title: Pelvic floor electrostimulation in women with urinary incontinence and/or overactive bladder syndrome: a systematic review.
abstract: BACKGROUND
  Electrostimulation (ES) is one of the techniques employed in conservative treatment of urinary incontinence (UI) and/or overactive bladder syndrome (OAB). Nevertheless, there is controversy in the scientific literature regarding its effectiveness as monotherapy.
  
  
  OBJECTIVE
  To evaluate the scientific evidence on ES of the pelvic floor in women with UI and with/without OAB.
  
  
  METHODS
  A systematic review of clinical trials was carried out in the following databases: PubMed, Cochrane, PEDro, Elsevier (Doyma) and EnFisPo (1980-2011). Quality of study registries was evaluated and information was obtained from those that presented the inclusion criteria established in the review.
  
  
  RESULTS
  The 27 clinical trials were included in the review: 13 randomized controlled trials, 11 randomized non-controlled trials and 3 non-randomized trials.
  
  
  CONCLUSIONS
  Most of the clinical trials conclude that ES is effective in the treatment of UI and OAB in women. However, better methodological quality studies are needed to obtain a higher level of scientific evidence and to know the optimal current modality, type and parameters for each type of UI and OAB.
authors.affiliation: Servicio de Rehabilitación, Hospital Can Misses, Ibiza, España. Electronic address: javijerez81@hotmail.com.
authors.forename: J
authors.initials: J
authors.lastname: Jerez-Roig
authors.forename: D L B
authors.initials: DL
authors.lastname: Souza
authors.forename: A
authors.initials: A
authors.lastname: Espelt
authors.forename: M
authors.initials: M
authors.lastname: Costa-Marín
authors.forename: A M
authors.initials: AM
authors.lastname: Belda-Molina
mesh_terms: D002986:Clinical Trials as Topic; D003362:Cost-Benefit Analysis; D004599:Electric Stimulation Therapy / Q000009:adverse effects / Q000191:economics / Q000295:instrumentation / Q000379:methods; D004567:Electrodes, Implanted; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D008160:Lumbosacral Plexus / Q000503:physiopathology; D059952:Pelvic Floor Disorders / Q000150:complications / Q000628:therapy*; D011795:Surveys and Questionnaires; D004561:Transcutaneous Electric Nerve Stimulation; D016896:Treatment Outcome; D053201:Urinary Bladder, Overactive / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D014549:Urinary Incontinence / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*