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

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Abstract

Introduction

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.

Results

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.

Conclusion

TTNS is efficacious to treat UUI in older women.

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Conflicts of interest

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Authors and Affiliations

  1. Gynecology Department, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil

    Lucas Schreiner & Thaís Guimarães dos Santos

  2. Urogynecology Section, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil

    Thaís Guimarães dos Santos

  3. Physiotherapy, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil

    Mara Regina Knorst

  4. Biomedical Gerontology and Neurology Department, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil

    Irênio Gomes da Silva Filho

  5. Urogynecology Section, Pontifícia Universidade Católica do Rio Grande do Sul, Avenida Ipiranga 6690, Centro Clínico, conjunto 612, CEP 90610-001, Jardim Botânico, Porto Alegre, Brazil

    Lucas Schreiner

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  1. Lucas Schreiner
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  2. Thaís Guimarães dos Santos
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  3. Mara Regina Knorst
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  4. Irênio Gomes da Silva Filho
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Correspondence to Lucas Schreiner.

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Schreiner, L., dos Santos, T.G., Knorst, M.R. et al. Randomized trial of transcutaneous tibial nerve stimulation to treat urge urinary incontinence in older women. Int Urogynecol J 21, 1065–1070 (2010). https://doi.org/10.1007/s00192-010-1165-6

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  • DOI: https://doi.org/10.1007/s00192-010-1165-6

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