Effect of TTNS and PNS on Neurogenic Overactive Bladder Symptoms in Fe
Effect of Transcutaneous Posterior Tibial Nerve Stimulation and Parasacral Transcutaneous Electrical Stimulation on Neurogenic Overactive Bladder Symptoms in Female Patients With Multiple Sclerosis.
We could not find results for this trial
What it found
We found no results in the registry or in papers.
This trial finished 12 months ago. We found no results in the registry or in any paper that cites it.
What was tested
Treatment tested
- TTNS (Transcutaneous tibial nerve stimulation)
- PNS (Parasacral nerve stimulation)
Placebo
- Sham stimulation
Given to everyone in the trial
- Behavioral treatment
What it measured
Main measures
Uroflowmetry
Baseline
Bladder, bowel and sexual functionUroflowmetry
After the 6-week intervention
Bladder, bowel and sexual functionPost voiding residue (PVR)
Baseline
Bladder, bowel and sexual functionPost voiding residue (PVR)
After the 6-week intervention
Bladder, bowel and sexual function
Other measures (10)
Overactive bladder form (OAB-v8)
Baseline
Bladder, bowel and sexual functionThree-day bladder diary (BD)
Baseline
Bladder, bowel and sexual functionKing's Quality of Life Questionnaire (KHQ)
Baseline
Bladder, bowel and sexual functionQuality of life (reported by participants)Incontinence Severity Index (ISI)
Baseline
Bladder, bowel and sexual functionNeurogenic Bladder Symptom Score (NBSS)
Baseline
Bladder, bowel and sexual functionOveractive bladder form (OAB-v8)
After the 6-week intervention
Bladder, bowel and sexual functionThree-day bladder diary (BD)
After the 6-week intervention
Bladder, bowel and sexual functionKing's Quality of Life Questionnaire (KHQ)
After the 6-week intervention
Bladder, bowel and sexual functionQuality of life (reported by participants)Incontinence Severity Index (ISI)
After the 6-week intervention
Bladder, bowel and sexual functionNeurogenic Bladder Symptom Score (NBSS)
After the 6-week intervention
Bladder, bowel and sexual function
Who could take part
MS (type not specified) · 18 to 65
Show the full criteria
Inclusion criteria
* Having symptoms related to overactive bladder (OAB-v8 score ⩾8), * Over 18 years of age * No relapse for at least 1 month * All types of MS, including those with relapses * Female MS patients with an Expanded Disability Status Scale (EDSS) score below 7.0 * Agreeing to participate in the research
Exclusion criteria
* Patients with urinary tract infections * Patients diagnosed with diabetes mellitus * Patients using diuretic drugs or patients with a clean intermittent catheter * Patients with a history of different urological diseases * Patients with heart or brain pacemaker users, those with epilepsy, and patients with language and cognitive limitations * Patients who are pregnant or in the postpartum period * Lack of activity performance for 2 weeks (regardless of which group)
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
This study aims to evaluate the use of transcutaneous tibial nerve stimulation (TTNS) and parasacral nerve stimulation (PSS) methods in the treatment of overactive bladder (OAB) symptoms in patients with Multiple Sclerosis (MS), including urination frequency, urgency, urinary incontinence, post-void residue, maximum micturition rate. To investigate the effect on parameters such as voiding volume and quality of life and to compare the final results between groups.
Papers
Background
Marzouk MH, Darwish MH, El-Tamawy MS, Morsy S, Abbas RL, Ali AS. Posterior tibial nerve stimulation as a neuromodulation therapy in treatment of neurogenic overactive bladder in multiple sclerosis: A prospective randomized controlled study. Mult Scler Relat Disord. 2022 Dec;68:104252. doi: 10.1016/j.msard.2022.104252. Epub 2022 Oct 17.Background
Jacomo RH, Alves AT, Lucio A, Garcia PA, Lorena DCR, de Sousa JB. Transcutaneous tibial nerve stimulation versus parasacral stimulation in the treatment of overactive bladder in elderly people: a triple-blinded randomized controlled trial. Clinics (Sao Paulo). 2020 Jan 10;75:e1477. doi: 10.6061/clinics/2020/e1477. eCollection 2020.
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History
Started
Nov 2023
Main results due
Oct 2025
Finished
Oct 2025