{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:23:36Z","timestamp":1787063016035,"version":"build-2736575974"},"reference-count":40,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2022,3,17]],"date-time":"2022-03-17T00:00:00Z","timestamp":1647475200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Urinary incontinence is considered a health problem that both elderly and young people can suffer, most often elderly women. This problem can lead to difficulties in establishing social relationships and dependence, negatively affecting the quality of life of the people who suffer from it. To evaluate and analyze the studies that demonstrate the efficacy of interventions based on the neuromodulation of the posterior tibial nerve as a treatment for the control of urinary incontinence. The search period for articles focused on those published between March 2011 to March 2021, in five databases (Pubmed, Cochrane Library, Scielo, Google Academic and WOS) based on the clinical question, using the keywords derived from the DeCS and MeSH thesauri, combined with the Boolean operators \u201cAND\u201d, \u201cNOT\u201d and \u201cOR\u201d. The search was limited to publications from the last 10 years, in English and Spanish. After applying the selection criteria and evaluating the quality of the methodology, 5.28% (n = 27) of the 511 results were included with filters: 9 systematic reviews, 10 cohorts and 8 randomized controlled trials. After comparing the different articles, it was found that percutaneous stimulation of the tibial nerve is a suitable technique for treating overactive bladder. It is a promising technique in case of pelvic floor dysfunctions and effective for the control of urinary incontinence.<\/jats:p>","DOI":"10.3390\/medicina58030442","type":"journal-article","created":{"date-parts":[[2022,3,20]],"date-time":"2022-03-20T21:34:27Z","timestamp":1647812067000},"page":"442","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Neuromodulation of the Posterior Tibial Nerve for the Control of Urinary Incontinence"],"prefix":"10.3390","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9915-0567","authenticated-orcid":false,"given":"\u00c1lvaro","family":"Astasio-Picado","sequence":"first","affiliation":[{"name":"Nursing, Physiotherapy and Occupational Therapy Department, Faculty of Health Sciences, University of Castilla-La Mancha, Real F\u00e1brica de Sedas, s\/n, 45600 Talavera de la Reina, Toledo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda","family":"Garc\u00eda-Cano","sequence":"additional","affiliation":[{"name":"Nursing, Physiotherapy and Occupational Therapy Department, Faculty of Health Sciences, University of Castilla-La Mancha, Real F\u00e1brica de Sedas, s\/n, 45600 Talavera de la Reina, Toledo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,3,17]]},"reference":[{"key":"ref_1","first-page":"219","article-title":"Incontinencia urinaria","volume":"24","author":"Chiang","year":"2013","journal-title":"Rev. Med. Clin. Condes."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"25","DOI":"10.37551\/S2254-28842021003","article-title":"Incontinencia urinaria: Causas y cuidados de enfermer\u00eda. Una revisi\u00f3n bibliogr\u00e1fica","volume":"24","year":"2021","journal-title":"Enfermer\u00eda Nefrol\u00f3gica"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S1283-081X(15)76283-1","article-title":"Incontinencia urinaria de la mujer","volume":"52","author":"Deffieux","year":"2016","journal-title":"EMC-Ginecol. Obstet."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.ajog.2019.09.011","article-title":"Can postpartum pelvic floor muscle training reduce urinary and anal incontinence?: An assessor-blinded randomized controlled trial","volume":"222","author":"Sigurdardottir","year":"2020","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_5","first-page":"CD009508","article-title":"Comparisons of approaches to pelvic floor muscle training for urinary incontinence in women","volume":"12","author":"HErderschee","year":"2011","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1007\/s00192-009-0976-9","article-title":"An International Urogynecological Association (IUGA)\/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction","volume":"21","author":"Haylen","year":"2010","journal-title":"Int. Urogynecol. J."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1002\/nau.23351","article-title":"The effectiveness of transcutaneous tibial nerve stimulation (TTNS) for adults with overactive bladder syndrome: A systematic review","volume":"37","author":"Booth","year":"2018","journal-title":"Neurourol. Urodyn."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.ogc.2015.10.002","article-title":"Overactive Bladder","volume":"43","author":"White","year":"2016","journal-title":"Obstet. Gynecol. Clin. N. Am."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"340","DOI":"10.4067\/S0034-98872012000300009","article-title":"Validation of the International Consultation on Incontinence Questionnaire Short-Form (ICIQ-SF) in a Chilean population user of the National Health Fund (FONASA)","volume":"140","author":"Busquets","year":"2012","journal-title":"Rev. Med. Chile."},{"key":"ref_10","first-page":"232","article-title":"Urinary incontinence in the elderly","volume":"29","author":"Chiang","year":"2018","journal-title":"Rev. Med. Clin. Condes."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1016\/S0210-4806(08)73899-3","article-title":"Treatment of stress urinary incontinence with perineal biofeedback with surface electrodes","volume":"32","author":"Lorenzo","year":"2008","journal-title":"Actas Urol. Esp."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1093\/ptj\/83.8.713","article-title":"Reliability of the PEDro scale for rating quality of randomized controlled trials","volume":"83","author":"Maher","year":"2003","journal-title":"Phys Ther."},{"key":"ref_13","first-page":"59","article-title":"Levels of Clinical Evidence and Grades of Recommendation","volume":"29","year":"2012","journal-title":"Rev. S. Traum. y Ort."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1046","DOI":"10.1016\/j.urology.2011.07.1394","article-title":"Percutaneous tibial nerve stimulation in treatment of overactive bladder: When should retreatment be started?","volume":"78","author":"Marchal","year":"2011","journal-title":"Urology"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1206","DOI":"10.1002\/nau.22251","article-title":"Effectiveness of percutaneous posterior tibial nerve stimulation for overactive bladder: A systematic review and meta-analysis","volume":"31","author":"Burton","year":"2012","journal-title":"Neurourol. Urodyn."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1002\/nau.22266","article-title":"Sustained therapeutic effects of percutaneous tibial nerve stimulation: 24-month results of the STEP study","volume":"32","author":"Peters","year":"2013","journal-title":"Neurourol. Urodyn."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1007\/s00192-012-1936-3","article-title":"Sustained effectiveness of percutaneous tibial nerve stimulation for overactive bladder s\u00edndrome: 2-year follow-up of positive responders","volume":"24","author":"Yoong","year":"2013","journal-title":"Int. Urogynecol. J."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Gaziev, G., Topazio, L., Iacovelli, V., Asimakopoulos, A., Di Santo, A., De Nunzio, C., and Finazzi-Agr\u00f2, E. (2013). Percutaneous Tibial Nerve Stimulation (PTNS) efficacy in the treatment of lower urinary tract dysfunctions: A systematic review. BMC Urol., 13.","DOI":"10.1186\/1471-2490-13-61"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1002\/nau.22296","article-title":"Effects of percutaneous tibial nerve stimulation on adult patients with overactive bladder s\u00edndrome: A systematic review","volume":"32","author":"Berghmans","year":"2013","journal-title":"Neurourol. Urodyn."},{"key":"ref_20","first-page":"535","article-title":"Posterior tibial nerve stimulation as a treatment for pelvic floor dysfunction, Literature review","volume":"82","author":"Sucar","year":"2014","journal-title":"Ginecol. Obstet. Mex."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1016\/j.urology.2014.05.031","article-title":"Electrical stimulation of the posterior tibialis nerve improves symptoms of poststroke neurogenic overactive bladder in men: A randomized controlled trial","volume":"84","author":"Santos","year":"2014","journal-title":"Urology"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1007\/s11934-014-0479-1","article-title":"Percutaneous tibial nerve stimulation and sacral neuromodulation: An update","volume":"16","author":"Priyanka","year":"2015","journal-title":"Curr. Urol. Rep."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1097\/MOU.0000000000000180","article-title":"The management of overactive bladder: Percutaneous tibial nerve stimulation, sacral nerve stimulation, or botulinum toxin?","volume":"25","author":"Tubaro","year":"2015","journal-title":"Curr. Opin. Urol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1016\/j.eururo.2015.07.001","article-title":"Tibial Nerve Stimulation for Treating Neurogenic Lower Urinary Tract Dysfunction: A Systematic Review","volume":"68","author":"Schneider","year":"2015","journal-title":"Eur. Urol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1007\/s00192-015-2814-6","article-title":"Posterior tibial nerve stimulation in the management of lower urinary tract symptoms in patients with multiple sclerosis","volume":"27","author":"Zecca","year":"2016","journal-title":"Int. Urogynecol. J."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.ejogrb.2015.09.020","article-title":"Transcutaneous posterior tibial nerve stimulation versus extended release oxybutynin in overactive bladder patients. A prospective randomized trial","volume":"196","author":"Naser","year":"2016","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_27","first-page":"145","article-title":"Effectiveness of percutaneous tibial nerve stimulation in the treatment of overactive bladder syndrome","volume":"14","author":"Heesakkers","year":"2017","journal-title":"Res. Rep. Urol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1016\/j.acuro.2017.01.009","article-title":"Transcutaneous stimulation of the posterior tibial nerve for treating refractory urge incontinence of idiopathic and neurogenic origin","volume":"41","author":"Valles","year":"2017","journal-title":"Actas. Urol. Esp."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1590\/s1677-5538.ibju.2015.0719","article-title":"Percutaneous tibial nerve stimulation versus electrical stimulation with pelvic floor muscle training for overactive bladder syndrome in women: Results of a randomized controlled study","volume":"43","author":"Vecchioli","year":"2017","journal-title":"Int. Braz. J. Urol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.urology.2017.04.059","article-title":"Percutaneous Tibial Nerve Stimulation Therapy for Overactive Bladder Syndrome: Clinical Effectiveness, Urodynamic, and Durability Evaluation","volume":"108","author":"Aragon","year":"2017","journal-title":"Urology"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1002\/nau.22868","article-title":"Long term sustained therapeutic effects of percutaneous posterior tibial nerve stimulation treatment of neurogenic overactive bladder in multiple sclerosis patients: 12-months results","volume":"36","author":"Kabay","year":"2017","journal-title":"Neurourol. Urodyn."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1590\/s1677-5538.ibju.2016.0611","article-title":"Effectiveness and durability of solifenacin versus percutaneous tibial nerve stimulation versus their combination for the treatment of women with overactive bladder syndrome: A randomized controlled study with a follow-up of ten month","volume":"44","author":"Vecchioli","year":"2018","journal-title":"Int. Braz. J. Urol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1002\/nau.23843","article-title":"Efficacy of transcutaneous stimulation of the posterior tibial nerve compared to percutaneous stimulation in idiopathic overactive bladder syndrome: Randomized control trial","volume":"38","author":"Blanco","year":"2019","journal-title":"Neurourol. Urodyn."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1253","DOI":"10.1007\/s00192-018-3822-0","article-title":"Subjective and objective responses to PTNS and predictors for success: A retrospective cohort study of percutaneous tibial nerve stimulation for overactive bladder","volume":"30","author":"Iyer","year":"2019","journal-title":"Int. Urogynecol. J."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1735","DOI":"10.1007\/s00192-018-3834-9","article-title":"Predictors of successful precutaneous tibial nerve stimulation (PTNS) in the treatment of overactive bladder syndrome","volume":"30","author":"Rostamina","year":"2019","journal-title":"Int. Urogynecol. J."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1676","DOI":"10.1002\/nau.24038","article-title":"Factors associated with overactive bladder symptom improvement after 1 year of monthly percutaneous tibial nerve stimulation therapy","volume":"38","author":"Pincus","year":"2019","journal-title":"Neurourol. Urodyn."},{"key":"ref_37","first-page":"180","article-title":"Early evaluation of an implanted chronic tibial nerve stimulation device versus percutaneous nerve stimulation for the the treatment of urinary urge incontinence","volume":"38","author":"Sirls","year":"2019","journal-title":"Neurourol. Urodyn."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1007\/s00192-019-04186-3","article-title":"Posterior tibial nerve stimulation for overactive bladder- techniques anda efficacy","volume":"31","author":"Alka","year":"2020","journal-title":"Int. Urogenicol. J."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1016\/j.rh.2020.02.001","article-title":"Percutaneous tibial nerve stimulation in urge urinary incontinence: A prospective study","volume":"54","author":"Fuentes","year":"2020","journal-title":"Rehabilitaci\u00f3n"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1097\/JU.0000000000000875.04","article-title":"Shortened 6-week percutaneous tibial nerve stimulation for refractory overactive bladder. A randomised controlled trial","volume":"203","author":"Lashin","year":"2020","journal-title":"J. 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