title: Percutaneous tibial nerve stimulation versus electrical stimulation with pelvic floor muscle training for overactive bladder syndrome in women: results of a randomized controlled study.
abstract: BACKGROUND
  This study compared percutaneous tibial nerve stimulation (PTNS) versus electrical stimulation with pelvic floor muscle training (ES + PFMT) in women with overactive bladder syndrome (OAB).
  
  
  METHODS
  60 women with OAB were enrolled. Patients were randomized into two groups. In group A, women underwent ES with PFMT, in group B women underwent PTNS.
  
  
  RESULTS
  A statistically significant reduction in the number of daily micturitions, episodes of nocturia and urge incontinence was found in the two groups but the difference was more substantial in women treated with PTNS; voided volume increased in both groups. Quality of life improved in both groups, whereas patient perception of urgency improved only in women treated with PTNS. Global impression of improvement revealed a greater satisfaction in patients treated with PTNS.
  
  
  CONCLUSIONS
  This study demonstrates the effectiveness of PTNS and ES with PFMT in women with OAB, but greater improvements were found with PTNS.
authors.affiliation: Operating Unit of Uro-gynecology, ASUR, Area Vasta n 2, Jesi, Italy.
authors.forename: Carlo Vecchioli
authors.initials: CV
authors.lastname: Scaldazza
authors.affiliation: Clinical Phatology, ASUR, Area Vasta n 2, Jesi, Italy.
authors.forename: Carolina
authors.initials: C
authors.lastname: Morosetti
authors.affiliation: Physical Medicine and Rehabilitation. ASUR, Area Vasta n 2, Jesi, Italy.
authors.forename: Rosita
authors.initials: R
authors.lastname: Giampieretti
authors.affiliation: Physical Medicine and Rehabilitation. ASUR, Area Vasta n 2, Jesi, Italy.
authors.forename: Rossana
authors.initials: R
authors.lastname: Lorenzetti
authors.affiliation: Physical Medicine and Rehabilitation. ASUR, Area Vasta n 2, Jesi, Italy.
authors.forename: Marinella
authors.initials: M
authors.lastname: Baroni
mesh_terms: D000328:Adult; D000368:Aged; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D053580:Muscle Strength / Q000502:physiology; D017773:Pelvic Floor / Q000503:physiopathology*; D015203:Reproducibility of Results; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D013577:Syndrome; D013979:Tibial Nerve / Q000503:physiopathology*; D013997:Time Factors; D004561:Transcutaneous Electric Nerve Stimulation / Q000379:methods*; D016896:Treatment Outcome; D053201:Urinary Bladder, Overactive / Q000503:physiopathology* / Q000628:therapy*; D014554:Urination / Q000502:physiology
keywords: Pelvic Floor; Transcutaneous Electric Nerve Stimulation; Urinary Bladder, Overactive