Transcutaneous Tibial Nerve Stimulation for Idiopathic Overactive Bladder
The Efficacy of Transcutaneous Tibial Nerve Stimulation on Symptoms of Overactive Bladder and Quality of Life in Women With Idiopathic Overactive Bladder
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Ece Cinar, MD
- Phone Number: 00905372257018
- Email: ece.cinar@ege.edu.tr
Study Contact Backup
- Name: Yesim Akkoc, MD
- Phone Number: 00902323903690
- Email: yesim.akkoc@ege.edu.tr
Study Locations
-
-
İzmir
-
Bornova, İzmir, Turkey (Türkiye), 35100
- Ege University School of Medicine
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Overactive Bladder Questionnaire Validation Study questionnaire 8 scores higher than 11.
- Post voiding residue levels less than 100 ml.
- Women aged between 18-70
Exclusion Criteria:
- Prior history of pelvic surgery
- Pelvic organ prolapsus of grade 2 or more.
- Current urinary tract infection
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Transcutaneous tibial nerve stimulation plus bladder training
Patients will receive transcutaneous tibial nerve stimulation for 30 minutes, twice a week, for 6 weeks.
Application will be done in an outpatient setting, using disposable surface electrodes.
|
Bladder training has 4 components, educating the patient about anatomy, fluid intake control, pelvic floor muscle contractions and increasing the interval between visits to the bathroom
A combined electrotherapy device capable of applying transcutaneous electrical nerve stimulation will be used.
Each session will take 30 minutes.
Patient will visit the hospital twice a week for 6 weeks.
An electrical current of 0-50 amperes with a frequency of 20 herz, and a duration of 200 micro seconds will be applied using 50x50 mm surface electordes.
The aim is to create a tingling sensation without causing any pain on the tibial nerve, at the ankle level.
|
|
Other: Bladder training
patients will receive only the routine education program that is given to every patient with idiopathic overactive bladder syndrome.
This includes education about the anatomy of the urinary system, patient motivation, and frequent bathroom visits in order to avoid incontinence with gradual increase between each visit to the bathroom.
|
Bladder training has 4 components, educating the patient about anatomy, fluid intake control, pelvic floor muscle contractions and increasing the interval between visits to the bathroom
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Urination frequency
Time Frame: 1 day
|
The frequency of urination will be recorded by using a bladder diary.
Urination frequency will be questioned before and after the study period.
|
1 day
|
|
Severity of overactive bladder symptoms. Overactive Bladder Questionnaire Validation Study questionnaire
Time Frame: 1 day
|
This questionnaire assesses the severity of overactive bladder symptoms in 8 items.
Each item is scored from 0 to 5. Higher scores denote worse symptom severity.
Maximum score is 40.
A score over 11 denotes presence of overactive bladder symptoms.
Questionnaire will be answered before and after the treatment period.
|
1 day
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Quality of life. King's quality of life questionnaire
Time Frame: 1 day
|
This questionnaire includes a total of 19 questions assessing general quality of life and also questions related to urinary symptoms.
Maximum score is 100 and higher scores denote lower levels of quality of life.
Questionnaire will be answered before and after the treatment period.
|
1 day
|
|
Level of satisfaction with the treatment. Visual analog scale
Time Frame: 1 day
|
After the completion of the study period, patients will be asked to assess their levels of satisfaction with the treatment they received on a visual analog scale.
|
1 day
|
|
Incontinence impact questionnaire-7.
Time Frame: 1 day
|
This 7 item questionnaire assesses the impact of urinary incontinence on the patients' daily lives.
Maximum score is 100.
Higher scores denote worse outcomes.
Questionnaire will be answered before and after the treatment period.
|
1 day
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Ece Cinar, MD, Ege University School of Medicine
Publications and helpful links
General Publications
- Gormley EA, Lightner DJ, Faraday M, Vasavada SP; American Urological Association; Society of Urodynamics, Female Pelvic Medicine. Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline amendment. J Urol. 2015 May;193(5):1572-80. doi: 10.1016/j.juro.2015.01.087. Epub 2015 Jan 23.
- Ramirez-Garcia I, Blanco-Ratto L, Kauffmann S, Carralero-Martinez A, Sanchez E. Efficacy of transcutaneous stimulation of the posterior tibial nerve compared to percutaneous stimulation in idiopathic overactive bladder syndrome: Randomized control trial. Neurourol Urodyn. 2019 Jan;38(1):261-268. doi: 10.1002/nau.23843. Epub 2018 Oct 12.
- Bo K, Frawley HC, Haylen BT, Abramov Y, Almeida FG, Berghmans B, Bortolini M, Dumoulin C, Gomes M, McClurg D, Meijlink J, Shelly E, Trabuco E, Walker C, Wells A. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction. Int Urogynecol J. 2017 Feb;28(2):191-213. doi: 10.1007/s00192-016-3123-4. Epub 2016 Dec 5.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Male Urogenital Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Lower Urinary Tract Symptoms
- Urological Manifestations
- Urinary Bladder Diseases
- Pathological Conditions, Signs and Symptoms
- Signs and Symptoms
- Urinary Bladder, Overactive
Other Study ID Numbers
Other Study ID Numbers
- Ege 19-12.3/5
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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