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How does transcutaneous electrical nerve stimulation (TENS) for overactive bladder (OAB) work?

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Transcutaneous electrical nerve stimulation (TENS). This procedure strengthens the muscles that control urination. Your doctor places thin wires inside your vagina, if you’re female, or in your bottom, if you’re male. It delivers pulses of electricity that stimulate your bladder muscles to make them stronger. Studies show that electrical stimulation works better than fake stimulation (placebo) or Kegel exercises to relieve OAB symptoms. It's not clear whether one type of stimulation works better or is safer than another.

SOURCES:

Bladder & Bowel Community: "Sacral Nerve Stimulation," "Tibial nerve stimulation."

Cleveland Clinic: "Female Incontinence."

Cochrane : "Non-invasive electrical stimulation for overactive bladder in adults."

Current Urology Reports : "Percutaneous tibial nerve stimulation: A clinically and cost effective addition to the overactive bladder algorithm of care."

Dartmouth-Hitchcock: "Sacral Nerve Stimulation Therapy."

Mayo Clinic: "Urinary incontinence surgery in women: The next step."

Medscape: "Sacral Nerve Stimulation."

Research and Reports in Urology : "Sacral neuromodulation in overactive bladder: a review and current perspectives."

Simon Foundation: "Percutaneous Tibial Nerve Stimulation (PTNS)."

Urology Care Foundation: "Overactive Bladder (OAB): Medical and Surgical Treatments."

Reviewed by Melinda Ratini on February 13, 2018

SOURCES:

Bladder & Bowel Community: "Sacral Nerve Stimulation," "Tibial nerve stimulation."

Cleveland Clinic: "Female Incontinence."

Cochrane : "Non-invasive electrical stimulation for overactive bladder in adults."

Current Urology Reports : "Percutaneous tibial nerve stimulation: A clinically and cost effective addition to the overactive bladder algorithm of care."

Dartmouth-Hitchcock: "Sacral Nerve Stimulation Therapy."

Mayo Clinic: "Urinary incontinence surgery in women: The next step."

Medscape: "Sacral Nerve Stimulation."

Research and Reports in Urology : "Sacral neuromodulation in overactive bladder: a review and current perspectives."

Simon Foundation: "Percutaneous Tibial Nerve Stimulation (PTNS)."

Urology Care Foundation: "Overactive Bladder (OAB): Medical and Surgical Treatments."

Reviewed by Melinda Ratini on February 13, 2018

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