Effects of Transcutaneous Tibial Nerve Stimulation for Overactive Bladder Symptoms in Adults

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    Dow University of Health Sciences
Updated on 20 July 2022
electrical stimulation
urinary symptoms
overactive bladder
pelvic floor muscle training
pelvic floor exercises
bladder symptoms


For overactive bladder symptoms, there are numerous physiotherapy techniques have been found to be beneficial. Transcutaneous electrical stimulation of the tibial nerve is one of those treatment options, that is entirely a non-invasive, easy to apply, and cost-effective technique.

Transcutaneous stimulation of the tibial nerve targets the sacral nerve plexus that contracts the pelvic floor muscles and controls the bladder function.

This research aims to study the effectiveness of transcutaneous tibial nerve stimulation in adults with overactive bladder symptoms along with the conventional physiotherapy for overactive bladder (pelvic floor muscle training through Kegel's exercises) among 60 patients with overactive bladder symptoms on the basis of non-probability purposive sampling technique with screening for study criteria through a consultant urologist. After taking informed consent, all participants will be randomly allocated into two groups. Group A will receive pelvic floor muscles training through Kegels exercises along with transcutaneous electrical stimulation of the tibial nerve and Group B will receive pelvic floor muscles training through Kegels exercises. The treatment duration will of six weeks. Outcomes will be assessed before the start of the treatment and after the end of the treatment sessions.

Condition Overactive Bladder, Urge Incontinence, Nocturia
Treatment Transcutaneous tibial nerve stimulation along with pelvic floor muscle srengthening, Pelvic floor muscles strengthening
Clinical Study IdentifierNCT05464589
SponsorDow University of Health Sciences
Last Modified on20 July 2022


Yes No Not Sure

Inclusion Criteria

Clinically diagnosed overactive bladder
A total OABSS score of 3 or more and an urgency score of 2 or more
-65 years old

Exclusion Criteria

Acute urinary tract infection (within 15 days)
Any surgical procedure for urinary incontinence
Genito-urinary cancer history
Stage II pelvic organ prolapse according to pelvic organ prolapse-quantification system
Lesion on the site of stimulation or around it
Pelvic pacemakers
Lower limbs prostheses
Patients who will not be able to perform Kegel's exercises
An impaired sensation at the site of stimulation
Patients receiving any treatment other than the prescribed medications by the referring physician (that will be the same for all patients of both groups) will be excluded
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