Trial Outcomes & Findings for TENS Used for Pain Management During Office Cystoscopy Botox Injections (NCT NCT04448171)

NCT ID: NCT04448171

Last Updated: 2025-08-20

Results Overview

Using the participant-reported numerical pain scale, the change in participant reported pain was measured. This change was measured between two time points, baseline and intra-procedure. The participant-reported pain scale ranges from 0 (no pain) to 10 (worst pain) with higher scores indicating worse pain. When analyzing the data, the scale was multiplied by a factor of 10 to get a 100-point scale. Final results are reported using the 100-point scale ranging from 0 (no pain) to 100 (worst pain) with higher scores indicating worse pain.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

42 participants

Primary outcome timeframe

Baseline; intra-procedure

Results posted on

2025-08-20

Participant Flow

Two participants were not randomized as they screen failed prior to randomization taking place.

Participant milestones

Participant milestones
Measure
Activated TENS Unit With Standard Pain Control Measures
Activated TENS Unit with standard pain control measures during Office Based Cystoscopic Intra-detrusor Onabotulinumtoxin A Injection Active TENS: Standard TENS unit with four pads affixed to the lower back area, were used in this arm. The TENS device was set to an active setting.
Sham TENS Unit With Standard Pain Control Measures
Sham TENS Unit with standard pain control measures during Office Based Cystoscopic Intra-detrusor Onabotulinumtoxin A Injection Sham TENS: Standard TENS unit with four pads affixed to the lower back area, were used in this arm. The TENS device was set to an inactive setting.
Overall Study
STARTED
20
20
Overall Study
COMPLETED
18
20
Overall Study
NOT COMPLETED
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Activated TENS Unit With Standard Pain Control Measures
Activated TENS Unit with standard pain control measures during Office Based Cystoscopic Intra-detrusor Onabotulinumtoxin A Injection Active TENS: Standard TENS unit with four pads affixed to the lower back area, were used in this arm. The TENS device was set to an active setting.
Sham TENS Unit With Standard Pain Control Measures
Sham TENS Unit with standard pain control measures during Office Based Cystoscopic Intra-detrusor Onabotulinumtoxin A Injection Sham TENS: Standard TENS unit with four pads affixed to the lower back area, were used in this arm. The TENS device was set to an inactive setting.
Overall Study
Procedure Cancelled
1
0
Overall Study
Protocol Violation
1
0

Baseline Characteristics

TENS Used for Pain Management During Office Cystoscopy Botox Injections

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active TENS
n=20 Participants
Receive TENS therapy
Sham TENS
n=20 Participants
No TENS therapy received
Total
n=40 Participants
Total of all reporting groups
Age, Continuous
72 years
n=5 Participants
72 years
n=7 Participants
72 years
n=5 Participants
Sex: Female, Male
Female
20 Participants
n=5 Participants
20 Participants
n=7 Participants
40 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
20 Participants
n=5 Participants
20 Participants
n=7 Participants
40 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
20 Participants
n=5 Participants
20 Participants
n=7 Participants
40 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
20 participants
n=5 Participants
20 participants
n=7 Participants
40 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline; intra-procedure

Using the participant-reported numerical pain scale, the change in participant reported pain was measured. This change was measured between two time points, baseline and intra-procedure. The participant-reported pain scale ranges from 0 (no pain) to 10 (worst pain) with higher scores indicating worse pain. When analyzing the data, the scale was multiplied by a factor of 10 to get a 100-point scale. Final results are reported using the 100-point scale ranging from 0 (no pain) to 100 (worst pain) with higher scores indicating worse pain.

Outcome measures

Outcome measures
Measure
Activated TENS Unit With Standard Pain Control Measures
n=14 Participants
Activated TENS Unit with standard pain control measures during Office Based Cystoscopic Intra-detrusor Onabotulinumtoxin A Injection Active TENS: Standard TENS unit with four pads affixed to the lower back area, were used in this arm. The TENS device was set to an active setting.
Sham TENS Unit With Standard Pain Control Measures
n=17 Participants
Sham TENS Unit with standard pain control measures during Office Based Cystoscopic Intra-detrusor Onabotulinumtoxin A Injection Sham TENS: Standard TENS unit with four pads affixed to the lower back area, were used in this arm. The TENS device was set to an inactive setting.
Change in Participant Reported Pain Score From Baseline to Intra-Procedure
27.9 score on a scale
Standard Deviation 26.4
37.5 score on a scale
Standard Deviation 38.2

SECONDARY outcome

Timeframe: Postprocedure, 10 minutes following completion of cystoscopy

Using the 10-point Likert scale, the change in participant satisfaction was measured. This change was measured between two time points, post procedure and 10 minutes following completion of cystoscopy. Scores on the Likert scale range from 1 (complete dissatisfaction) to 10 (complete satisfaction), with higher scores indicating higher satisfaction.

Outcome measures

Outcome measures
Measure
Activated TENS Unit With Standard Pain Control Measures
n=14 Participants
Activated TENS Unit with standard pain control measures during Office Based Cystoscopic Intra-detrusor Onabotulinumtoxin A Injection Active TENS: Standard TENS unit with four pads affixed to the lower back area, were used in this arm. The TENS device was set to an active setting.
Sham TENS Unit With Standard Pain Control Measures
n=17 Participants
Sham TENS Unit with standard pain control measures during Office Based Cystoscopic Intra-detrusor Onabotulinumtoxin A Injection Sham TENS: Standard TENS unit with four pads affixed to the lower back area, were used in this arm. The TENS device was set to an inactive setting.
Change in Participant Satisfaction From Post Procedure to 10 Minutes Following Completion of Cystoscopy
9.2 score on a scale
Standard Deviation 2.0
8.5 score on a scale
Standard Deviation 2.4

Adverse Events

Activated TENS Unit With Standard Pain Control Measures

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Sham TENS Unit With Standard Pain Control Measures

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Activated TENS Unit With Standard Pain Control Measures
n=20 participants at risk
Activated TENS Unit with standard pain control measures during Office Based Cystoscopic Intra-detrusor Onabotulinumtoxin A Injection Active TENS: Standard TENS unit with four pads affixed to the lower back area, were used in this arm. The TENS device was set to an active setting.
Sham TENS Unit With Standard Pain Control Measures
n=20 participants at risk
Sham TENS Unit with standard pain control measures during Office Based Cystoscopic Intra-detrusor Onabotulinumtoxin A Injection Sham TENS: Standard TENS unit with four pads affixed to the lower back area, were used in this arm. The TENS device was set to an inactive setting.
Skin and subcutaneous tissue disorders
Minor Skin Reaction
10.0%
2/20 • Adverse events were collected from the time of informed consent through study completion, approximately 2 weeks.
5.0%
1/20 • Adverse events were collected from the time of informed consent through study completion, approximately 2 weeks.

Additional Information

John Occhino, M.D., M.S.

Mayo Clinic

Phone: 507-538-5883

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place