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Electrical stimulation of posterior tibial versus sacral nerve in urinary incontinence post prostatectomy /

Ibrahim Abdelhamid Mohamed Abozena

Electrical stimulation of posterior tibial versus sacral nerve in urinary incontinence post prostatectomy / التنبيه الكهربى للعصب القصبى الخلفى مقابل العصب العجزى فى السلس البولى بعد استئصال البروستاتا Ibrahim Abdelhamid Mohamed Abozena ; Supervised Wafaa Hussein Borhan , Sherif Ahmed Swar , Heba Mohamed Mohamady - Cairo : Ibrahim Abdelhamid Mohamed Abozena , 2016 - 92 P. : facsimiles ; 25cm

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Surgery

Urinary incontinence followed surgical prostatectomy generates embarrassment and depression, patients avoid social gatherings and lose self-confidence so it is a great concern for patients and a challenging problem for clinicians. The current study was conducted to invistigate the effect of both electrical stimulation of posterior tibial versus sacral nerve in urinary incontinence postprostatectomy. Thirty adult male patients who complaint from urinary incontinence post prostatectomywere participated in this study, their ages was ranged from 55 to 65 years. They were rondomly divided into two equal groups. Group (A): Received 12 weeks of treatment with posterior tibial nerve electrical stimulation with frequency 1-10HZ, pulse with 200 æsec, intensity according to the patients tolerance, duration of treatment 15 min three times/week in addition to routine medical treatment and traditional carewhile Group (B): Received 12 weeks of treatment with sacral nerve electrical stimulation wit frequency 1-10HZ, pulse with 200 æsec, intensity according to the patients tolerance, duration of treatment 15 min three times/week in addition to routine medical treatment and traditional care. Bothposterior tibial and sacral nerve stimulation are effective, minimally invasive option for treatment of patients complaining of post prostatectomy urinary incontinence, both posterior tibial and sacral nerve stimulation produced subjective improvements which are improvement of quality of life parameters, leakage episodes and frequency. There was a significant decrease in mean values of revised urinary scale results (RUIS) and incontinence severity index results (ISI) of posterior tibial nerve stimulation group compared with sacral nerve stimulation group post treatment



Electrical stimulation Posterior tibial nerve Sacral nerve