Posterior Tibial Nerve Stimulation Twice a Week in Patients with Interstitial Cystitis

Zhao, Jiaju; Bai, Jiang; Zhou, Ying; Qi, Guihua; Du, Lingdong

doi:10.1016/j.urology.2008.01.018

Cited by 36 publications

(13 citation statements)

References 25 publications

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“…Two studies from Zhao [30,31] evaluated PTNS for the treatment of PBS/interstitial cystitis (IC). In the first one [30], after a prospective evaluation in 14 patients with refractory IC, the authors concluded that PTNS had no significant clinical effect over 10 weeks of treatment.…”

Section: Resultsmentioning

confidence: 99%

“…In the first one [30], after a prospective evaluation in 14 patients with refractory IC, the authors concluded that PTNS had no significant clinical effect over 10 weeks of treatment. In a more recent study [31], the same author evaluated the efficacy of PTNS performed twice a week in 18 female patients with IC. 44.4% of patients evaluated the trial effective and showed a significant improvement in bladder capacity.…”

Section: Resultsmentioning

confidence: 99%

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Percutaneous tibial nerve stimulation (PTNS) efficacy in the treatment of lower urinary tract dysfunctions: a systematic review

et al. 2013

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BackgroundPercutaneous Tibial Nerve Stimulation (PTNS) has been proposed for the treatment of overactive bladder syndrome (OAB), non-obstructive urinary retention (NOUR), neurogenic bladder, paediatric voiding dysfunction and chronic pelvic pain/painful bladder syndrome (CPP/PBS). Despite a number of publications produced in the last ten years, the role of PTNS in urinary tract dysfunctions remains unclear. A systematic review of the papers on PTNS has been performed with the aim to better clarify potentialities and limits of this technique in the treatment of OAB syndrome and in other above mentioned urological conditions.MethodsA literature search using MEDLINE and ISI web was performed. Search terms used were “tibial nerve” and each of the already mentioned conditions, with no time limits. An evaluation of level of evidence for each paper was performed.ResultsPTNS was found to be effective in 37-100% of patients with OAB, in 41-100% of patients with NOUR and in up to 100% of patients with CPP/PBS, children with OAB/dysfunctional voiding and patients with neurogenic pathologies. No major complications have been reported.Randomized controlled trials are available only for OAB (4 studies) and CPP/PBS (2 studies). Level 1 evidence of PTNS efficacy for OAB is available. Promising results, to be confirmed by randomized controlled studies, have been obtained in the remaining indications considered.ConclusionsPTNS is an effective and safe option to treat OAB patients. Further studies are needed to assess the role of PTNS in the remaining indications and to evaluate the long term durability of the treatment. Further research is needed to address several unanswered questions about PTNS.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Percutaneous tibial nerve stimulation (PTNS) efficacy in the treatment of lower urinary tract dysfunctions: a systematic review

et al. 2013

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“…Investigators noted increased bladder volume. Pain was assessed by visual analogue scale, and no statistically significant improvement was achieved [34]. In summary, PTNS did not appear to improve symptoms of interstitial cystitis.…”

Section: Fecal Incontinencementioning

confidence: 78%

Status of Tibial Nerve Stimulation for Overactive Bladder

Powell

2011

Curr Bladder Dysfunct Rep

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“…10 Most of the earlier studies used needle electrodes for stimulation especially for PTN. 2,3,5,6,11,12 Needle electrodes require sterile environment and are not suitable for home-based therapy. This pilot study on a small number of patients demonstrates the effects of surface electrical stimulation for the treatment of detrusor overactivity in a uniform welldefined population of patients with SCI.…”

Section: Introductionmentioning

confidence: 99%

Neuromodulation by surface electrical stimulation of peripheral nerves for reduction of detrusor overactivity in patients with spinal cord injury: A pilot study

Ojha

George

Chandy³

et al. 2014

The Journal of Spinal Cord Medicine

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Objectives: To demonstrate reduction in detrusor overactivity using surface electrical stimulation of posterior tibial nerve (PTN) or dorsal penile nerve (DPN) in patients with spinal cord injury (SCI). Design: Patients with SCI with symptoms of urinary urgency/leaks, with cystometrogram (CMG) proven detrusor overactivity were recruited in this study. Ten persons with observable F-wave from tibial nerve were included in the PTN group. Five persons who had F-wave absent but preserved bulbocavernosus reflex were included in the DPN group. Stimulation was given at 20 Hz, 10-40 mA for 20 minutes/session/day for 14 consecutive days. Detrusor overactivity was recorded using CMG on days 1 and 15. Settings: Rehabilitation Institute, Department of Physical Medicine and Rehabilitation, Christian Medical College and Hospital, Vellore, TN, India. Participants: Patients with SCI. Interventions: Surface stimulation of peripheral nerves for reduction of detrusor overactivity. Outcome measures: Qualitative analysis using voiding diary data and quantitative analysis using CMG data comparing pre-and post-intervention. Results: P value obtained from voiding chart was 0.021 for PTN and 0.062 for DPN. P value obtained from CMG data was not significant in both groups. In one subject, treatment was extended to 4 weeks and further improvement in voiding diary was seen. Conclusions: In this pilot study of 15 patients, voiding chart data showed statistically significant improvement following PTN stimulation and trend of improvement following DPN stimulation. However, the CMG data were not statistically significant in this sample population. Further studies with larger, appropriately powered sample size would be helpful to demonstrate the associations of symptoms with CMG data.

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Posterior Tibial Nerve Stimulation Twice a Week in Patients with Interstitial Cystitis

Cited by 36 publications

References 25 publications

Percutaneous tibial nerve stimulation (PTNS) efficacy in the treatment of lower urinary tract dysfunctions: a systematic review

Percutaneous tibial nerve stimulation (PTNS) efficacy in the treatment of lower urinary tract dysfunctions: a systematic review

Status of Tibial Nerve Stimulation for Overactive Bladder

Neuromodulation by surface electrical stimulation of peripheral nerves for reduction of detrusor overactivity in patients with spinal cord injury: A pilot study

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