Randomized trial of transcutaneous tibial nerve stimulation to treat urge urinary incontinence in older women
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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.
KeywordsElderly Electrical stimulation Quality of life Randomized clinical trial Tibial nerve Urinary incontinence
Conflicts of interest
- 6.Skeil D, Thorpe AC (2001) Transcutaneous electrical nerve stimulation in the treatment of neurological patients with urinary symptoms. Br J Urol Int 88:899–908Google Scholar
- 12.Maciel AC (2006) Incontinência Urinária. In: Freitas EV, Py L, Cançado FAZ, Doll J, Gorzoni ML (eds) Tratado de Geriatria e Gerontologia. Guanabara Koogan, Rio de Janeiro, pp 723–732Google Scholar
- 13.DuBeau EC (2006) The aging lower urinary tract. J Urol (Suppl 175):11-15Google Scholar
- 16.Subak LL, Wing R, West DS, Franklin F, Vittinghoff E, Creasman JM et al. (2009) Weight loss to treat urinary incontinence in overweight and obese women. N Engl J Med 360(5):481–490.Google Scholar
- 17.National Institute for Health and Clinical Excellence. The management of urinary incontinence in women. October 2006. Available at: www.nice.org.uk.
- 21.O’Reilly BA, Dwyer PL, Hawthorne G, Cleaver S, Thomas E, Rosamilia A et al (2004) Transdermal posterior tibial nerve laser therapy is not effective in women with insterstitial cystitis. J Urol 172:1780–1883Google Scholar