Percutaneous tibial nerve stimulation versus electrical stimulation with pelvic floor muscle training for overactive bladder syndrome in women: results of a randomized controlled study

Abstract

Introduction This study compared percutaneous tibial nerve stimulation (PTNS) versus electrical stimulation with pelvic floor muscle training (ES + PFMT) in women with overactive bladder syndrome (OAB).Materials and Methods 60 women with OAB were enrolled. Patients were randomized into two groups. In group A, women underwent ES with PFMT, in group B women underwent PTNS.Results A statistically significant reduction in the number of daily micturitions, episodes of nocturia and urge incontinence was found in the two groups but the difference was more substantial in women treated with PTNS; voided volume increased in both groups. Quality of life improved in both groups, whereas patient perception of urgency improved only in women treated with PTNS. Global impression of improvement revealed a greater satisfaction in patients treated with PTNS.Conclusion This study demonstrates the effectiveness of PTNS and ES with PFMT in women with OAB, but greater improvements were found with PTNS.

Successful Therapy of Overactive Bladder Syndrome with Percutaneous Tibial Nerve Stimulation: A Case Report

“…There is no other therapeutic option for overactive bladder syndrome patients that reaches similar success rates. Percutaneous posterior tibial nerve stimulation should be routinely offered to overactive bladder syndrome patients and employed as an early step in the treatment of overactive bladder syndrome, sometimes in combination with or even before the introduction of medications (10) .…”

Combination therapy in overactive bladder‐untapped research opportunities: A systematic review of the literature

“…In addition to the 32 studies included in our systematic review, we encountered another 13 that investigate nonapproved OAB therapies in combination with an approved OAB therapy. [38][39][40][41][42][43][44][45][46][47][48][49][50] Overall, these studies were generally underpowered due to small sample sizes and demonstrate variable OAB improvements (Table 4).…”

Rehabilitation of Stress Urinary Incontinence: A Review Article

“…SUI is the most common urinary problems among other dysfunctions. Pelvic Floor Muscle (PFM) weakness is the primary and hidden cause of SUI [17]. The supportive mechanism of PFM was lost with 50% of women because of childbirth and 49% of women are unable to contract the PFM to increase the pressure and close the urethra [18].…”

“…According to previous studies, WBVT increases muscle strength [19,20], induces muscle hypertrophy [11], improves proprioceptors [12], enlarges slow-and fasttwitch fibers, and promotes hormonal changes [10]. WBVT also improves muscle weakness, especially in patients with different chronic diseases [13][14][15][16][17][18]. Electrical Stimulation (ES) is also recommended for the treatment of patients with SUI [14][15][16][17]21].…”

“…WBVT also improves muscle weakness, especially in patients with different chronic diseases [13][14][15][16][17][18]. Electrical Stimulation (ES) is also recommended for the treatment of patients with SUI [14][15][16][17]21]. Acupuncture is another treatment for managing SUI with the advantage of its new version, electroacupuncture [22][23][24].…”