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Federación Mexicana de Ginecología y Obstetricia, A.C.

2014, Número 08

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Ginecol Obstet Mex 2014; 82 (08)


Estimulación del nervio tibial posterior como tratamiento de la disfunción del piso pélvico. Revisión de la bibliografía

Sucar-Romero S, Escobar-del Barco L, Rodríguez-Colorado S, Gorbea-Chávez V

Idioma: Español
Referencias bibliográficas: 40
Paginas: 535-546
Archivo PDF: 505.59 Kb.


RESUMEN

Antecedentes: la disfunción del piso pélvico que afecta a la mujer es de alta prevalencia y puede manifestarse con diversos síntomas clínicos, que incluyen frecuencia y urgencia urinaria, con o sin incontinencia, retención o trastorno del vaciamiento urinario, incontinencia fecal, obstrucción defecatoria, disfunción sexual y dolor pélvico. En las últimas dos décadas surgió la inquietud de ofrecer a las pacientes con disfunción del piso pélvico una terapéutica avanzada con enfoque integral.
Objetivo: exponer los estudios encontrados en la bibliografía relacionados con distintas aplicaciones de la estimulación del nervio tibial posterior en la disfunción del piso pélvico, sus alcances y destacar las tendencias más actuales de esta terapia.
Material y método: estudio retrospectivo fundamentado en la revisión de la bibliografía en donde se utilizaron las palabras clave en idioma inglés o MeSH (PubMed): estimulación del nervio tibial posterior, estimulación nerviosa sacra, disfunción del piso pélvico, incontinencia anal, incontinencia urinaria, retención urinaria y vejiga hiperactiva.
Conclusiones: la estimulación del nervio tibial posterior es, hoy en día, una de las opciones terapéuticas más prometedoras para padecimientos del piso pélvico.


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