The Effect of Transcutaneous Posterior Tibial Nerve Stimulation on the Overactive Bladder in a Child: A Case Study

Abstract

: The Overactive Bladder (OAB) is a common disorder that imposes a psychological and economic burden and reduces the quality of life. Oral medications have some problems in the frontline of treatment. Transcutaneous posterior Tibial Nerve Stimulation (TTNS) is available with minimum invasion and at a lower cost. Urodynamic tests are invasive and will be more difficult for children to perform than adults. The present study used the Persian version of the overactive bladder symptoms scale (OABSS) and 24hours Voiding Diary questionnaire to assess the symptoms following the treatment. A 7-year-old girl with complaints about OAB was treated with TTNS treatment for 12 sessions in alternate days. The patch electrodes were applied instead of needle and plate electrodes. The results showed that the case improved immediately after treatment from severe stage to average stage according to OABSS. One month following the end of treatment, the results showed improving scores to the mild stage. The TTNS method was a good, safe, non-invasive, and long-term treatment for this child based on 12 sessions using patch electrodes.