Efficacy Of Surface Electrical Stimulation For Urge Urinary Incontinence In Women
|The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government.Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.|
|First Posted : February 12, 2021Last Update Posted : February 12, 2021|
|Study Type :|
|Randomized between two active groups|
|Masking Description:||Device looks identical. A third person masks which software is coded.|
|Official Title:||Clinical Study to Evaluate the Efficacy of Surface Electrical Stimulation for Urge Urinary Incontinence in Women|
|Actual Study Start Date :|
|Experimental: Active Group AElectrical muscle stimulator and surface applied electrode shaped to fit the perineal region, with stimulation group A.||Device: ELITONE UUIOther Name: ELITONE muscle stimulator|
|Active Comparator: Active Group BElectrical muscle stimulator and surface applied electrode shaped to fit the perineal region with stimulation group B.||Device: ELITONE UUIOther Name: ELITONE muscle stimulator|
Tibial Nerve Electrical Stimulation
Six randomized trials provided data on the use of tibial nerve stimulation for treatment of urge urinary incontinence to anti-muscarinic therapy in womenwith severe overactive bladder. Gynecol Endocrinol. 2010 26: 729-32.42. Peters KM, Macdiarmid SA, Wooldridge LS, Leong FC, Shobeiri SA, Rovner ES, et al.: Randomized trial of percutaneous tibial nerve stimulation versus extended-release tolterodine: results from the overactivebladder innovative therapy trial. J Urol. 2009 182: 1055-61.43. Karademir K, Baykal K, Sen B, Senkul T, Iseri C, Erden D: A peripheric neuromodulation technique for curing detrusor overactivity: Stoller afferent neurostimulation. Scand J Urol Nephrol. 2005 39: 230-3.-4444. Finazzi Agrò E, Campagna A, Sciobica F, Petta F, Germani S, Zuccalà A, et al.: Posterior tibial nerve stimulation: is the once-a-week protocol the best option? Minerva Urol Nefrol. 2005 57: 119-23.). These trials included a total of 426 women, Peters et al. had the largest sample analyzing 174 women . Mean ages in the trials ranged from 40.3 to 68.9 years of age. The most important outcomes of each paper are described in Table-4.
The frequency of sessions was weekly in all papers, with a duration of 30 minutes for 12 weeks in most of them . Five papers applied an intensity of stimulation below 10 mA, 20 hz as the frequency and use percutaneous technique .
The most frequent outcome measures were bladder diary , quality of life , and subjective satisfaction.
How Does Electrical Stimulation Help People With An Overactive Bladder
An OAB describes a condition characterized by a frequent urge to urinate. People with an OAB experience a more frequent need to urinate than others and often feel an urgent need to empty their bladder. Some people with an OAB also experience incontinence, where they leak urine.
The first line of defense in treating an OAB involves home remedies and medications. If these methods dont work, a doctor or healthcare professional may recommend methods that require more action, including electrical stimulation.
Electrical stimulation, also known as neuromodulation therapy, involves using electrical currents to stimulate the nerves that are connected to your bladder. This works to get the nerve signals between your bladder and brain working correctly. Electrical stimulation can help to reduce the sensations of urinary urgency that people with an OAB experience.
This treatment can be especially helpful in older people with an OAB, as there can be an increased risk of dementia with antimuscarinic medications and other treatment styles. Because of the possible long-term side effects of these medications, noninvasive procedures such as electrical stimulation are a much safer way to treat their bladders.
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How Does Sacral Neuromodulation Work
With sacral neuromodulation, a small device is inserted under your skin in your lower back. Small wires, called leads, send low-level, mild electrical impulses to your sacral nerves.
Located near the tailbone, these nerves help with sensation, and control the pelvic floor and the muscles related to bladder and bowel function. Bluetooth technology is used to control the device.
Unlike medications and physical therapy, which target the muscles that control your bladder and bowel function, sacral neuromodulation can offer symptom relief by modulating your nerve signals.
Transcutaneous Electrical Nerve Stimulation
Transcutaneous electrical nerve stimulation is carried out with surface electrodes, and therefore, provides a non-invasive alternative to other stimulation modalities. Above we described TENS of the tibial nerve. Other sites suitable for TENS include the suprapubic, sacral, penile/clitoral, vaginal, and rectal areas. Effectiveness of TENS has been demonstrated in patients with idiopathic bladder dysfunction.31 Areas of stimulation were the dermatomes of S2 and S3 and the thigh area. Stimulation frequency was 2050 Hz, and the pulse width was 200 µs. Stimulation was carried out daily during 26 weeks. Only short-term clinical improvement was shown. There are no data on long-term efficacy.
Do You Need To Try Other Treatment Options First
Yes, you’ll usually try other treatment options first. Three categories of treatments are available for urinary incontinence, and the most appropriate option will depend on the cause of your symptoms.
First-line treatments include conservative treatments, such as making lifestyle changes to train your bladder or physical therapy, including pelvic floor and Kegel exercises. Second-line treatments include medication therapy. The first medication was approved by the FDA in 2003 and many options became available since that time. Each person responds differently to medication therapy, so it’s good to have options.
The first two categories of treatment provide symptom relief for about 75% of people. By the time we are discussing a sacral neuromodulation procedure, you’ll have tried and failed treatment options from the first two categories or couldn’t tolerate the side effects.
Results In As Few As 6 Weeks
After treatment many women no longer need ELITONE, while others reduce to only a few sessions per month.
This device helped train my body and mind much more effectively than just Kegel exercises. Now I have the confidence to know what muscles to use in various situations. I have fewer leaks and am optimistic about my long-term health.
Helen, Professional in her 40s
How Electric Stimulation Works
Electric stimulation is a form of neuromodulation that uses electrical impulses to stimulate the sacral nerve, which is responsible for controlling the muscles of the pelvic floor. This stimulation can help to strengthen the pelvic floor muscles and prevent or reduce leakage during activities like coughing, sneezing, or laughingall of which can trigger incontinence episodes
In addition to its ability to directly target the pelvic floor muscles, electric stimulation also has the added benefit of helping to re-establish communication between the brain and the bladder. For some patients with urinary incontinence, this “reprogramming” can help to retrain the bladder and alleviate symptoms long-term
What Is Posterior Tibial Nerve Stimulation
Posterior tibial nerve stimulation is a form of neuromodulation i.e. it aims to change the abnormal pattern of stimulation of the nerves that supply the bladder and pelvic floor.
Bladder and pelvic floor muscle function is co-ordinated in the lower part of the spinal cord by the sacral nerves. Electrical stimulation of the posterior tibial nerve sends a message to the sacral nerves that is thought to modify and regulate the nerves that control the bladder.
How Is The Device Inserted
A surgeon will implant the device in an operating room under sedation, similar to sedation used during a colonoscopy. A 2- to 3-inch incision will be made in your lower back, and the small device will be placed below your skin and above the muscle. You will be able to go home the same day as the procedure.
What Does Treatment With Ptns Involve
- Initially 12 treatments are administered at approximately weekly intervals in the consulting rooms.
- Each treatment session lasts about 30 minutes. Treatments do not require any preparation, fasting or restriction in activities such as driving.
- In the seated position a fine needle similar to an acupuncture type needle is inserted into the skin just behind the ankle on the inner aspect of the leg.
- The needle is connected to a device that sends a low-grade electrical signal, which travels up the nerves in the leg to the nerves that control the bladder.
- A tingling sensation may be felt in the ankle, foot or toes during the treatment.
- Further maintenance treatments are required with PTNS
- These usually involve a single treatment that may occur once every few months.
- The ideal long-term treatment frequency is yet to be established and depends on the individuals response to treatment.
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Consult Your Healthcare Provider Before Using The Device If:
- You have any serious illness or injury not mentioned in this guide.
- You have an underlying neurological condition .
- You have a tendency to hemorrhage, following acute trauma or fracture.
- You take insulin for diabetes.
- You suffer from muscle or joint problems, including pelvic pain or a paravaginal defect.
- You suffer with suspected or diagnosed heart disease.
- You underwent a recent surgical procedure and where muscle contraction may disrupt the healing process.
- You have any doubt about using the device.
This is brilliant! It is so not invasive, so simple and so comfortable. Ive tried so many things over the last 15 years. This was the easiest, yet the most productive. I truly love your product.
Why You Should Consider Electric Stimulation For Urinary Incontinence
Millions of people suffer from urinary incontinence, a condition that can be both embarrassing and inconvenient. While there are many potential treatments for urinary incontinence, patients may not be aware of one promising option: electric stimulation. In this blog post, we’ll discuss the benefits of electric stimulation for urinary incontinence and how this treatment can help you regain control over your bladder.
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Living With An Overactive Bladder
An OAB can affect all aspects of your life. Its not only physically uncomfortable, but it involves making many trips to the bathroom, which some may find embarrassing. People with an OAB may experience relationship issues, difficulty sleeping, issues with their sex lives, and other mental health challenges related to their daily experiences.
But youre not alone, and help is out there. Along with treatments aimed at lessening your symptoms, resources are available to people living with an OAB. Some organizations that can help you find help and support include:
Effectiveness Of Ems And Tens In Patients With Overactive Bladder
|The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.|
|Verified April 2020 by Sajid rashid, Isra University. Recruitment status was: RecruitingFirst Posted : April 28, 2020Last Update Posted : April 28, 2020|
|Device: Electric Muscle StimulationDevice: Transcutaneous Electric Nerve Stimulation||Not Applicable|
Leaking urine is called “incontinence”. Stress urinary incontinence , is another common bladder problem. It’s different from OAB. People with SUI leak urine while sneezing, laughing or doing other physical activities. If you have an overactive bladder, you may feel embarrassed, isolate yourself, or limit your work and social life.
Overactive bladder is a very common clinical condition, with an overall prevalence estimated at 11.5% in the general population of Pakistan.
The Benefits Of Electric Stimulation
There are many potential benefits of electric stimulation for urinary incontinence, including:
- Reduced frequency and severity of leakage episodes
- Greater bladder control during activities that previously triggered leakage episodes
- Increased confidence and quality of life
If you’re suffering from urinary incontinence, talk to your doctor about whether electric stimulation could be right for you. This minimally-invasive treatment has helped numerous patients regain control over their bladders and improve their quality of life
If you suffer from urinary incontinence, you know how frustrating and embarrassing this condition can be. While there are many potential treatments available, electric stimulation is a minimally-invasive option that offers numerous potential benefits. If you’re considering treatment for urinary incontinence, talk to your doctor about whether electric stimulation could be right for you.
Recondition Your Bladder Using Electrical Stimulation Therapy
These conditions are usually the result of a pelvic floor disorder. A pelvic floor disorder may be the result of age, or it may be caused by damage to the pelvic floor sustained during pregnancy and delivery, or due to heavy lifting.
Reconditioning your bladder muscles through electrical stimulation therapy may help relieve some of your symptoms so you can get back to an active life.
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How Big Is The Device
Medical technology has made significant advances in recent years, and implantable medical devices have gotten smaller. The current device, which is about the size of a thumbnail drive, is smaller than most pacemakers. A new version is available that has a rechargeable battery that lasts about 15 years. These devices also are MRI-safe so you can have scans of your hips, back or legs in the future, if needed.
Nerve Stimulation To Treat Urinary Incontinence
Topics in this Post
Many people have heard of pacemakers and how they can be used to treat heart conditions. But did you know a similar implantable device is available to treat urinary incontinence?
Urinary incontinence, or the loss of bladder control, is common. One of the most common types is urge incontinence, which is distinguished by a sudden, intense urge to urinate followed by an involuntary loss of urine. About 17% of women and 3% to 11% of men experience urge incontinence at some point in their lives.
Symptoms of incontinence can cause people to feel socially isolated, experience sexual inhibition, or become afraid to make social or travel plans. Careers and personal relationships are often affected.
Fortunately, many treatment options can help, including sacral neuromodulation.
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Electrical Stimulation For Urinary Incontinence
- Electrical Stimulation for Urinary Incontinence
If you suffer from severe urinary incontinence and other treatments have not been effective, you may be a candidate for electrical stimulation or neuromodulation therapy.
This form of therapy can be effective in treating urge incontinence accidental leaks associated with an overactive bladder. Neuromodulation may also be helpful if youre not able to urinate completely and might require catheterization.
How electrical stimulation works is not well understood, but medical experts believe the stimulation improves the communication pathways between your brain and your bladder, similar to how a pacemaker corrects abnormal impulses in the heart. If your bladder sends too many or too few impulses to the brain, electrical stimulation makes those impulses more regular so the brain responds appropriately.
Can I Try Sacral Neuromodulation Before Committing
Yes, you can try sacral neuromodulation before committing. That’s one of the benefits of this procedure. We can “test drive” it to see if it will work for you.
During the trial phase, a temporary device is placed on your back with local anesthetic. For four to seven days, you will record your symptoms in a bladder diary to evaluate the device’s effectiveness. Overall, we are looking for at least a 50% reduction in your symptoms, but will also evaluate subjective measurements like your comfort level.
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Percutaneous Tibial Nerve Stimulation
With PTNS, a small-sized electrode is fixated on the lower part of your leg, close to your ankle. This electrode sends signals to your tibial nerve, which runs all the way to your lower back. Often, PTNS requires an average of 12 treatments to work properly.
One of the latest models of these stimulators is no larger than a nickel and can be implanted under the skin of your lower leg. This implant is a simple procedure that can be done under local anesthetic in a urologists office.
How Helpful Is Electrical Stimulation In Treating An Overactive Bladder
At this time, electrical stimulation has been found to have varying degrees of success in treating an OAB. A study from 2016 found that electrical stimulation is likely more effective than pelvic floor therapy alone, or a placebo, at reducing symptoms of an OAB. But the study researchers also say that there wasnt enough reliable evidence to be sure of their findings.
Other studies have found more clearly positive results. A 2021 study published in the International Brazilian Journal of Urology found that intravaginal and transvaginal electrical stimulation was more effective than bladder training on its own in reducing symptoms of an OAB in women.
Other studies have found electrical stimulation to be helpful in treating children with an OAB. For example, a 2019 study published in the Journal of Pediatric Urology found that a procedure called percutaneous electrical nerve stimulation was an effective short-term treatment for an OAB in children.
of electrical stimulation for an OAB: percutaneous tibial nerve stimulation and sacral neuromodulation .
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