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In the intervention study, twenty women patients (between 18-55 years old) with various kinds of multiple sclerosis (MC Donald 2010 criteria) and have urinary symptom with detrusor sphincter dyssynergia or over active bladder refractory to drug therapy are considered in study. The exclusion criteria are urinary infection, pervious urogenital surgery, renal stone, pregnancy, severe cardiopulmonary diseases, physical inability, diabetes mellitus, other central nervous system diseases. Also, patients who don’t consent do not consider. When the urinary symptoms aggravate, attack of multiple sclerosis appear or weekly treatment are not followed, are removed from the study. Patients will be treated with 12 sections of electrical posterior tibial stimulation. Each stimulation will be applied for 30 minutes, once a week for 12 weeks, by unilateral insertion of 38 monopolar needle at 60-degree angle, approximately 5cm cephalad to the medial malleolus and slightly posterior to the tibial. Stimulation will be done with .5-9mA current level , 200 microsec pulse and pulse rate of 20 Hz, based on base subjects foot planter motor and sensory response . PVR and UDS will be performed after 12 weeks. The effect of stimulation on urodynamic and PVR will be compared of paseline and after stimulation.
IRCTID: IRCT2013031512820N1
  1. A comparison of the effects of electroacupuncture and posterior tibial nerve electrical stimulation on urinary disorders in patients with multiple sclerosis in Tehran Imamreza hospital
  2. Comparative effect of Percutaneous Tibial Nerve Stimulation versus Transcutaneous Posterior Tibial Nerve Stimulation efficacy in the treatment of Overactive Bladder Syndrome
  3. Effects of Planter Vibrator versus Transcutaneous Electric Nerve Stimulation (TENS) on Balance Dysfunction in Patient with Stroke
  4. Comprasion of efficacy of Drug therapy(Solifenacin Succinate) and physiotherapy(Stimulation of Posterior Tibialis Nerve) on treatment of overactive Bladder and quality of life in Patients with Multiple Sclerosis
  5. Comparison of the effects of medical treatment (Duloxetine andSsolifenacine) and Transcutaneous tibia nerve stimulation in the treatment of post- prostatectomy urinary incontinence
  6. Comparative effect of Dorso lateral prefrontal cortex Transcranial Direct Current Stimulation and Primary Motor Cortex Transcranial Direct Current Stimulation on fatigue in the patients with multiple sclerosis
  7. Comparing effect of cutaneous posterior tibial nerve stimulation with medical treatment with Solifenacin in patients with overactive bladder
  8. The comparison between Percutaneous posterior tibial nerve stimulation and Biofeedback-assisted pelvic floor muscle training on quality of life and episode of voiding in women with overactive bladder
  9. Comparison of the success rate in urinary evacuation after women's anterior colporrhaphy surgeries using two methods: spontaneous urinary evacuation and retrograde bladder filling.
  10. Comparison of the Effect of Posterior Tibial Nerve Electrical Stimulation with Conventional Treatments on Improving the Control of Functional Retentive Fecal Incontinence in Children
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