Randomized Trial of Tibial Nerve Stimulation Versus Pelvic Floor Exercises for Treatment of Overactive Bladder
Urge Incontinence
About this trial
This is an interventional treatment trial for Urge Incontinence focused on measuring incontinence; pelvic floor exercises; neuromodulation
Eligibility Criteria
Inclusion Criteria:
- Women with Urinary Incontinence of Urgency or Mixed older than 18 years
Exclusion Criteria:
- Presence Of vaginal or urinary infection
- Not understand or sign the informed consent
- Not understand or are unable to perform the proposed treatment
- Pregnancy or the postpartum period covering the period up to 6 months after delivery
- Women in previous use of chronically used drugs (antidepressants, diuretics, and others) that can evidently alter the urinary function.
- Stress Urinary Incontinence of pure or mixed incontinence with a predominance of Stress component neurogenic bladder
- Use of Botox® in the bladder or pelvic muscles in the last year
- Use Interstim® or Bion®
- Use pacemaker or implantable defibrillator
- Current use of TENS in the pelvic region, lower back or legs
- Previous use of percutaneous tibial stimulation
- Drug / experimental devices in the past 4 weeks,
- Participation in any clinical research involving or affecting the urinary or renal function in the last 4 weeks.
- Pelvic radiotherapy;
- Changes in sensibility Lower Limb;
Sites / Locations
- Hospital de Clinicas de Porto AlegreRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
"Tibial Nerve Stimulation"
"Pelvic Floor Exercises"
This group will do transcutaneous electrical stimulation of the tibial nerve at home. Development of an innovative portable equipment, with domestic technology for home application of the posterior tibial nerve stimulation technique using the type SSP surface electrodes (Silver Spike Point). Frequency: 20 Hz, Pulse width: 200 us; duration: 15min daily
This group will make pelvic muscle training 3 times a day . In decubit dorsal posture, legs flexed and abductee. Perform pelvic floor contractions keeping 2 seconds and relaxing 4 seconds for 10 times, and contractions keeping 4 seconds and relaxing 8 seconds for 10 times.