Analgesia Using Transcutaneous Electric Nerve Stimulation in Office Bladder Chemodenervation, A Randomized Controlled Trial

(Abstracted from Urogynecology 2024;30:498–504 Onabotulinumtoxin A injections can be performed as a third-line therapy option to those who are unresponsive to first line treatments for overactive bladder. Modifications to the procedure and environment have historically been used to improve patient experience and comfort in the office procedure; one method of analgesia for office bladder chemodenervation that has yet to be fully investigated is transcutaneous electric nerve stimulation (TENS).