Randomized trial of long-term effects of percutaneous tibial nerve stimulation on chronic pelvic pain

Istek, Ayse; Uğurlucan, Funda Güngör; Yaşa, Cenk; Gökyildiz, Şule; Yalçın, Önay

doi:10.1007/s00404-014-3190-z

Cited by 43 publications

(35 citation statements)

References 27 publications

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“…Asintravesical Bacillus-Calmette Guerin BCG instillations failed to show a significant response rate in terms of LUTS related QoL, this treatment has largely fallen out of favor in the treatment of IC [32] , [33] . Studies are also lacking regarding QoL with chondroitin sulfate and hyaluronic acid [34] , [35] . Larger scale studies and placebo-control studies will be needed to assess these results.…”

Section: Qol After Treatmentmentioning

confidence: 99%

Addressing quality of life in the patient with interstitial cystitis/bladder pain syndrome

Vasudevan

Moldwin

2017

Asian Journal of Urology

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Interstitial cystitis/bladder pain syndrome (IC/BPS) is a debilitating, chronic condition characterized by chronic pelvic pain, urinary urgency, and frequency and is well-known to be associated with a decrease in work productivity, emotional changes, sleep, sexual dysfunction, and mobility. Many metrics of quality of life (QoL) in this patient population have been developed; however, a unified, standardized approach to QoL in these patients has not been determined. The effects of IC/BPS and co-morbid conditions on QoL are described using current validated metrics. Next, data regarding successful treatment of IC/BPS in terms of QoL improvement are reviewed. While QoL is the single most important clinical measure of success in the treatment of patients suffering from IC/BPS, addressing QoL in this patient population remains a significant challenge, as its effects on QoL are highly variable and unable to be differentiated from the effects of comorbid conditions on QoL, including depression, poor sleep, and inability to work. Future studies will need to address treatment efficacy on the basis of IC/BPS specific QoL metrics, and multi-modal assessment and therapy to address comorbid disease will also play an important role in the future to ensure comprehensive management of these patients.

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Section: Qol After Treatmentmentioning

confidence: 99%

Addressing quality of life in the patient with interstitial cystitis/bladder pain syndrome

Vasudevan

Moldwin

2017

Asian Journal of Urology

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“…155,158,159 PTNS has also been demonstrated to decrease chronic pelvic pain. [160][161][162] The remote effects of posterior tibial NS are analogous to remote segmental analgesia in chronic pain.…”

Section: Remote Effects Of Nerve Stimulation In Nonpain Applicationsmentioning

confidence: 99%

<p>Remote Analgesic Effects Of Conventional Transcutaneous Electrical Nerve Stimulation: A Scientific And Clinical Review With A Focus On Chronic Pain</p>

Gozani

2019

JPR

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Background: Transcutaneous electrical nerve stimulation (TENS) is a safe, noninvasive treatment for chronic pain that can be self-administered. Conventional TENS involves stimulation of peripheral sensory nerves at a strong, non-painful level. Following the original gate-control theory of pain, stimulation is typically near the target pain. As another option, remote stimulation may also be effective and offers potential advantages. Objective: This narrative review examines mechanisms underlying the remote analgesic effects of conventional TENS and appraises the clinical evidence. Methods: A literature search for English-language articles was performed on PubMed. Keywords included terms related to the location of TENS. Citations from primary references and textbooks were examined for additional articles. Results: Over 30 studies reported remote analgesic effects of conventional TENS. The evidence included studies using animal models of pain, experimental pain in humans, and clinical studies in subjects with chronic pain. Three types of remote analgesia were identified: at the contralateral homologous site, at sites distant from stimulation but innervated by overlapping spinal segments, and at unrelated extrasegmental sites. Conclusion: There is scientific and clinical evidence that conventional TENS has remote analgesic effects. This may occur through modulation of pain processing at the level of the dorsal horn, in brainstem centers mediating descending inhibition, and within the pain matrix. A broadening of perspectives on how conventional TENS produces analgesia may encourage researchers, clinicians, and medical-device manufacturers to develop novel ways of using this safe, cost-effective neuromodulation technique for chronic pain.

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“…[41] Another study demonstrated that pain complaints of patients with chronic prostatitis/CPP significantly reduced with electroacupuncture. [42] Istek et al [43] studied 33 women with CPP randomly assigned to either percutaneous tibial nerve stimulation (PTNS) or control. A total of 30-min PTNS for three days per week were applied for 12 weeks.…”

Section: Physiotherapy and Rehabilitationmentioning

confidence: 99%

Pelvic pain rehabilitation

Vural¹

2018

Turk J Phys Med Rehab

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Chronic pelvic pain is defined as persistent painful condition which lasts for at least six months under umbilicus. Numerous factors are blamed for etiopathogenesis, and quality of life of individuals is adversely affected. Chronic pain as well as functional disorders are accompanied to chronic pelvic pain. The treatment and rehabilitation program should be tailored for specific causes, targeting general pain treatment. Consequently, chronic pelvic pain management can be used to propose personalized treatment options and include patient education, behavioral therapy, and a biopsychosocial approach. Interdisciplinary teamwork and collaboration are essential for facilitating patient-centered rehabilitation.

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Randomized trial of long-term effects of percutaneous tibial nerve stimulation on chronic pelvic pain

Abstract: PTNS is a minimally invasive treatment method that leads to decrease in pain severity and improvement in quality of life in women with chronic pelvic pain with effects continuing at 6 months.

Cited by 43 publications

References 27 publications

Addressing quality of life in the patient with interstitial cystitis/bladder pain syndrome

Addressing quality of life in the patient with interstitial cystitis/bladder pain syndrome

<p>Remote Analgesic Effects Of Conventional Transcutaneous Electrical Nerve Stimulation: A Scientific And Clinical Review With A Focus On Chronic Pain</p>

Pelvic pain rehabilitation

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