Evidence map›Paper›PMID 40192925›Full record

Trial reportWorld journal of urology2025

Evaluation of transcutaneous electrical tibial nerve stimulation in lower urinary tract dysfunction secondary to a parkinsonian syndrome: Uroparktens-a multicenter randomized placebo-controlled study.

Evelyne Castel-Lacanal, Benoit Peyronnet, Gilles Karsenty, Catherine-Marie Loche, Véronique Phé, Emmanuel Chartier-Kastler, Jean-Nicolas Cornu, Xavier Biardeau, Alexia Even, Pierre Denys and 5 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02190851 (Evaluation of Treatment by Transcutaneous Electrical Nerve Stimulation), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT02190851 nacompletednot on this map

Evaluation of Treatment by Transcutaneous Electrical Nerve Stimulation (TENS) of the Posterior Tibial Nerve for Lower Urinary Tract Disorders in Parkinson's Syndrome

TypeinterventionalSponsorUniversity Hospital, ToulouseRan2015 to 2020Enrolled110ConditionsParkinson's DiseaseArmsTENS, Control
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Evelyne Castel-LacanalService de Médecine Physique et de Réadaptation, CHU Toulouse, Toulouse, France.
Benoit PeyronnetDepartment of Urology, University of Rennes, Rennes, France.
Gilles KarsentyUrology and Kidney Transplantation Department, Aix Marseille University and AP-HM, La Conception Hospital, Marseille, France.
Catherine-Marie LocheService de Médecine Physique et de Réadaptation, Centre Hospitalier Intercommunal Créteil, Créteil, France.
Véronique PhéSorbonne Université, Academic Hospital Pitié-Salpétrière, AP-HP, Paris, France.
Emmanuel Chartier-KastlerSorbonne Université, Academic Hospital Pitié-Salpétrière, AP-HP, Paris, France.
Jean-Nicolas CornuCharles Nicolle University Hospital, Rouen University, 76000, Rouen, France.
Xavier BiardeauDepartment of Urology, Univ. Lille, CHU Lille, Inserm UMR-S1172 Lilncog, Lille Neuroscience and Cognition, 59000, Lille, France.
Alexia EvenDepartment of Rehabilitation and Physical Medicine, Université Paris-Saclay, Assistance Publique-Hôpitaux de Paris (AP-HP), Raymond Poincaré Academic Hospital, Garches, France.
Pierre DenysUnité de Neuro Urologie Hopital Raymond Poincaré APHP, UMR 1179 END-ICAP, UFR de médecine Simone Weil Université Paris Saclay, 104 Bd Raymond Poincaré, 92380, Garches, France.
Amandine Guinet-LacosteService de Médecine Physique et de Réadaptation, CHU Lyon Sud, Pierre-Bénite, France.
Alain RuffionUrology Department, Lyon Sud Hospital, Hospices Civils de Lyon, Lyon Cancer Innovation Center (EA 3738 CICLY), Lyon Sud Medical School, University of Lyon 1, Lyon, France.
Stéphane BartService d'Urologie, Hôpital NOVO - Site de Pontoise - CERGY PONTOISE, Pontoise, France.
Emilie BerardCentre Hospitalier Universitaire de Toulouse, Service d'Epidémiologie, CERPOP, Inserm, Université Toulouse III Paul Sabatier, Toulouse, France.
Xavier GaméDepartment of Urology, Renal Transplantation and Andrology, CHU Rangueil (Rangueil University Hospital), TSA50032, 31059, Toulouse, France. game.x@chu-toulouse.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLower urinary tract dysfunction (LUTD) is common in parkinsonian syndromes (PS) and requires special treatment due to limitations in the use of certain drugs and the progression of the disease. Tibial nerve stimulation by transcutaneous electrical nerve stimulation (TENS) is a simple, well-tolerated treatment with proven effectiveness in LUTD. The aim of our study was to evaluate the efficacy on urinary symptoms in patients with a parkinsonian syndrome.

methodA prospective, double-blind, multicenter, randomized study to compare the effects of TENS 20 min a day for 3 months with sham stimulation using the 3-month Patient Global Impression of Improvement (PGI-I) score in adults with PS and LUTD for whom conventional treatments had failed. The secondary endpoints studied were 3-month changes in PGI-S (Severity), Urinary Symptom Profile (USP), Qualiveen questionnaire, voiding diary (VD), post-void residue and the rate of complications.

resultsBetween 2015 and 2020, 100 patients with a mean age of 68.6 ± 8.4 years were randomized and included in the intention to treat analysis population (ITT). Among them were 71 men and 85 patients with idiopathic Parkinson's disease. Initially, the PGI-S was moderate to severe (score of 3-4) in 80 patients: 38 (83%) in the TENS group and 42 (82%) in the sham group. After 3 months of treatment, 68 patients felt an improvement (PGI-I 1-3): 30 (64%) in the TENS group and 38 (72%) in the sham-stimulation group (p = 0.399). There was no statistically significant difference between the 2 groups regardless of the endpoint considered.

conclusionThe effect of tibial neuromodulation by TENS on urinary disorders in patients with parkinsonian syndrome after 3 months of stimulation was not significantly different from the placebo effect obtained with sham stimulation.

Indexed as

Lower Urinary Tract SymptomsParkinsonian DisordersTibial NerveTranscutaneous Electric Nerve StimulationAgedDouble-Blind MethodFemaleHumansMaleMiddle AgedProspective StudiesTreatment OutcomeMultiple system atrophyNeurogenic bladderNeuromodulationParkinson diseaseTibial nerve stimulation

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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.