{"title":"Home and outpatient electrostimulation in the treatment of urinary incontinence in women: a systematic review.","authors":"Suele Moura Oliveira Coelho Caetano, Elma Gomes Pereira, Aline Moreira Ribeiro, Júlia Barros Brito, Clarcson Plácido Conceição Dos Santos","doi":"10.1186/s12905-025-03568-8","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Urinary incontinence (UI) is defined as any involuntary loss of urine and can be associated with urgency and/or physical exertion. Electrical stimulation (ES) has recently been identified as a proven therapeutic alternative for UI, with few side effects and low cost. This systematic review, registered on the Prospective Register of Systematic Reviews (RD42024528812), investigated whether home-based ES would be as viable as outpatient ES in the treatment of women with UI.</p><p><strong>Methods: </strong>Study selection was conducted by two independent researchers across the following databases: Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Embase, Web of Science, Scopus, and PEDro (search conducted on February 25, 2024). We also searched the reference lists of eligible articles. There were no restrictions on date and language. The RoB2 and GRADE tools were used to assess methodological quality and evidence recommendation.</p><p><strong>Results: </strong>723 articles were found, and four trials were eligible. Very low-quality evidence indicated statistically significant differences in cure rates or improvement of urinary symptoms in women treated with both outpatient and home-based ES. Low-quality evidence recommends home-based ES in maintaining improvement of urinary symptoms, and moderate-quality evidence indicates no severity of symptoms in the home-based group.</p><p><strong>Conclusion: </strong>Home-based ES is shown to be as effective as outpatient ES in the treatment of UI in women. However, data analysis revealed low-quality evidence regarding the cure or improvement of the women's conditions.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"40"},"PeriodicalIF":2.7000,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783776/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Women's Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12905-025-03568-8","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
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Abstract
Introduction and hypothesis: Urinary incontinence (UI) is defined as any involuntary loss of urine and can be associated with urgency and/or physical exertion. Electrical stimulation (ES) has recently been identified as a proven therapeutic alternative for UI, with few side effects and low cost. This systematic review, registered on the Prospective Register of Systematic Reviews (RD42024528812), investigated whether home-based ES would be as viable as outpatient ES in the treatment of women with UI.
Methods: Study selection was conducted by two independent researchers across the following databases: Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Embase, Web of Science, Scopus, and PEDro (search conducted on February 25, 2024). We also searched the reference lists of eligible articles. There were no restrictions on date and language. The RoB2 and GRADE tools were used to assess methodological quality and evidence recommendation.
Results: 723 articles were found, and four trials were eligible. Very low-quality evidence indicated statistically significant differences in cure rates or improvement of urinary symptoms in women treated with both outpatient and home-based ES. Low-quality evidence recommends home-based ES in maintaining improvement of urinary symptoms, and moderate-quality evidence indicates no severity of symptoms in the home-based group.
Conclusion: Home-based ES is shown to be as effective as outpatient ES in the treatment of UI in women. However, data analysis revealed low-quality evidence regarding the cure or improvement of the women's conditions.
介绍和假设：尿失禁（UI）被定义为任何非自愿的尿失禁，可能与尿急和/或体力消耗有关。电刺激（ES）最近被确定为一种经过验证的治疗方案，副作用少，成本低。该系统综述注册在前瞻性系统评价注册表（RD42024528812）上，研究了在治疗女性尿失禁方面，家庭ES是否与门诊ES一样可行。方法：研究选择由两名独立研究人员在以下数据库中进行：Cochrane中央对照试验登记册（Central）、PubMed、Embase、Web of Science、Scopus和PEDro（检索于2024年2月25日进行）。我们还检索了符合条件的参考文献列表。在日期和语言上没有限制。使用RoB2和GRADE工具评估方法学质量和证据推荐。结果：共纳入文献723篇，入选试验4项。极低质量的证据表明，在接受门诊和家庭ES治疗的女性中，治愈率或泌尿系统症状的改善在统计学上有显著差异。低质量的证据建议家庭辅助泌尿系统治疗可以维持泌尿系统症状的改善，中等质量的证据表明家庭辅助泌尿系统治疗组没有出现严重的症状。结论：家庭ES与门诊ES治疗女性尿失禁同样有效。然而，数据分析显示，关于治疗或改善妇女病情的证据质量不高。
期刊介绍：
BMC Women''s Health is an open access, peer-reviewed journal that considers articles on all aspects of the health and wellbeing of adolescent girls and women, with a particular focus on the physical, mental, and emotional health of women in developed and developing nations. The journal welcomes submissions on women''s public health issues, health behaviours, breast cancer, gynecological diseases, mental health and health promotion.
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