Comparative effect of Percutaneous Tibial Nerve Stimulation versus Transcutaneous Posterior Tibial Nerve Stimulation efficacy in the treatment of Overactive Bladder Syndrome

This interventional study is designed as a clinical trial in the form of a randomized, single blinde, single centered method. Patients are selected from the outpatient refers from Physical Medicine and Rehabilitaion Clinics of Iran University of Medical Sciences . They are allocated by inclusion criteria to 2 groups of 24 for each by random number table. They are informed by the research therapeutic aims and each of them fill the consent form beforehand. Posterior Tibial Nerve Stimulation method is done with a single gauge 34 filliform needle inserted on the 5 cm to superior side of the medial Malleolus and posterior to tibia. The null electrod is located on the arch of the same foot by the surface Pad.The electrical stimulation is done by the 0.5 to 0.9 mAmp and 20 Hz current by the voltage which can induce plantar flextion on the toe or other toes. Each time stimulation is done for 30 mins for a single session , 3 session a week and total sessions of 12. On the second group this stimulation is done with the same parameters but with the surface pad electrod instead of the needle. Patients are asked to fill the questionnaire with items for urination episodes during wakefulness, sleep, Urgency and urinary incontinence during the last 7 days. The patients are asked to fill the Overactive Bladder Symptom Score (OABSS) form before and after the treatment also weekly during the treatment. They also asked to do the same monthly for the 6 month afterward. Incontinence - Quality Of Life Questionnaire (I- QOL) is also filled before and after the treatment and also 6 month later. Before the initiation of the study patients are asked for Fast Blood Suger (FBS), those which are higher than 100 are excluded from the study. They also do the Urine Culture Test, only negative cases are included.

Governmental - Iran University of Medical Sciences