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Chinese Journal of Neurotraumatic Surgery(Electronic Edition) ›› 2026, Vol. 12 ›› Issue (02): 98-107. doi: 10.3877/cma.j.issn.2095-9141.2026.02.006

• Clinical Research • Previous Articles    

Systematic review and Meta-analysis of different electrostimulation therapy for neurogenic bladder

Ziying Tian1, Wenhua Chen2, Renxin Ji1,()   

  1. 1The School of International Medical Technology, Shanghai Sanda University, Shanghai 201209, China
    2Department of Rehabilitation Medicine, Shanghai First People's Hospital, Shanghai 200080, China
  • Received:2024-12-20 Online:2026-04-15 Published:2026-06-02
  • Contact: Renxin Ji
  • Supported by:
    Shanghai Science and Technology Commission, Biomedical Special Project of "Science and Technology Innovation Action Plan"(20S31905600)

Abstract:

Objective

To explore the efficacy of different electrostimulation therapy (ET) for neurogenic bladder (NB) by Meta-analysis.

Methods

PubMed, Embase, the Cochrane Library, Web of Science, CNKI, Wanfang Data, and VIP Chinese Journal Service Platform were searched for randomized controlled trials (RCTs) of electroacupuncture (EA), tibial nerve stimulation (TNS), transcutaneous electric acupoint stimulation (TEAS) and transcutaneous electrical nerve stimulation (TENS) in the treatment of NB. The search period was from the establishment of the database to November 15, 2024. The Cochrane bias risk assessment tool was used to evaluate the quality of the included studies, and meta-analysis was conducted using Stata 15.0 and Revman 5.4.1 software.

Results

A total of 8 RCTs were included, involving 370 patients with NB. Among them, 2 were TEAS trials, 4 were TNS trials, 1 was TENS trial, and 1 was EA trial. The results of the Meta-analysis showed that ET can significantly improve the maximum bladder capacity (MD=67.96, 95%CI: 60.97-74.94) and reduce the frequency of urination [MD=-3.32, 95%CI: -6.58-(-0.06)] in SCI-related NB.

Conclusions

ET can effectively improve the maximum bladder capacity and urinary frequency symptoms in NB patients, and this effect is more significant in SCI related NB patients.

Key words: Electrostimulation therapy, Electroacupuncture, Tibial nerve stimulation, Transcutaneous acupoint electrical stimulation, Neurogenic bladder, Meta-analysis

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