E-Posters-Transcutaneous Nerve Stimulation of the Posterior Tibial Nerve for the Treatment of Refractory Overactive Bladder

Transcutaneous Nerve Stimulation of the Posterior Tibial Nerve for the Treatment of Refractory Overactive Bladder - Maria Jose Garate, MD

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Overactive bladder (OAB) is a common condition affecting about 17% of the adult population. Current international guidelines recommend a stepwise approach to treatment, starting with lifestyle changes and behavioral interventions, followed by pharmacotherapy and more advanced therapies if needed. This study aimed to assess patient satisfaction in women with OAB who underwent transcutaneous nerve stimulation of the posterior tibial nerve (TCNS-PT) as a second-line therapy.<br /><br />The study included 126 female patients with refractory OAB who had not responded to first-line conservative treatment. This included lifestyle changes and behavioral interventions such as bladder retraining and Kegel exercises. Patients underwent TCNS-PT using a TENS 7000 TM simulator for a 30-minute session, bi-weekly for six weeks.<br /><br />Patient satisfaction was evaluated using the patient global improvement index and OAB-q questionnaires at three to six months after treatment. A satisfied patient was considered as someone who reported being "a little better" or better in their patient global improvement index. <br /><br />The results showed a statistically significant improvement in OAB symptoms based on the OAB-q questionnaires. About 78% of women reported being "very much better," "much better," or "a little better" in their patient global improvement index. There were no adverse effects reported during the treatment.<br /><br />The conclusion of the study is that TCNS-PT is an effective and well-tolerated treatment for patients with OAB. It should be considered as a second-line treatment rather than a third-line treatment, as some guidelines suggest. Overall, this study supports the use of TCNS-PT as an option for patients with refractory OAB.

Keywords

overactive bladder

OAB

treatment guidelines

lifestyle changes

behavioral interventions

TCNS-PT

patient satisfaction

refractory OAB

OAB-q questionnaires

effective treatment