Transcutaneous posterior tibial nerve stimulation: evaluation of a therapeutic option in the management of anticholinergic refractory overactive bladder

Abstract

TPTNS is well tolerated and is effective in one half of the patients studied after they failed anticholinergic treatment. TPTNS could become a second therapeutic option before surgical treatment in the management strategy of OAB.

The effectiveness of transcutaneous tibial nerve stimulation (TTNS) for adults with overactive bladder syndrome: A systematic review

“…The 13 papers reported 10 RCTs and 3 prospective cohort studies . Included studies were published between 2002 and January 2017 with 9 of the 10 trials and 2 of the 3 prospective observational studies published since 2009.…”

Transcutaneous posterior tibial nerve stimulation versus extended release oxybutynin in overactive bladder patients. A prospective randomized trial

“…PTNS) in the treatment of patients with overactive bladder [8]. To our knowledge, this is the first trial to evaluate the effectiveness of T.C.…”

“…PTNS has proven to be an effective treatment option in managing refractory OAB patients [8]. Nevertheless, to our knowledge, there are no published trials comparing the effectiveness of T.C.…”

New evidence in the treatment of overactive bladder

“…The NICE guidelines recommend PTNS as an option for patients who fail conservative therapy and for whom onabotulinumtoxinA injections or sacral neuromodulation is not an option. A study by Ammi et al [37] demonstrated an improvement in 53% of antimuscarinic refractory PTNS patients based on validated questionnaire results. Peters et al [38] described the long-term efficacy of PTNS in a randomized, double-blind trial of women with OAB undergoing PTNS for a total of 36 months.…”