Posterior Tibial Nerve Stimulation, Is It Effective Method in Managing Overactive Bladder Symptoms?

Background: Posterior tibial nerve stimulation (PTNS) has emerged as a novel treatment for overactive bladder symptoms (OAB). Here we report our institute PTNS experience. The main aim of this study is to evaluate the effectiveness of PTNS and its impact on the quality of life using a validated questionnaire. Methods: This retrospective study is aiming to assess the effect of posterior tibial nerve stimulation (PTNS) in management of the overactive bladder symptoms in patients who failed conservative treatment and medical therapy, this study was conducted in Wexham Park hospital in the United Kingdom (UK) and included 41 patients who had the procedure done for them once a week for 6 weeks duration between 2016 and 2019. International Consultation on Incontinence Questionnaire overactive bladder UK version (ICIQ-OAB) was used to assess the efficacy of PTNS in this study. Results: Analysis of the results showed significant improvement of the overactive bladder symptoms as follow 23 patients (82%) in frequency and 22 patients (78%) in nocturia, in addition to 21 (75%) in urgency and 18 (64%) patients in urine in leakage with average improvement 74.4%. Conclusions: Posterior Tibial Nerve Stimulation (PTNS) can be used in the management of overactive treatment if failed conservative management and medical therapy.