Archives of Gynecology and Obstetrics

, Volume 286, Issue 6, pp 1453–1457

The effects of posterior tibial nerve stimulation on refractory overactive bladder syndrome and bladder circulation

General Gynecology

DOI: 10.1007/s00404-012-2464-6

Cite this article as:
Onal, M., Ugurlucan, F.G. & Yalcin, O. Arch Gynecol Obstet (2012) 286: 1453. doi:10.1007/s00404-012-2464-6



We aimed to evaluate if posterior tibial nerve stimulation (PTNS) exerts its effects on overactive bladder symptoms through changes in bladder circulation.

Materials and methods

Eighteen women who applied to Istanbul Medical Faculty with symptoms of urgency, frequency ± urge incontinence and did not respond to anticholinergic treatment and behavioral modification were enrolled in the study. Weekly PTNS in 30-min sessions for 12 weeks was performed. Urogynecologic symptom assessment, 1-h pad test, bladder diary, King’s Health Questionnaire (KHQ), and transvaginal Doppler ultrasonography were performed before and after treatment.


Ten patients (55.5 %) were cured, five (27.8 %) improved, and no effect was observed in three (16.7 %). No significant change was observed in systolic and diastolic flow rate, pulsatility index, resistive index, systolic/diastolic ratio and average flow rate. Significant decrease in frequency, urgency, urge incontinence, pad test results and increase in fluid intake was observed. There was a significant improvement in physical limitations and sleeping/energy domains of KHQ. No significant change was observed in urodynamics.


PTNS does not have any effect on the bladder circulation despite positive effects on bladder diary, pad test, and quality of life in overactive bladder syndrome.


Urinary incontinenceOveractive bladder syndromePosterior tibial nerve stimulationNeuromodulationDoppler ultrasonography

Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Murat Onal
    • 1
  • Funda Gungor Ugurlucan
    • 1
  • Onay Yalcin
    • 1
  1. 1.Department of Obstetrics and Gynecology, Istanbul Medical FacultyIstanbul UniversityIstanbulTurkey