Evidence map›Paper›PMID 30247794›Full record

ArticleNeuromodulation : journal of the International Neuromodulation Society2018

Transcutaneous Electrical Nerve Stimulation to Improve Female Sexual Dysfunction Symptoms: A Pilot Study.

Lauren L Zimmerman, Priyanka Gupta, Florence O'Gara, Nicholas B Langhals, Mitchell B Berger, Tim M Bruns

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Neuromodulation : journal of the International Neuromodulation Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04122703 nacompletednot on this mapstarted 2019, after this paper: background citation

A Randomized Controlled Trial Investigating the Efficacy of Percutaneous Tibial Nerve Stimulation (PTNS) in the Treatment of Female Sexual Dysfunction (FSD)

TypeinterventionalSponsorStony Brook UniversityRan2019 to 2023Enrolled79ConditionsFemale Sexual DysfunctionArmspercutaneous tibial nerve stimulation (PTNS), Sham procedure
NCT04384172 nacompletednot on this mapstarted 2020, after this paper: background citation

Effect of Peripheral Neuromodulation on Vaginal Blood Flow

TypeinterventionalSponsorUniversity of MichiganRan2020 to 2022Enrolled9ConditionsFemale Sexual Dysfunction, Spinal Cord InjuriesArmsTranscutaneous electrical nerve stimulation - Tibial Nerve, Transcutaneous electrical nerve stimulation - Genital Nerve
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  2. Comparative study on the Impact of Transcranial Magnetic stimulation and Bio-feedback on overactive bladder in multiple sclerosis patients: a Randomized Clinical Trial.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Trial
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  6. Article
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  8. Observational
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  10. Immediate and Long-Term Effects of Tibial Nerve Stimulation on the Sexual Behavior of Female Rats.Neuromodulation : journal of the International Neuromodulation Society · 2024
    Article
  11. Article
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  15. What Is New in Neuromodulation?Current urology reports · 2019
    Review
  16. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Lauren L ZimmermanDepartment of Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA.ORCID http://orcid.org/0000-0001-5528-9954
Priyanka GuptaDepartment of Urology, University of Michigan, Ann Arbor, MI, USA.
Florence O'GaraSexual Health Counseling, University of Michigan, Ann Arbor, MI, USA.
Nicholas B LanghalsDepartment of Surgery, Plastic Surgery Section, University of Michigan, Ann Arbor, MI, USA.ORCID http://orcid.org/0000-0003-0644-9020
Mitchell B BergerDepartment of Obstetrics & Gynecology, University of Michigan, Ann Arbor, MI, USA.ORCID http://orcid.org/0000-0002-4152-1537
Tim M BrunsDepartment of Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA.ORCID http://orcid.org/0000-0003-1692-0541
University of Michigan · USMain Line Health · US

Funding

Michigan Institute for Clinical and Health Research (MICHR)UL1TR002240 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LUMENG, JULIE C, MASHOUR, GEORGE ALEXANDER · 2017 to 2022
$54.9M
Michigan Institute for Clinical and Health Research (MCHR)UL1TR000433 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MASHOUR, GEORGE ALEXANDER · 2012 to 2016
$49.9M
Michigan Institute for Clinical and Health ResearchNational Center for Advancing Translational Sciences (NCATS)National Institutes of Health UL1TR000433National Institutes of Health UL1TR002240NCATS NIH HHS UL1 TR000433NCATS NIH HHS UL1 TR002240
6 · The paper itself

Abstract

objectivesTo perform a pilot study using transcutaneous electrical nerve stimulation (TENS) on the dorsal genital nerve and the posterior tibial nerve for improving symptoms of female sexual dysfunction (FSD) in women without bladder problems. We hypothesize that this therapy will be effective at improving genital arousal deficits. MATERIALS AND

methodsNine women with general FSD completed the study. Subjects received 12 sessions of transcutaneous dorsal genital nerve stimulation (DGNS; n = 6) or posterior tibial nerve stimulation (PTNS; n = 3). Stimulation was delivered for 30 min at 20 Hz. Sexual functioning was evaluated with the female sexual functioning index (FSFI), and surveys were also given on general health, urological functioning, and the Patients' Global Impression of Change (PGIC) after treatment. Surveys were given before treatment (baseline), after 6 and 12 weeks of treatment, and 6 weeks after the completion of stimulation sessions.

resultsThe average total FSFI score across all subjects significantly increased from 15.3 ± 4.8 at baseline to 20.3 ± 7.8 after six sessions, 21.7 ± 7.5 after 12 sessions, and 21.3 ± 7.1 at study completion (p < 0.05 for all time points). Increases were observed in both DGNS and PTNS subjects. Significant FSFI increases were seen in the subdomains of lubrication, arousal, and orgasm, each of which is related to genital arousal. Bladder and general health surveys did not change across the study. PGIC had a significant increase.

conclusionsThis study provides evidence that transcutaneous stimulation of peripheral nerves has the potential to be a valuable therapeutic tool for women with FSD.

Indexed as

Treatment OutcomeAdolescentAdultArousalFemaleFollow-Up StudiesHumansMiddle AgedOrgasmPilot ProjectsSexual Dysfunction, PhysiologicalTime FactorsTranscutaneous Electric Nerve StimulationYoung AdultDorsal genital nerveelectrical stimulationfemale sexual dysfunctiongenital arousalposterior tibial nerve

Identifiers

PMID30247794
PMCPMC6218940
OpenAlexW2890117955

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.