Tibial nerve stimulation for treating nocturia

Cancer
1

Hello

I completed a course of radiotherapy (EBRT) for prostate cancer 4 weeks ago, and am still having to get up to pee 4 or 5 times every night (nocturia). The various remedies which my GP has recommended (tolteredine, betmiga, tamsulosin) have no effect, and the tolterdine made me feel awful, so I stopped it. And the problem is unrelated to the amount I may have drunk (water, tea, wine etc) in the evening, as each time I get the urge, there is little urine to expel, and my bladder is nowhere near full. 

I'd be interested to know if anyone has had experience of using a TENS device to stimulate the tibial nerve, near the ankle. There seems to be some evidence that this self-administered and non-invasive procedure can help reduce the problem ( see this article on transcutaneous tibial nerve stimulation:  https://www.sciencedirect.com/science/article/pii/S22143882150 00375 

More commonly, percutaneous stimulation has been used, but this involves inserting a needle through the skin, and hence has to be carried out by a nurse or doctor. 

Best wishes

Tony

2

Question for you. Did you have the EBRT for recurrent PC?

If so, did you have incontinence issues prior to the EBRT?

Also, are you currently experiencing incontinence all day or only nocturnal?

3

No, not recurrent PC - I was diagnosed last Spring, and the EBRT course (37 X 2 Gray) was in parallel with Zoladex implants every 3 months, which will continue for 2 more years i.e the standard treatment

Before PC diagnoisis, for a couple of years, I had to get up twice each night to pee, but since the EBRT, it's 4 - 5 times / night. During the day. all is normal.

I'm not incontinent as such - it's just that during the night, the urge is so strong, I have to get up each time to relieve it, even though very little urine is passed each time. 

4

We have very different issues. My incontinence is secondary to the prostatectomy and I never had issues with the night.

Best of luck with a solution