A gentle zap to the ankle might restore bladder control after spinal injury
NCT ID NCT07785258
First seen Aug 25, 2026 · Last updated Aug 26, 2026 · Updated 1 time
Summary
This pilot trial tests whether a non-invasive nerve stimulation technique, called transcutaneous tibial nerve stimulation (TTNS), can help people with spinal cord injuries who have overactive bladder muscles. Participants will use a small device to deliver mild electrical pulses to the ankle for 20 minutes daily over four weeks. Researchers will measure bladder capacity and pressure before and after treatment, along with symptom questionnaires and satisfaction surveys, to see if the approach is both effective and comfortable.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- transcutaneous tibial nerve stimulation (TTNS) using a neuromodulation device (Tensi+)
- What this could lead to
- If effective, TTNS could offer a non-invasive, drug-free way to improve bladder control and protect the kidneys in people with spinal cord injuries.
- What could go wrong
- This is a small pilot study with only 12 participants, so results may not apply broadly. The treatment may not improve bladder function, and some people may find the stimulation uncomfortable.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
-
About 12 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
-
Sep 2026
An estimate. Start dates often move.
- Expected to finish
-
Dec 2028
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
21 to 70 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Aged between 21 years and 70 years old 2. Clinical diagnosis of spinal cord injury 3. Diagnosis of neurogenic detrusor overactivity 4. Able to tolerate Urodynamic study 5. Ability to provide informed consent Exclusion Criteria: 1. Patients with active implantable device or ankle orthopaedic implant, Ankle articular diseases. 2. Pacemakers or implanted electrical devices, including deep brain stimulation. 3. Ulceration or broken skin in area of TTNS device placement. 4. Patients with BPH: predominantly voiding Lower Urinary Tract Symptoms (LUTS), Uroflow demonstrating obstructive pattern 5. Active urinary tract infection 6. Pregnancy 7. Known bladder tumour, urinary calculi 8. Predominant stress urinary incontinence 9. Prior treatment with transcutaneous PTNS or percutaneous PTNS (any time), sacral neuromodulation (anytime) or intradetrusor botulinum toxin injection within the past 6 months 10. Past medical history of psychiatric conditions 11. Patients with spinal shock 12. Patients with lower motor neuron syndrome
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Neurogenic detrusor overactivity are added.
By submitting, you agree to our Terms of use
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The places running it
1 site. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
-
Alexandra Hospital
Singapore, 159964, Singapore
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Transcutaneous spinal stimulation with intensive physical therapy for locomotion
- Early detrusor chemodenervation to preserve bladder compliance and longevity after spinal cord injury
- Prevention of thromboembolism using apixaban vs enoxaparin following spinal cord injury
- Can a brain implant let paralyzed people control computers with their minds?
- Can ultrasound dye reveal spinal cord damage Mid-Surgery?
- Video diet coaching may cut heart risks after spinal cord injury