Electroestimulación transcutánea en la región sacra en pacientes con vejiga urinaria hiperactiva.

OBJECTIVE: To know the clinical evolution with sacral transcutaneous electrical neural stimulation therapy in patients with overactive bladder (OAB). MATERIALS AND METHODS: Retrospective cohort study of patients diagnosed with OAB who received treatment with TENS. RESULTS: Nineteen patients with OAB were included, 12 female and 7 male. Follow-up was 12 to 32 months. Thirteen of the 19 cases received prior treatment with anticholinergics and / or botulinum toxin type A. The frequency and daytime urinary incontinence improved by 100% and 87.5% respectively. Chronic constipation was completely corrected in all cases (100%) with laxative and TENS management. In enuresis associated with OAB, the response to TENS was low. CONCLUSIONS: OAB symptoms showed good results with TENS management, without collateral effects. The combination of laxative with TENS seems to improve constipation. TENS should be considered the better initial option rather than the anticholinergic therapy in the management of children with OAB because don`t have collateral effects. In enuresis with OAB, the response is low with TENS. It`s necessary a study with more cases to confirm these results. [ABSTRACT FROM AUTHOR]