Tibial nerve stimulation in the management of primary sexual dysfunction in patients with multiple sclerosis: a pilot randomized control trial

Introduction Sexual dysfunction (SD) is a common symptom that affects 40–90% of patients with multiple sclerosis (MS). Previous studies have highlighted the negative impact of sexual dysfunction in the mental health status and overall quality of life in patients with MS. Methods The aim of this stud...

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Published in:Neurological sciences 2024-12, Vol.45 (12), p.5849-5858
Main Authors: Giannopapas, Vasileios, Smyrni, Vassiliki, Kitsos, Dimitrios K., Chasiotis, Athanasios K., Stavrogianni, Konstantina, Papagiannopoulou, Georgia, Tsivgoulis, Georgios, Voumvourakis, Konstantinos, Giannopoulos, Sotirios, Bakalidou, Daphne
Format: Article
Language:English
Subjects:
Adult
Bladder
Female
Females
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Multiple sclerosis
Multiple Sclerosis - complications
Multiple Sclerosis - therapy
Neurology
Neuroradiology
Neurosurgery
Orgasm
Original Article
Pilot Projects
Psychiatry
Quality of life
Sexual disorders
Sexual Dysfunction, Physiological - etiology
Sexual Dysfunction, Physiological - therapy
Statistical analysis
Tibial Nerve
Transcutaneous Electric Nerve Stimulation - methods
Treatment Outcome
Vagina
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Summary:Introduction Sexual dysfunction (SD) is a common symptom that affects 40–90% of patients with multiple sclerosis (MS). Previous studies have highlighted the negative impact of sexual dysfunction in the mental health status and overall quality of life in patients with MS. Methods The aim of this study was to examine the effects of transcutaneous tibial nerve stimulation (TTNS) in the primary SD symptoms in patients with MS. A total of 40 participants were randomized (1:1 ratio) to either TTNS or Sham group and received three 20 min sessions over the course of two months. Pre and post intervention SD was evaluated using the Multiple Sclerosis Intimacy Questionnaire (MISQ-15). Results Statistically significant improvements in the aspects of primary sexual dysfunction were observed in the TTNS group pre-post intervention (specifically erectile function (for males)/vaginal lubrication (for females) ( p  
ISSN:1590-1874
1590-3478
1590-3478
DOI:10.1007/s10072-024-07687-2