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Tests a nerve stimulation device for bladder emptying problems in multiple sclerosis

Tests a leg-nerve stimulation device against a sham device in people with multiple sclerosis.

Plain-language title generated from the registry record
Registry title: Transcutaneous Tibial Neuro-stimulation to Improve Voiding Dysfunction in Multiple Sclerosis.

Key facts

Where
Lille, FranceSee the site

Could this be for you?

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 65 years old?

Source: NCT04573673, who can take part

Where in France

  • Hop Claude Huriez Chu LilleLille, FranceTaking people

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
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Trial details

Who runs it
University Hospital, Lille
Trial code
NCT04573673
Record updated
23 December 2025
Original description
The present trial is designed to assess the efficacy and safety of transcutaneous tibial neuro-stimulation (TTNS) in improving bladder emptying in multiple sclerosis (MS) patients.Read full original descriptionShow less

Efficacy and Safety of Transcutaneous Tibial Neuro-stimulation to Improve Voiding Dysfunction in Multiple Sclerosis Patients.

The present trial is designed to assess the efficacy and safety of transcutaneous tibial neuro-stimulation (TTNS) in improving bladder emptying in multiple sclerosis (MS) patients.

Patients presenting with MS and performing clean intermittent self-catheterization (CISC) to empty the bladder in the context of voiding dysfunction, will be eligible.

Included patients will be randomly assigned to two distinct arms

* PTNS de verum : patients will be treated with transcutaneous tibial neuro-stimulation at a rate of one session of 30 consecutive minutes daily for a period of 12 weeks. * PTNS placebo : Patients will be treated with placebo (i.e. no current) transcutaneous tibial neuro-stimulation for 30 consecutive minutes daily for a period of 12 weeks (same treatment regimen as the experimental group).

Efficacy in improving voiding dysfunction will be assessed 12 weeks after randomization using the BVE ratio (Bladder Voiding Efficiency) = Ratio of urine volume / total bladder volume.

Inclusion: Patient with a diagnosis of multiple sclerosis; Patient with bladder-sphincter dyssinergia; Patient using clean intermittent self-catheterization as exclusive bladder management; Patient who has given written consent; Socially insured patient; Patient willing to comply with all study procedures and study duration.

Exclusion: Patient treated with a sacral neuro-modulation; Patient with recurrent urinary tract infections (> 3 episodes / year); Patient with a bladder compliance disorder; Patient who has received an intradermal injection of botulinum toxin A within the last 9 -months Patient who received alpha-blocker treatment within the last month Patient with benign prostatic hypertrophy (prostate volume > 40 cc) - Last ultrasound scan < 6 months; Patient with one or more bladder diverticulum(s) Patient with unilateral or bilateral renal Patient with unilateral or bilateral vesico-ureteral reflux Patient with impaired renal function (GFR according to CKD-EPI < 60 ml/min/1.73m2) Patient with a metallic prosthesis on the lower limb Patient with a Pacemaker Pregnant patient; Patient with other associated neurological pathology; Patient with an Expanded Disability Status Scale (EDSS) score ≥ 6; Patient with uncontrolled overactive bladder; Patient with uncontrolled detrusor hyperactivity; Patient with tibial neuro-stimulation in the last 3 months.

ClinicalTrials.gov NCT04573673