<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852018000500359</article-id>
<article-id pub-id-type="doi">10.24245/revmexurol.v78i5.2256</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Respuesta de la musculatura del piso pélvico a la estimulación eléctrica transcutánea del nervio pudendo durante la biorretroalimentación para incontinencia urinaria de urgencia]]></article-title>
<article-title xml:lang="en"><![CDATA[Response of the pelvic floor musculature to transcutaneous electrical stimulation of the pudendal nerve during biofeedback for urge incontinence]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Martínez]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Gómez]]></surname>
<given-names><![CDATA[Margarita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz-Gómez]]></surname>
<given-names><![CDATA[Yolanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas-Díaz]]></surname>
<given-names><![CDATA[Irma Beatríz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Autónoma de Tlaxcala  ]]></institution>
<addr-line><![CDATA[ Tlaxcala]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro de Urología Avanzada  ]]></institution>
<addr-line><![CDATA[Delicias Chihuahua]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,UNAM Instituto de Investigaciones Biomédicas ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Autónoma de Tlaxcala Centro Tlaxcala de Biología de la Conduct ]]></institution>
<addr-line><![CDATA[ Tlaxcala]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2018</year>
</pub-date>
<volume>78</volume>
<numero>5</numero>
<fpage>359</fpage>
<lpage>365</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852018000500359&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852018000500359&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852018000500359&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES:  La incontinencia urinaria de urgencia es una alteración con elevada prevalencia en México (60%), asociada con diversos grados de incapacidad para la vida diaria. El tratamiento incluye terapia conductual y neuromodulación.  OBJETIVO:  Evaluar la reacción de la musculatura del piso pélvico durante la biorretroalimentación asistida por estimulación eléctrica transcutánea del nervio pudendo en pacientes con incontinencia urinaria de urgencia.  MATERIALES Y MÉTODOS:  Estudio observacional, longitudinal, no experimental, llevado a cabo en pacientes con incontinencia urinaria de urgencia, quienes recibieron tratamiento conductual con biorretroalimentación asistida por estimulación eléctrica transcutánea del nervio pudendo. Se registraron las variables de edad, evolución y parámetros del diario vesical. Se utilizó un equipo de urodinamia (Andromeda®) con transductor transrectal, se registró la perineometría en reposo, en contracción voluntaria de la musculatura del piso pélvico y durante la electroestimulación transcutánea del nervio pudendo con el neuromuscular EMS+2 (Staodyn®). Para el análisis de los datos se utilizó el programa SPSS 10.1 (IC95% y prueba t de Student).  RESULTADOS:  Se registraron 14 pacientes, con media de edad de 59.8 ± 11.80 años. Durante la primera sesión la media de perineometría en reposo fue 1.21 ± 0.42 cmH20, en contracción voluntaria 13.64 ± 7.09 cmH20 y con electroestimulación transcutánea del nervio pudendo 46.4 ± 7.14 cmH20 (p&lt;0.05). No se reportaron reacciones adversas.  CONCLUSIONES:  La intensa contracción de la musculatura del piso pélvico (50 cmH2O), provocada por la estimulación eléctrica transcutánea del nervio pudendo durante la biorretroalimentación representa una técnica de neuromodulación efectiva, fácil de utilizar y con alta reproducibilidad en pacientes con incontinencia urinaria de urgencia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND: Urge incontinence is a highly prevalent condition and is reported at 60% in Mexico. It causes different degrees of incapacity in relation to daily life. Treatment includes behavioral therapy and neuromodulation.  OBJECTIVE:  To evaluate the response of the pelvic floor musculature during biofeedback assisted by transcutaneous electrical stimulation of the pudendal nerve in patients with urge incontinence.  MATERIALS AND METHODS: A non-experimental, longitudinal, observational clinical study was conducted on patients with urge incontinence that received behavioral treatment with biofeedback assisted by transcutaneous electrical stimulation of the pudendal nerve. Patient age, progression, and bladder diary parameters were recorded. Perineometry was recorded in the resting state and in voluntary pelvic floor musculature using the Andromeda® urodynamic equipment with a transrectal transducer and transcutaneous electrical stimulation of the pudendal nerve was carried out using the Staodyn® EMS+2 neuromuscular stimulator. The data were analyzed utilizing the SPSS 10.1 program (95% CI and Student&#8217;s t test).  RESULTS: Fourteen patients were included in the study and their mean age was 59.8 ± 11.80 years. During the first session, the mean perineometric value in the resting state was 1.21 ± 0.42 cmH20, in voluntary contraction it was 13.64 ± 7.09 cmH20, and during transcutaneous electrical stimulation of the pudendal nerve it was 46.42 ± 7.14 cmH20 (p&lt;0.05). No adverse effects were reported.  CONCLUSIONS:  The intense contraction of the pelvic floor musculature (50 cmH2O) caused by transcutaneous electrical stimulation of the pudendal nerve during biofeedback signifies that said neuromodulation technique is effective, easy to use, and highly reproducible in patients with urge incontinence.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Incontinencia urinaria de urgencia]]></kwd>
<kwd lng="es"><![CDATA[biorretroalimentación]]></kwd>
<kwd lng="es"><![CDATA[neuromodulación]]></kwd>
<kwd lng="es"><![CDATA[nervio pudendo]]></kwd>
<kwd lng="es"><![CDATA[electroestimulación]]></kwd>
<kwd lng="en"><![CDATA[Urge incontinence]]></kwd>
<kwd lng="en"><![CDATA[Biofeedback]]></kwd>
<kwd lng="en"><![CDATA[Neuromodulation]]></kwd>
<kwd lng="en"><![CDATA[Pudendal nerve]]></kwd>
<kwd lng="en"><![CDATA[Electrical stimulation]]></kwd>
</kwd-group>
</article-meta>
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