Electrical Stimulation of the Transcutaneous Posterior Tibial Nerve for the Treatment of Patients with Detrusor Overactivity Due to Neurogenic Hiperactive Bladder in Multiple Sclerosis - A Case Study

Abstract

This case study evaluates the therapeutic use of Transcutaneous Electrical Nerve Stimulation (TENS) of the posterior tibial nerve for treating one patient with multiple sclerosis (MS) showing signs of urinary incontinence (UI) due to detrusor overactivity (DO). Patient: MS with UI and sensory loss. Method: Using the current therapy twice a week for 20 minutes in 10 sessions and monitoring electrodes during electrical stimulation. Results: We observed an improvement in urge incontinence with reduced trips to the bathroom during the day and night. Both the post voiding sense of desire and pain during urination disappeared. Conclusions: This study shows an indication that the use of TENS in the current technique of posterior tibial nerve can reduce the uninhibited detrusor contractions and improve the quality of life of patients with MS due to a reduction of urinary incontinence and also reduce the number of times that the patient's urinates, thus providing better quality of sleep, humor, personal relationship, less embarrassment and reduction of stress. In this way, this study justifies a wide investigation with multiple subjects.