Skip to main content
Erschienen in: International Urogynecology Journal 9/2010

01.09.2010 | Original Article

Randomized trial of transcutaneous tibial nerve stimulation to treat urge urinary incontinence in older women

verfasst von: Lucas Schreiner, Thaís Guimarães dos Santos, Mara Regina Knorst, Irênio Gomes da Silva Filho

Erschienen in: International Urogynecology Journal | Ausgabe 9/2010

Einloggen, um Zugang zu erhalten

Abstract

Introduction

The aim of this study was to examine the efficacy of transcutaneous electrical tibial nerve stimulation (TTNS) to treat urge urinary incontinence (UUI) in older women.

Material and methods

The study design was a randomized clinical trial conducted on 51 elderly women (>60 years) with UUI. All were treated with 12 weeks of bladder retraining and pelvic floor muscle exercises, and 25 were randomly selected to receive TTNS in addition to the standard therapy. The cases were evaluated at the baseline and after the end of therapy by 3-day bladder diary, quality of life questionnaires (QoL), and subjective response.

Results

Of the patients, 68.0% in TTNS group reported cure or improvement vs. 34.6% in the control group (P = 0.017). TTNS showed significant improvement in most areas of QoL and in UUI parameters when compared with the control group.

Conclusion

TTNS is efficacious to treat UUI in older women.
Literatur
1.
Zurück zum Zitat Norton P, Brubaker L (2006) Urinary incontinence in women. The Lancet 367:57–67CrossRef Norton P, Brubaker L (2006) Urinary incontinence in women. The Lancet 367:57–67CrossRef
2.
Zurück zum Zitat Gibbs CF, Johnson TM, Ouslander JG (2007) Office management of geriatric urinary incontinence. Am J Med 120:211–220CrossRefPubMed Gibbs CF, Johnson TM, Ouslander JG (2007) Office management of geriatric urinary incontinence. Am J Med 120:211–220CrossRefPubMed
3.
Zurück zum Zitat Abrams P, Cardozo L, Fall M, Griffins D, Rosier P, Ulmsten U et al (2003) The standardization of terminology in lower urinary tract function: report from the standardization sub-committee of the International Continence Society. Urology 61:37–49CrossRefPubMed Abrams P, Cardozo L, Fall M, Griffins D, Rosier P, Ulmsten U et al (2003) The standardization of terminology in lower urinary tract function: report from the standardization sub-committee of the International Continence Society. Urology 61:37–49CrossRefPubMed
4.
Zurück zum Zitat Borello FD, Burgio KL (2004) Nonsurgical treatment of urinary incontinence. Clin Obstet Gynecol 47:70–82CrossRef Borello FD, Burgio KL (2004) Nonsurgical treatment of urinary incontinence. Clin Obstet Gynecol 47:70–82CrossRef
5.
6.
Zurück zum Zitat Skeil D, Thorpe AC (2001) Transcutaneous electrical nerve stimulation in the treatment of neurological patients with urinary symptoms. Br J Urol Int 88:899–908 Skeil D, Thorpe AC (2001) Transcutaneous electrical nerve stimulation in the treatment of neurological patients with urinary symptoms. Br J Urol Int 88:899–908
7.
Zurück zum Zitat Congregated Ruiz B, Pena Outeuriño XM, Campoy Martínez P, León Dueñas E, Leal López A (2004) Peripheral afferent nerve stimulation for treatment of lower urinary tract irritative symptoms. Eur Urol 45:65–69CrossRef Congregated Ruiz B, Pena Outeuriño XM, Campoy Martínez P, León Dueñas E, Leal López A (2004) Peripheral afferent nerve stimulation for treatment of lower urinary tract irritative symptoms. Eur Urol 45:65–69CrossRef
8.
Zurück zum Zitat Van Balken MR, Gisolf VV, KW VH, Kiemeney LA, Debruyne FM et al (2001) Posterior tibial nerve stimulation neuromodulative of the lower urinary tract dysfunction. J Urol 166:914–918CrossRefPubMed Van Balken MR, Gisolf VV, KW VH, Kiemeney LA, Debruyne FM et al (2001) Posterior tibial nerve stimulation neuromodulative of the lower urinary tract dysfunction. J Urol 166:914–918CrossRefPubMed
9.
Zurück zum Zitat Amarenco G, Ismael SS, Even-Schneider A, Raibaut P, Wlodyka-Demaille S, Parratte B et al (2003) Urodynamic effect of acute transcutaneous posterior tibial nerve stimulation in overactive bladder. J Urol 169:2210–2215CrossRefPubMed Amarenco G, Ismael SS, Even-Schneider A, Raibaut P, Wlodyka-Demaille S, Parratte B et al (2003) Urodynamic effect of acute transcutaneous posterior tibial nerve stimulation in overactive bladder. J Urol 169:2210–2215CrossRefPubMed
10.
Zurück zum Zitat Yamanishi T, Kama T, Yoshida KI (2008) Neuromodulation for the treatment of urinary incontinence. Int J Urol 15:665–672CrossRefPubMed Yamanishi T, Kama T, Yoshida KI (2008) Neuromodulation for the treatment of urinary incontinence. Int J Urol 15:665–672CrossRefPubMed
11.
Zurück zum Zitat Aslan A, Komurcu N, Beji NK, Yalcin O (2008) Bladder Training and kegel exercises for women with urinary complaints living in a rest home. Gerontology 54:224–231CrossRefPubMed Aslan A, Komurcu N, Beji NK, Yalcin O (2008) Bladder Training and kegel exercises for women with urinary complaints living in a rest home. Gerontology 54:224–231CrossRefPubMed
12.
Zurück zum Zitat Maciel AC (2006) Incontinência Urinária. In: Freitas EV, Py L, Cançado FAZ, Doll J, Gorzoni ML (eds) Tratado de Geriatria e Gerontologia. Guanabara Koogan, Rio de Janeiro, pp 723–732 Maciel AC (2006) Incontinência Urinária. In: Freitas EV, Py L, Cançado FAZ, Doll J, Gorzoni ML (eds) Tratado de Geriatria e Gerontologia. Guanabara Koogan, Rio de Janeiro, pp 723–732
13.
Zurück zum Zitat DuBeau EC (2006) The aging lower urinary tract. J Urol (Suppl 175):11-15 DuBeau EC (2006) The aging lower urinary tract. J Urol (Suppl 175):11-15
14.
Zurück zum Zitat Chen GD (2007) Pelvic floor dysfunction in aging women. Taiwan J Obstet Gynecol 46(4):374–378CrossRefPubMed Chen GD (2007) Pelvic floor dysfunction in aging women. Taiwan J Obstet Gynecol 46(4):374–378CrossRefPubMed
15.
Zurück zum Zitat DuBeau EC (2009) Therapeutic/pharmacologic approaches to urinary incontinence in older adults. Clin Pharm Ther 85(1):98–102CrossRef DuBeau EC (2009) Therapeutic/pharmacologic approaches to urinary incontinence in older adults. Clin Pharm Ther 85(1):98–102CrossRef
16.
Zurück zum Zitat Subak LL, Wing R, West DS, Franklin F, Vittinghoff E, Creasman JM et al. (2009) Weight loss to treat urinary incontinence in overweight and obese women. N Engl J Med 360(5):481–490. Subak LL, Wing R, West DS, Franklin F, Vittinghoff E, Creasman JM et al. (2009) Weight loss to treat urinary incontinence in overweight and obese women. N Engl J Med 360(5):481–490.
17.
Zurück zum Zitat National Institute for Health and Clinical Excellence. The management of urinary incontinence in women. October 2006. Available at: www.nice.org.uk. National Institute for Health and Clinical Excellence. The management of urinary incontinence in women. October 2006. Available at: www.​nice.​org.​uk.
18.
Zurück zum Zitat Vandoninck V, Van Balken MR, Finazzi Agro E, Petter F, Caltagirone C, Heesakkers JP et al (2003) Posterior tibial nerve stimulation in the treatment of urge incontinence. Neurourol Urodyn 22(1):17–23CrossRefPubMed Vandoninck V, Van Balken MR, Finazzi Agro E, Petter F, Caltagirone C, Heesakkers JP et al (2003) Posterior tibial nerve stimulation in the treatment of urge incontinence. Neurourol Urodyn 22(1):17–23CrossRefPubMed
19.
Zurück zum Zitat Peters KM, MacDiarmid SA, Wooldridge LS, Leong AC, Shobeiri SA, Roner ES et al (2009) Randomized trial of percutaneous tibial nerve stimulation versus extended-release tolterodine: results from the overactive bladder innovative therapy trial. J Urol 182(3):1055–1061CrossRefPubMed Peters KM, MacDiarmid SA, Wooldridge LS, Leong AC, Shobeiri SA, Roner ES et al (2009) Randomized trial of percutaneous tibial nerve stimulation versus extended-release tolterodine: results from the overactive bladder innovative therapy trial. J Urol 182(3):1055–1061CrossRefPubMed
20.
Zurück zum Zitat Peters K, Carrico D, Burks F (2009) Validation of a sham therapy for percutaneous tibial nerve stimulation. Neurourol Urodyn 28:58CrossRefPubMed Peters K, Carrico D, Burks F (2009) Validation of a sham therapy for percutaneous tibial nerve stimulation. Neurourol Urodyn 28:58CrossRefPubMed
21.
Zurück zum Zitat O’Reilly BA, Dwyer PL, Hawthorne G, Cleaver S, Thomas E, Rosamilia A et al (2004) Transdermal posterior tibial nerve laser therapy is not effective in women with insterstitial cystitis. J Urol 172:1780–1883 O’Reilly BA, Dwyer PL, Hawthorne G, Cleaver S, Thomas E, Rosamilia A et al (2004) Transdermal posterior tibial nerve laser therapy is not effective in women with insterstitial cystitis. J Urol 172:1780–1883
Metadaten
Titel
Randomized trial of transcutaneous tibial nerve stimulation to treat urge urinary incontinence in older women
verfasst von
Lucas Schreiner
Thaís Guimarães dos Santos
Mara Regina Knorst
Irênio Gomes da Silva Filho
Publikationsdatum
01.09.2010
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 9/2010
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-010-1165-6

Weitere Artikel der Ausgabe 9/2010

International Urogynecology Journal 9/2010 Zur Ausgabe

Neue S3-Leitlinie zur unkomplizierten Zystitis: Auf Antibiotika verzichten?

15.05.2024 Harnwegsinfektionen Nachrichten

Welche Antibiotika darf man bei unkomplizierter Zystitis verwenden und wovon sollte man die Finger lassen? Welche pflanzlichen Präparate können helfen? Was taugt der zugelassene Impfstoff? Antworten vom Koordinator der frisch überarbeiteten S3-Leitlinie, Prof. Florian Wagenlehner.

Gestationsdiabetes: In der zweiten Schwangerschaft folgenreicher als in der ersten

13.05.2024 Gestationsdiabetes Nachrichten

Das Risiko, nach einem Gestationsdiabetes einen Typ-2-Diabetes zu entwickeln, hängt nicht nur von der Zahl, sondern auch von der Reihenfolge der betroffenen Schwangerschaften ab.

Embryotransfer erhöht womöglich Leukämierisiko der Kinder

13.05.2024 Assistierte Reproduktion Nachrichten

Reproduktionsmedizinische Techniken haben theoretisch das Potenzial, den epigenetischen Code zu verändern und somit das Krebsrisiko der Kinder zu erhöhen. Zwischen Embryotransfer und Leukämie scheint sich ein solcher Zusammenhang bestätigt zu haben.

Alter verschlechtert Prognose bei Endometriumkarzinom

11.05.2024 Endometriumkarzinom Nachrichten

Ein höheres Alter bei der Diagnose eines Endometriumkarzinoms ist mit aggressiveren Tumorcharakteristika assoziiert, scheint aber auch unabhängig von bekannten Risikofaktoren die Prognose der Erkrankung zu verschlimmern.

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.