Overactive Bladder Clinical Trial
Official title:
Does Bladder Training (BT) Improve the Efficacy of Percutaneous Tibial Nerve Stimulation (PTNS) in Women With Refractory Overactive Bladder (OAB) - A Randomised Controlled Study
Overactive Bladder (OAB) is a chronic condition defined as urgency with or without
incontinence usually associated with frequency and nocturia. It is a common condition
affecting 15-45% of adults and constitutes a significant proportion of patients attending
urogynaecology clinics. OAB is known to have a significant impact on the physical, social and
emotional quality of life and sexual function in women. The treatment of OAB is initially
conservative with bladder training followed by pharmacotherapy.
Evidence from a recent Cochrane review on treatment of OAB suggests that the efficacy of
anticholinergics in treatment of OAB is enhanced when combined with BT. Women who fail to
improve with these initial measures are offered Intravesical Botox or neuromodulation in the
form of Percutaneous Tibial Nerve Stimulation (PTNS) or Sacral Nerve Stimulation (SNS).
PTNS has also been shown to more effective than pharmacotherapy with anticholinergics. In
2010 National Institute of Clinical Excellences (NICE) issued guidance stating '"PTNS for OAB
demonstrates effectiveness without major safety concerns"
We hypothesise that the outcome of PTNS will improve if the PTNS sessions are combined with
bladder training (BT).
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