Lower urinary tract disorders

Since tibial nerve stimulation is an effective treatment for non-neurological disorders of the lower part of the urinary tract, it can be a valuable option for this category of disorders in neurological patients. In disorders of the lower level of the urinary tract in neurogenic patients, this study was conducted according to the available reports for systematic reviews and meta-analysis. After reviewing 1943 articles, 16 studies were selected, which included 469 patients (283 women and 186 men) were included in the study. The studies conducted on the effectiveness of tibial nerve stimulation that were applied in the short term and long term, respectively, the average maximum bladder capacity from 56 to 132 and from 49 to 150 ml and the average bladder volume It increased from 92 to 44 and from 93 to 121 ml. Also, the average maximum detrusor pressure in the phase of urine production decreased from 5 to 15 and from 4 to 21 cm of water, respectively. In long-term stimulation of the tibial nerve, the average number of Excretion and the number of urine leaks in 24 hours and the amount of residual urine decreased. For this type of treatment, side effects have not been reported, although the risk of error is high. Although the results of studies show that tibial nerve stimulation is effective in the treatment of disorders of the lower urinary tract in neurological patients, but due to few and limited studies in this regard, more evidence needs to be investigated.