The purpose of this research study is to determine the effectiveness of a treatment called "transcutaneous tibial nerve stimulation" or "TTNS" in the treatment of urinary leakage for patients with spina bifida. This treatment involves electrical stimulation of a nerve by the ankle. Participants will complete urodynamic testing and questionnaires prior to the treatments. Participants will then complete 6 weekly treatments of TTNS. Participants will learn how to do the treatment in the clinic, and then can complete the treatments at home. For patients with a good response, the treatments may be continued for another 6 weeks, for a total of 6 weeks.
Age 8-18
Patient at TSRH
Diagnosis of lumbosacral spina bifida (myelomeningocele, meningocele, lipoma of spinal cord, myelocystocele, diastematomyelia, fatty/thickened filum)
Incontinence refractory to compliant catheterization (compliance with catheterization as assessed by their treating provider)
Ages <8 or >18
Diagnosis not listed above
Patients that have received reconstructive surgeries (i.e. augmentation or bladder neck sling) with the exception for a single APV
Patient received Botox treatment within 1 year of enrollment