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

Vol. 43 (1): 121-126, January – February, 2017

doi: 10.1590/S1677-5538.IBJU.2015.0719


ORIGINAL ARTICLE

Carlo Vecchioli Scaldazza 1, Carolina Morosetti 2, Rosita Giampieretti 3, Rossana Lorenzetti 3, Marinella Baroni 3

1 Operating Unit of Uro-gynecology; 2 Clinical Phatology; 3 Physical Medicine and Rehabilitation. ASUR, Area Vasta n 2, Jesi, Italy

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.

 Keywords: Transcutaneous Electric Nerve Stimulation; Pelvic Floor; Urinary Bladder, Overactive

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