title: Posterior tibial nerve stimulation for treating neurologic bladder in women: a randomized clinical trial.
abstract: Overactive bladder (OAB) is a disabling disorder. Treatment of cases with OAB includes behavioral, pharmacological, surgical interventions and peripheral electrical stimulation. The goal of this study was to determine effects of posterior tibial nerve stimulation on sexual function and pelvic disorders in women with Overactive bladder (OAB). Fifty women were randomly assigned to PTNS (posterior tibial nerve stimulation) plus tolterodine or tolterodine alone treatment. Tolterodine group received 4 mg tolterodine daily for three months while the other group received this treatment plus percutaneous tibial nerve stimulation for 12 consequence weeks. Two in PTNS group and 8 in the control group withdrew from the study. Age, education level, and occupation status were not significantly different between two groups. Mean total FSFI and its subscales were not significantly different before and after treatment between two groups. Urine leakage associated with a feeling of urgency and loss of stool or gas from the rectum beyond patient's control became significantly different after treatment between two groups. Posterior tibial nerve stimulation could help urinary problems in women with a neurologic bladder.
authors.affiliation: Department of Gynecology and Obstetrics, Imam Hospital, Tehran University of Medical Sciences, Tehran, Iran. m.ghajarzadeh@gmail.com.
authors.forename: Tahereh
authors.initials: T
authors.lastname: Eftekhar
authors.affiliation: Department of Gynecology and Obstetrics, Imam Hospital, Tehran University of Medical Sciences, Tehran, Iran. m.ghajarzadeh@gmail.com.
authors.forename: Nastaran
authors.initials: N
authors.lastname: Teimoory
authors.affiliation: Department of Gynecology and Obstetrics, Imam Hospital, Tehran University of Medical Sciences, Tehran, Iran. m.ghajarzadeh@gmail.com.
authors.forename: Elahe
authors.initials: E
authors.lastname: Miri
authors.affiliation: Brain and Spinal Injury Repair Research Center, Tehran University of Medical Sciences, Tehran, Iran. m.ghajarzadeh@gmail.com.
authors.forename: Abolghasem
authors.initials: A
authors.lastname: Nikfallah
authors.affiliation: Department of Gynecology and Obstetrics, Imam Hospital,Tehran University of Medical Sciences, Tehran, Iran. m.ghajarzadeh@gmail.com.
authors.forename: Mahsa
authors.initials: M
authors.lastname: Naeimi
authors.affiliation: Brain and Spinal Injury Repair Research Center, Tehran University of Medical Sciences, Tehran Iran. m.ghajarzadeh@gmail.com.
authors.forename: Mahsa
authors.initials: M
authors.lastname: Ghajarzadeh
mesh_terms: D000328:Adult; D001559:Benzhydryl Compounds; D003408:Cresols; D004599:Electric Stimulation Therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D010665:Phenylpropanolamine; D012007:Rectum; D013979:Tibial Nerve; D000068737:Tolterodine Tartrate; D016896:Treatment Outcome; D001750:Urinary Bladder, Neurogenic / Q000628:therapy*; D053201:Urinary Bladder, Overactive / Q000628:therapy*
chemical_list: D001559:Benzhydryl Compounds; D003408:Cresols; D010665:Phenylpropanolamine; D000068737:Tolterodine Tartrate