Abstract
OBJECTIVES:To evaluate the effect of transcutaneous tibial nerve stimulation (TTNS) and transcutaneous parasacral stimulation on the treatment of overactive bladder (OAB) in elderly people and to compare the final results between groups.METHODS:Fifty female volunteers, mean age 68.62 (±5.9) years, were randomly allocated into two groups: those receiving TTNS (G1, N=25) and those receiving transcutaneous parasacral stimulation (G2, N=25). The primary outcome was the International Consultation on Incontinence Questionnaire (ICIQ-OAB) score, and secondary outcomes were the International Consultation on Incontinence Questionnaire - short form (ICIQ-SF) score and 3-day bladder diary measurements. Volunteers were assessed before and after the treatment. Clinical Trials (ReBeC): RBR-9Q7J7Y.RESULTS:Both groups’ symptoms improved as measured by the ICIQ-OAB (G1 = <0.001; G2 = <0.001) and ICIQ-SF (G1 = <0.001; G2 = <0.001). In the 3-day bladder diary assessments after treatment, G1 showed a reduced number of nocturia (p<0.001), urgency (p<0.001) and urge urinary incontinence episodes (p<0.001), whereas G2 showed only a reduced number of nocturia episodes (p<0.001). No difference between groups was found.CONCLUSION:Both of the proposed treatments were effective in the improvement of OAB symptoms, but TTNS showed a reduction in a greater number of symptoms as measured by the 3-day bladder diary. No differences were found between groups.
Highlights
Overactive bladder (OAB) syndrome is defined as the urgency to void, followed or not by urge urinary incontinence, and it can be associated with symptoms such as daytime micturition frequency and nocturia; the lack of urinary tract infection or other pathology is mandatory for a conclusive diagnosis (1)
As no significant differences were found between groups, assessments were homogeneous at baseline
At the end of the treatment, both groups showed significant improvements in the signs and symptoms of OAB, but G1 showed a significant decrease in the number of urgency episodes and urge urinary incontinence episodes, Figure 1 - Flowchart
Summary
Overactive bladder (OAB) syndrome is defined as the urgency to void, followed or not by urge urinary incontinence, and it can be associated with symptoms such as daytime micturition frequency and nocturia; the lack of urinary tract infection or other pathology is mandatory for a conclusive diagnosis (1). This condition has an important negative impact on the patient’s quality of life, making the treatment relevant (2). Received for publication on August 16, 2019. Accepted for publication on November 4, 2019
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
