Caetano Suele Moura Oliveira Coelho, Pereira Elma Gomes, Ribeiro Aline Moreira, Brito Júlia Barros, Dos Santos Clarcson Plácido Conceição
Bahiana School of Medicine and Public Health, Salvador, Brazil.
University of São Paulo, Ribeirão Preto, Brazil.
BMC Womens Health. 2025 Jan 31;25(1):40. doi: 10.1186/s12905-025-03568-8.
Urinary incontinence (UI) is defined as any involuntary loss of urine and can be associated with urgency and/or physical exertion. Electrical stimulation (ES) has recently been identified as a proven therapeutic alternative for UI, with few side effects and low cost. This systematic review, registered on the Prospective Register of Systematic Reviews (RD42024528812), investigated whether home-based ES would be as viable as outpatient ES in the treatment of women with UI.
Study selection was conducted by two independent researchers across the following databases: Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Embase, Web of Science, Scopus, and PEDro (search conducted on February 25, 2024). We also searched the reference lists of eligible articles. There were no restrictions on date and language. The RoB2 and GRADE tools were used to assess methodological quality and evidence recommendation.
723 articles were found, and four trials were eligible. Very low-quality evidence indicated statistically significant differences in cure rates or improvement of urinary symptoms in women treated with both outpatient and home-based ES. Low-quality evidence recommends home-based ES in maintaining improvement of urinary symptoms, and moderate-quality evidence indicates no severity of symptoms in the home-based group.
Home-based ES is shown to be as effective as outpatient ES in the treatment of UI in women. However, data analysis revealed low-quality evidence regarding the cure or improvement of the women's conditions.
尿失禁（UI）被定义为任何非自愿性的尿液流失，可能与尿急和/或体力活动有关。电刺激（ES）最近已被确认为一种经证实的治疗尿失禁的替代方法，副作用少且成本低。本系统评价已在系统评价前瞻性注册库（RD42024528812）上注册，旨在研究家庭式电刺激在治疗女性尿失禁方面是否与门诊电刺激一样可行。
由两名独立研究人员在以下数据库中进行研究筛选：Cochrane对照试验中央注册库（CENTRAL）、PubMed、Embase、科学网、Scopus和PEDro（于2024年2月25日进行检索）。我们还检索了符合条件文章的参考文献列表。对日期和语言没有限制。使用RoB2和GRADE工具评估方法学质量和证据推荐。
共找到723篇文章，4项试验符合条件。极低质量的证据表明，接受门诊和家庭式电刺激治疗的女性在治愈率或尿路症状改善方面存在统计学上的显著差异。低质量的证据推荐家庭式电刺激用于维持尿路症状的改善，中等质量的证据表明家庭式治疗组中症状无严重程度差异。
家庭式电刺激在治疗女性尿失禁方面与门诊电刺激同样有效。然而，数据分析显示关于女性病情治愈或改善的证据质量较低。
