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Effect of electrical stimulation on overactive bladder secondary to diabetic neuropathy
Ahmed AMA, Ahmed GM, Elatrebi MA, Ramadan H, Elzanaty MY
NeuroQuantology 2022;20(8):4711-4717
clinical trial
6/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Overactive bladder (OAB) is more common in patients with type II DM than in the general population. OBJECTIVE(S): the purpose of this study was to identify the effect of Electrical stimulation on over active bladder functions in patients with diabetic neuropathy. METHODS: Forty diabetic patients with polyneuropathy from both sex and their age ranged from 40 to 60 years participated in this study. The history of urological complications could be traced back to five to seven years. The patients were randomly assigned into two equal groups. Group A received selected physical therapy program, while Group B received the same selected program in addition to electrical stimulation for posterior tibial nerve of right leg. The scheduled sessions for both groups were three times weekly. The duration of the therapeutic interventions was six successive weeks. All patients were assessed by validated Arabic version of overactive bladder symptom score (OABSS) and urodynamic procedure pre and post treatment. RESULTS: this study showed a significant decrease of median value of OABSS for group (A) as well as for group (B), while by comparing between both groups post treatment, there was significant decrease of median value of OABSS in favor to group (B). Bladder volume at first desire to void and Maximum cystometric capacity showed no significant difference between pre and post treatment values for group (A), while there was a significant difference between pre and post treatment values for group (B), comparing between both groups post treatment revealed that there was a significant improvement in favor to group (B), bladder stability and compliance showed significant difference between pre and post treatment values for both groups, comparison between both groups post treatment showed a significant improvement in favor to group (B), maximum flow rate showed non-significant difference in both groups. CONCLUSIONS: Adding Electrical stimulation for posterior tibial nerve to selected physical therapy program has improved overactive bladder in patients with diabetic neuropathy.

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