Efficacy Comparison of Intravaginal and Perineal Electrical Stimulation with Bladder Training in Women with Idiopathic Overactive Bladder

What this Trial Is About

Researchers are evaluating the effectiveness of two types of electrical stimulation, intravaginal electrical stimulation IVES and perineal electrical stimulation ES, compared to bladder training alone in women with idiopathic overactive bladder OAB. This randomized, double-blind, placebo-controlled study aims to determine which method better improves incontinence symptoms and quality of life in affected women. The trial involves 63 participants divided into three groups receiving different treatments. Participants in the first group will receive IVES along with bladder training. IVES is delivered via a vaginal probe using a device, three times a week for 20 minutes each session, over 8 weeks, totaling 24 sessions. The second group will receive perineal ES with bladder training, where surface electrodes are applied around the perianal area, also three times a week for 20 minutes per session for 8 weeks. The third group will perform bladder training alone, which includes education and exercises conducted at home, focusing on pelvic anatomy and urgency suppression strategies. Throughout the study, participants will be assessed before and after the 8-week treatment period. Researchers will measure changes in incontinence episodes, symptom severity, quality of life, anxiety and depression levels, sexual function, and pelvic floor muscle strength. Safety and side effects will also be monitored. The main outcome is improvement in the rate of incontinence episodes. Participants provide written consent and are involved in regular sessions with healthcare professionals for stimulation treatments and bladder training guidance.

Comparison of the Efficacy of Perineal and Intravaginal Electrical Stimulation in Women With Idiopathic Overactive Bladder