Efficacy of Transcutaneous Versus Percutaneous Posterior Tibial Nerve Stimulation in the Overactive Bladder.
Overactive Bladder Syndrome
About this trial
This is an interventional treatment trial for Overactive Bladder Syndrome focused on measuring urgency, incontinence, nocturia, frequency
Eligibility Criteria
Inclusion Criteria:
- Subjects diagnosis of overactive bladder
- Subjects refractory to treatments antimuscarinic or beta 3-agonist
- Subjects who do not take restricted medication
- Subjects who can cognitively complete the voiding diary and questionnaires
- Subject with symptoms 3 months ago
- Men must be discarded obstruction by benign prostatic hyperplasia
Exclusion Criteria:
- Subjects with stress incontinence
- Subjects with urinary tract infection
- Subjects with neurological disease
- Subjects with pacemakers fitted
- Pregnancy
- Subjects who have disorder sensitive
- A history of pelvic tumors
- Subject who is not able to understand the physiotherapist
Sites / Locations
- Laura Calzado SanzRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
A: Transcutaneous tibial nerve stimulation
B: Percutaneous tibial nerve stimulation
The transcutaneous electrostimulation of the posterior tibial nerve (ETNTP) will be applied to group A: place two surface electrodes, one 32 mm in diameter, 5 cm cephalad of the internal malleolus and 1 cm medial posterior of the tibia; and another 50x50 mm electrode in the calcaneous. The flexion of the first toe will indicate the correct placement of the electrodes. Stimulation is performed according to the Stoller method with a stimulator programmed at 20Hz and 200 µs, with a continuous current, 12 sessions, 2 weekly are completed. The intensity of the current will be tolerance by the subject.
The percutaneous electrostimulation of the posterior tibial nerve (EPNTP) will be applied to group B: inserting a 0.25x30mm surgical steel needle at a 60º angle, 5 cm cephalad to the malleolus and 1 cm posterior of the tibia , and a surface electrode of 50x50 mm in the calcaneous. The flexion of the first finger will indicate its correct placement. The stimulation parameters will also follow the Stoller method.