? Int J Mol Sci 2015;16:18580-600. https://doi.org/10.3390/ijms160818580

Ruffion A, Castro-Diaz D, Patel H, Khalaf K, Onyenwenyi A, Globe D, et al. Systematic review of the epidemiology of urinary incontinence and detrusor overactivity among patients with neurogenic overactive bladder. Neuroepidemiology 2013;41:146-55. https://doi.org/10.1159/000353274

Flack C, Powell CR. The worldwide economic impact of neurogenic bladder. Curr Bladder Dysfunct Rep 2015;10:350-4. https://doi.org/10.1007/s11884-015-0323-6

Zamora IDP, Atiemo HO. Understanding the economic impact of neurogenic lower urinary tract dysfunction. Urol Clin North Am 2017;44:333-43. https://doi.org/10.1016/j.ucl.2017.04.001

Starkman J, Smith CP, Staskin DR. Surgical options for drug-refractory overactive bladder patients. Rev Urol 2010;12:97-110. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2931287/

Kabay S, Kabay SC, Cetiner M, Mestan E, Sevim M, Ayas S, et al. The clinical and urodynamic results of percutaneous posterior tibial nerve stimulation on neurogenic detrusor overactivity in patients with parkinson's disease. Urology 2016;87:76-81. https://doi.org/10.1016/j.urology.2015.09.026

Perissinotto MC, Ancona CAL, Lucio A, Campos RM, Abreu A. Transcutaneous tibial nerve stimulation in the treatment of lower urinary tract symptoms and its impact on health-related quality of life in patients with parkinson disease. J Wound Ostomy Continence Nurs 2015;42:94-9. http://repositorio.unicamp.br/jspui/handle/REPOSIP/85388

Amarenco G, Ismael SS, Even-schneider A, Raibaut P, Demaille-wlodyka S, Parratte B, et al. Urodynamic effect of acute transcutaneous posterior tibial nerve stimulation in overactive bladder. Urology 2003;169:2210-5. https://doi.org/10.1097/01.ju.0000067446.17576.bd

Coolen RL, Groen J, Blok BFM. Electrical stimulation in the treatment of bladder dysfunction: technology update. Med Devices (Auckl) 2019;12:337-45. https://doi.org/10.2147/MDER.S179898

Kabay S, Kabay SC, Yucel M, Ozden H, Yilmaz Z, Aras O, et al. The clinical and urodynamic results of a 3-month percutaneous posterior tibial nerve stimulation treatment in patients with multiple sclerosis-related neurogenic bladder dysfunction. Neurourol Urodyn 2009;28:964-8. https://doi.org/10.1002/nau.20733

Mendes KDS, Silveira RCCP, Galvao CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto contexto enferm 2008;17:758-64. https://doi.org/10.1590/S0104-07072008000400018

Stampas A, Gustafson K, Korupolu R, Smith C, Zhu L, Li S. Bladder neuromodulation in acute spinal cord injury via transcutaneous tibial nerve stimulation: cystometrogram and autonomic nervous system evidence from a randomized control pilot trial. Front Neurosci 2019;13:119. https://doi.org/10.3389/fnins.2019.00119

Stampas A, Korupolu R, Zhu L, Smith C, Gustafson K. Safety, feasibility, and efficacy of transcutaneous tibial nerve stimulation in acute spinal cord injury neurogenic. Neuromodulation 2018;22:716-22. https://doi.org/10.1111/ner.12855

Chen G, Liao L, Li Y. The possible role of percutaneous tibial nerve stimulation using adhesive skin surface electrodes in patients with neurogenic detrusor overactivity secondary to spinal cord injury. Int Urol Nephrol 2015;47:451-5. https://doi.org/10.1007/s11255-015-0911-6

Kabay SC, Kabay S, Mestan E, Cetiner M, Ayas S, Sevim M, et al. Long term sustained therapeutic effects of percutaneous posterior tibial nerve stimulation treatment of neurogenic overactive bladder in multiple sclerosis patients: 12-months results. Neurourol Urodyn 2017;36:104-10. https://doi.org/10.1002/nau.22868

Zecca C, Panicari L, Disanto G, Maino P, Singh A, Digesu GA, et al. Posterior tibial nerve stimulation in the management of lower urinary tract symptoms in patients with multiple sclerosis. Int Urogynecol J 2015;27:521-7. https://doi.org/10.1007/s00192-015-2814-6

Booth J, Connelly L, Dickson S, Duncan F, Lawrence M. The effectiveness of transcutaneous tibial nerve stimulation (TTNS) for adults with overactive bladder syndrome: a systematic review. Neurourol Urodyn 2017;37:528-41. https://doi.org/10.1002/nau.23351

Krebs J, Pannek J. Effects of solifenacin in patients with neurogenic detrusor overactivity as a result of spinal cord lesion. Spinal Cord 2013;51:306-9. https://doi.org/10.1038/sc.2012.164

Basra R, Kelleher C. A review of solifenacin in the treatment of urinary incontinence. Ther Clin Risk Manag 2008;4:117-28. https://doi.org/10.2147/TCRM.S1274

Weld KJ, Dmochowski RR. Association of level of injury and bladder behavior in patients with post-traumatic spinal cord injury. Urology 2000;55:490-4. https://doi.org/10.1016/S0090-4295(99)00553-1

Sèze M, Raibaut P, Gallien P, Even-Schneider A, Denys P, Bonniaud V, et al. Transcutaneous posterior tibial nerve stimulation for treatment of the overactive bladder syndrome in multiple sclerosis: results of a multicenter prospective study. Neurourol Urodyn 2011;30:306-11. https://doi.org/10.1002/nau.20958

Monteiro ÉS, Carvalho LBC, Fukujima MM, Lora MI, Prado GF. Electrical Stimulation of the Posterior Tibialis Nerve Improves Symptoms of Poststroke Neurogenic Overactive Bladder in Men: a randomized controlled trial. Urology 2015;84:509-14. https://doi.org/10.1016/j.urology.2014.05.031

Valles-Antuña C, Pérez-Haro ML, González-Ruiz LC, Quintás-Blanco A, Tamargo-Diaz EM, García-Rodríguez J, et al. Estimulación transcutánea del nervio tibial posterior en el tratamiento de la incontinencia urinaria de urgencia refractaria, de origen idiopático y neurogênico. Actas Urol Esp 2017;41:465-70. http://dx.doi.org/10.1016/j.acuro.2017.01.009

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Publicado

2021-08-19

Como Citar

Olinto de Brito, R. C., Batista Lima, V. ., & Pinto Lima, M. do C. . (2021). Desfechos da eletroestimulação do nervo tibial posterior no tratamento da bexiga neurogênica. Revista Neurociências, 29. https://doi.org/10.34024/rnc.2021.v29.11683

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Artigos de Revisão
Recebido: 2021-01-23
Aceito: 2021-06-28
Publicado: 2021-08-19