The effect of percutaneous tibial nerve stimulation (PTNS) on sexual function: a systematic review and meta-analysis

Kershaw, Victoria; Khunda, Aethele; McCormick, Carol; Ballard, Paul

doi:10.1007/s00192-019-04027-3

Cited by 23 publications

(14 citation statements)

References 28 publications

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“…Studies suggest that PTNS, which is effective in the treatment of OAB, may also be an effective treatment method in the management of SD. 20 There are two possible mechanisms of action of PTNS; first, by improving urinary symptoms, and second by neuromodulation of the nervous supply to the vulva, vagina, and surrounding musculature, improving the functions of lubrication and genital sensation. 16 It is reported that PTNS reduces urinary dysfunction and improves desire, orgasm, libido, satisfaction, and pelvic pain in females.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the effects of transcutaneous tibial nerve stimulation or pelvic floor muscle training on sexual dysfunction in female multiple sclerosis patients reporting overactive bladder

Dünya

Tülek

Kürtüncü

et al. 2021

Neurourology and Urodynamics

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Aims: Sexual dysfunction (SD) is common in female patients with multiple sclerosis (MS) reporting overactive bladder (OAB) symptoms. The aim of the study was to evaluate the effects of transcutaneous tibial nerve stimulation (TTNS) and pelvic floor muscle training (PFMT) with biofeedback on SD in female patients with MS reporting OAB symptoms. Methods: Patients with overactive bladder and SD were allocated to receive TTNS or PFMT daily. Overactive bladder symptoms, sexual functions, and sexual quality of life were assessed at baseline and 6 th weeks. Female Sexual Function Index (FSFI), Overactive Bladder Questionnaire (OABv-8), and Sexual Quality of Life-Female (SQoL-F) questionnaires were used. Results: Thirty patients (TTNS = 10, PFMT = 20) were included in the study.Compared to baseline, total FSFIOABv-8, and SQoL-F scores improved in both TTNS (p = 0.005, p = 0.011, p = 0.444, respectively) and PFMT (p = 0.002, p = 0.001, p = 0.001, respectively) groups. Between-group comparisons did not show any significant differences. Conclusion:This study demonstrates the efficacy of both TTNS and PFMT for improving sexual function in female MS patients with OAB symptoms, but did not show superiority of any particular method. Further studies are required to investigate the differences between these two non-invasive methods.

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Section: Discussionmentioning

confidence: 99%

Evaluating the effects of transcutaneous tibial nerve stimulation or pelvic floor muscle training on sexual dysfunction in female multiple sclerosis patients reporting overactive bladder

Dünya

Tülek

Kürtüncü

et al. 2021

Neurourology and Urodynamics

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“…A meta-analysis published this year has reviewed the role of PTNS on sexual function in women with pelvic floor dysfunction including overactive bladder [30]. Although the numbers are small there is evidence to suggest that PTNS has a positive effect on sexual function and further research is recommended.…”

Section: Ptns In Specific Groupsmentioning

confidence: 99%

Posterior tibial nerve stimulation for overactive bladder—techniques and efficacy

et al. 2019

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The ideal treatment for overactive bladder is still elusive. In those where medication fails to improve symptoms options include invasive treatments such as botulinum toxin-A, sacral neural stimulation or posterior tibial nerve stimulation. Scientific professional society guidelines advise percutaneous posterior tibial nerve stimulation as a third line treatment option only after multidisciplinary team review as well as failure of both conservative and pharmacological management. The aim of this article is to review all techniques for tibial nerve stimulation and their efficacy.

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“…Most of the studies found in the literature on treatments to improve the sexual function refer to transcutaneous tibial nerve stimulation [38][39][40]. However, due to the risks derived from needle puncture and its possible rejection, transcutaneous stimulation is proposed, since an access route has been demonstrated with similar effectiveness and no adverse effect associated that can generate discomfort in the participants [41,42].…”

Section: Discussionmentioning

confidence: 99%

Vibration or Transcutaneous Tibial Nerve Stimulation as a Treatment for Sexual Dysfunction in Women with Spinal Cord Injury: Study Protocol for a Randomized Clinical Trial

Díaz-Ruiz

Romero-Galisteo

Arranz-Martín

et al. 2022

IJERPH

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Background: Women with spinal cord injuries usually suffer from sexual dysfunction, such as alterations during arousal and an increase in the time to reach orgasm. However, little evidence has been found on its physiotherapeutic approach, as well as poor adherence to the latter. The aim of this study is to determine the effectiveness of two interventions to improve sexual dysfunction: the application of genital vibration and transcutaneous tibial nerve stimulation. Methods: This is a randomized clinical trial that will recruit 54 women who, one year after a spinal cord injury, suffer from sexual dysfunction associated with the latter. The participants will be randomized to three groups: (a) intervention group 1 treated with transcutaneous tibial nerve electrostimulation (n = 18), (b) intervention group 2 treated with genital vibration (n = 18), and (c) a control group (n = 18). The treatment time will be 12 weeks. Adherence to the treatment will be evaluated, as well as the effectiveness of the treatment, through the Female Sexual Function Index, the Sexual Quality of Life-Female questionnaire, quantitative sensory tests, and the improvement reported by the patient in terms of arousal and orgasm. The evaluations will be carried out before the treatment, at the end of the treatment and 3, 6 and 12 months after the end of the treatment.

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The effect of percutaneous tibial nerve stimulation (PTNS) on sexual function: a systematic review and meta-analysis

Cited by 23 publications

References 28 publications

Evaluating the effects of transcutaneous tibial nerve stimulation or pelvic floor muscle training on sexual dysfunction in female multiple sclerosis patients reporting overactive bladder

Evaluating the effects of transcutaneous tibial nerve stimulation or pelvic floor muscle training on sexual dysfunction in female multiple sclerosis patients reporting overactive bladder

Posterior tibial nerve stimulation for overactive bladder—techniques and efficacy

Vibration or Transcutaneous Tibial Nerve Stimulation as a Treatment for Sexual Dysfunction in Women with Spinal Cord Injury: Study Protocol for a Randomized Clinical Trial

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