Evidence map›Paper›PMID 41084966›Full record

SynthesisBirth defects research2025

Electrostimulation in Children With Neurogenic Bladder due to Spina Bifida: Systematic Review and Meta-Analysis.

Paula Orduña-Martínez, David Hernández-Guillén, José-María Blasco, Sara Cortés-Amador, Mercè Balasch-Bernat, Laura Fuentes-Aparicio

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Birth defects research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Paula Orduña-MartínezDepartment of Physiotherapy, Universitat de València, Valencia, Spain.
David Hernández-GuillénDepartment of Physiotherapy, Universitat de València, Valencia, Spain.ORCID 0000-0002-4289-5688
José-María BlascoDepartment of Physiotherapy, Universitat de València, Valencia, Spain.ORCID 0000-0002-7663-9092
Sara Cortés-AmadorDepartment of Physiotherapy, Universitat de València, Valencia, Spain.ORCID 0000-0001-6294-6131
Mercè Balasch-BernatDepartment of Physiotherapy, Universitat de València, Valencia, Spain.ORCID 0000-0002-0216-0628
Laura Fuentes-AparicioDepartment of Physiotherapy, Universitat de València, Valencia, Spain.ORCID 0000-0001-8830-9958

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis systematic review and meta-analysis aimed to evaluate the efficacy of electrotherapy techniques in the treatment of neurogenic bladder in children with spina bifida.

methodsA systematic search was conducted in MEDLINE, EMBASE, Web of Science, PEDro, and Biblioteca Virtual databases for studies published up to February 2025. Eligible studies included children aged 3-21 with neurogenic bladder due to spina bifida who underwent invasive or non-invasive electrotherapy. The outcomes included were bladder compliance, while secondary outcomes assessed cystometric capacity, detrusor pressure, detrusor leak point pressure, and lower urinary tract symptoms. Methodological quality was assessed using the PEDro scale and the Cochrane Risk of Bias Tool for randomized studies, and the ROBINS-I tool for non-randomized studies. This study was prospectively registered in the Prospero database (CRD-42021242845).

results9 studies involving 303 participants (180 receiving electrotherapy and 123 controls) were included, of which four were eligible for meta-analysis. Electrotherapy showed a moderate increase in bladder compliance (+2 mL/cmH2O, 95% CI: 0-5) and maximum cystometric capacity (+73 mL, 95% CI: 56-90). Detrusor pressure decreased (-22 cmH2O, 95% CI: 7-38), while detrusor leak point pressure increased (+13 cmH2O, 95% CI: 2-25). Lower urinary tract symptoms showed inconsistent improvements. The certainty of evidence was low to very low for most outcomes due to study heterogeneity and methodological limitations.

conclusionElectrotherapy appears to improve bladder compliance, cystometric capacity, and detrusor pressure in children with neurogenic bladder due to spina bifida. However, due to the variability in study quality and intervention parameters, further high-quality research is needed to confirm its clinical efficacy.

Indexed as

Electric Stimulation TherapySpinal DysraphismUrinary Bladder, NeurogenicAdolescentChildChild, PreschoolFemaleHumansMaleTreatment OutcomeUrinary Bladderelectrotherapyincontinenceneurogenic bladderneuromodulationspina bifida

Identifiers

PMID41084966
PMCPMC12519759

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.