International Urogynecology Journal

, Volume 21, Issue 9, pp 1065–1070 | Cite as

Randomized trial of transcutaneous tibial nerve stimulation to treat urge urinary incontinence in older women

  • Lucas SchreinerEmail author
  • Thaís Guimarães dos Santos
  • Mara Regina Knorst
  • Irênio Gomes da Silva Filho
Original Article



The aim of this study was to examine the efficacy of transcutaneous electrical tibial nerve stimulation (TTNS) to treat urge urinary incontinence (UUI) in older women.

Material and methods

The study design was a randomized clinical trial conducted on 51 elderly women (>60 years) with UUI. All were treated with 12 weeks of bladder retraining and pelvic floor muscle exercises, and 25 were randomly selected to receive TTNS in addition to the standard therapy. The cases were evaluated at the baseline and after the end of therapy by 3-day bladder diary, quality of life questionnaires (QoL), and subjective response.


Of the patients, 68.0% in TTNS group reported cure or improvement vs. 34.6% in the control group (P = 0.017). TTNS showed significant improvement in most areas of QoL and in UUI parameters when compared with the control group.


TTNS is efficacious to treat UUI in older women.


Elderly Electrical stimulation Quality of life Randomized clinical trial Tibial nerve Urinary incontinence 


Conflicts of interest



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Copyright information

© The International Urogynecological Association 2010

Authors and Affiliations

  • Lucas Schreiner
    • 1
    • 5
    Email author
  • Thaís Guimarães dos Santos
    • 2
    • 1
  • Mara Regina Knorst
    • 3
  • Irênio Gomes da Silva Filho
    • 4
  1. 1.Gynecology DepartmentPontifícia Universidade Católica do Rio Grande do SulPorto AlegreBrazil
  2. 2.Urogynecology SectionPontifícia Universidade Católica do Rio Grande do SulPorto AlegreBrazil
  3. 3.PhysiotherapyPontifícia Universidade Católica do Rio Grande do SulPorto AlegreBrazil
  4. 4.Biomedical Gerontology and Neurology DepartmentPontifícia Universidade Católica do Rio Grande do SulPorto AlegreBrazil
  5. 5.Urogynecology SectionPontifícia Universidade Católica do Rio Grande do SulJardim BotânicoBrazil

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