Electrical Stimulation of Posterior Tibial Versus Sacral Nerve in Urinary Incontinence Post Prostatectomy

Background: 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.Objectives: To invistigate the effect of electrical stimulation of posterior tibial versus sacral nerve in urinary incontinence post prostatectomy.Methodology: Thirty adult male patients who complaint from urinary incontinence post prostatectomy were participated in this study, their ages ranged from 45 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 200μsec, intensity according to the patient s tolerance, duration of treatment 15 minutes three times/week in addition to routine medical treatment and traditional care (fesoterodine, tolterodine and oxybutynin) while Group (B): Received 12 weeks of treatment with sacral nerve electrical stimulation with frequency 1-10HZ, pulse with 200μsec, intensity according to the patient s tolerance, duration of treatment 15 minutes three times/week in addition to routine medical treatment and traditional care (fesoterodine, tolterodine and oxybutynin).Results: Both posterior tibial and sacral nerve stimulation were 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.Conclusion: There was a significant decrease in mean values of Revised Urinary Scale Results (RUIS) of posterior tibial nerve stimulation group compared with sacral nerve stimulation group post treatment.