Neuromodulación por Electro-estimulación del Nervio Tibial para el Tratamiento de Enuresis. Estado Actual.

  • Carlos Pérez-Martínez Universidad Autónoma de Tlaxcala, Tlaxcala, México
  • José Luis Palacios-Galicia Universidad Autónoma de Tlaxcala, Tlaxcala, México
  • Irma Beatríz Vargas-Díaz Centro de Urología Avanzada CURA, Delicias, Chihuahua, México
  • Álvaro Muñoz-Toscano Universidad de Guadalajara, Guadalajara, México
  • Yolanda Cruz-Gómez Universidad Autónoma de Tlaxcala, Tlaxcala, México
Palabras clave: enuresis, incontinencia urinaria infantil

Resumen

La enuresis es la incontinencia urinaria en niños y afecta negativamente su calidad de vida provocando estrés sicológico y social.  Esta revisión analiza el estado actual del tratamiento de la enuresis con neuromodulación por electro-estimulación percutánea del nervio tibial (PTNS por sus siglas en inglés) mediante la evaluación de los artículos publicados en inglés y/o español en Pubmed, Cochrane y Scopus en los últimos 10 años. Se encontró que sólo 5 artículos refieren a la PTNS y enuresis, 3 en inglés y 2 en español. El reporte global de respuesta clínica es de 9% a 85%, con efectos adversos casi nulos, aunque un estudio reportó que en un 20% de pacientes el tratamiento fue inefectivo. Se concluye que la neuromodulación por PTNS para el tratamiento de la enuresis tiene buenos resultados sin embargo, hacen falta estudios controlados para determinar su efecto en el manejo de la enuresis, especialmente la monosintomática.

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Publicado
2019-07-12
Sección
Artículos de revisión