- Stress urinary incontinence (SUI)
- Urge urinary incontinence (UUI)
- Mixed urinary incontinence (MUI).
- It is also used to treat faecal incontinence (FI).
- ES used to treat SUI, MUI and FI affects the striated muscles, not the nerves.
- ES used to treat UUI and MUI affects the nerves controlling the bladder, not the muscles. This is also known as neuromodulation
- Intra-anal ES targets the striated muscle of the external anal sphincter (EAS) to build the strength, endurance and reactivity of the sphincter and also to allow the person to increase their awareness of how pelvic floor muscle and sphincter contraction feels. This is useful in the treatment of FI.
- Transcutaneous posterior tibial nerve stimulation (TPTNS) targets the tibial nerve in the person’s ankle. It uses surface electrodes to stimulate the tibial nerve and access the sacral nerve plexus. Tibial nerve stimulation is thought to have two effects:
- It reduces the frequency and intensity of the urgency sensation
- It increases the person’s functional bladder capacity
Your taskUsing your search engine of choice, type the following search terms into the search box:
- electrical stimulation for urinary incontinence
- electrical stimulation for faecal incontinence
- transcutaneous tibial nerve stimulation
- percutaneous tibial nerve stimulation
Further readingIf you would like any further information, you may find the following websites useful:
- The Cochrane review of non-invasive electrical stimulation for treatment of stress urinary incontinence in women
- The Cochrane review of electrical stimulation with non-implanted electrodes for urinary incontinence in men
- The effectiveness of transcutaneous tibial nerve stimulation (TTNS) for adults with overactive bladder syndrome: A systematic review.
References1. Stewart F, Berghmans B, Bø K, Glazener CMA. Non-invasive electrical stimulation for stress urinary incontinence in women. Cochrane Library. December 2017. [Cited 28 August 2018]. Available from: https://www.cochrane.org/CD012390/INCONT_non-invasive-electrical-stimulation-stress-urinary-incontinence-women2. Berghmans B, Hendriks E, Bernards A, de Bie R, Omar M. Electrical stimulation with non-implanted electrodes for urinary incontinence in men. Cochrane Library. June 2013. [Cited 28 August 2018]. Available from: https://www.cochrane.org/CD001202/INCONT_electrical-stimulation-with-non-implanted-electrodes-for-urinary-incontinence-in-men3. 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. Neurourology and Urodynamics. 2017 July;37:2. [Cited 28 August 2018] Available from: https://doi.org/10.1002/nau.233514. Scott M. Pelvic Floor Rehabilitation in the Treatment of Fecal Incontinence. Clinics in Colon and Rectal Surgery 2014;27(03):99-105. [Cited 28 August 2018] Available from:https://doi.org/10.1055/s-0034-1384662
Understanding Continence Promotion: Effective Management of Bladder and Bowel Dysfunction in Adults
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