Efficacy and Effectiveness of Percutaneous Tibial Nerve Stimulation in the Treatment of Pelvic Organ Disorders: A Systematic Review

Biemans, Johanna M. A. E.; Balken, Michael R. van

doi:10.1111/j.1525-1403.2012.00504.x

Cited by 47 publications

(25 citation statements)

References 40 publications

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“…In addition, retrograde neuronal labeling studies revealed that the segmental sympathetic neurons of rat testicles are localized at the intermediolateral column of the spinal cord at levels T10 to L1 . The L4 dermatome (tibial nerve) territory was also used as a second dermatome on the basis of the effects of stimulating acupuncture point SP6 in studies of testicle and tibial nerve neurostimulation . For T13 stimulation, two needles were inserted obliquely 4–5 mm into the external oblique muscle and (presumably) the internal oblique muscle at 1 cm distance to the midsternal axis.…”

Section: Methodsmentioning

confidence: 99%

Improving Testicular Blood Flow With Electroacupuncture-Like Percutaneous Nerve Stimulation in an Experimental Rat Model of Testicular Torsion

Acar

Esen

Çolakoğlu

et al. 2015

Neuromodulation: Technology at the Neural Interface

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Section: Methodsmentioning

confidence: 99%

Improving Testicular Blood Flow With Electroacupuncture-Like Percutaneous Nerve Stimulation in an Experimental Rat Model of Testicular Torsion

Acar

Esen

Çolakoğlu

et al. 2015

Neuromodulation: Technology at the Neural Interface

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“…70,71 Six systematic reviews, of which two provided meta-analysis, concluded that PTNS improves OAB symptoms with success rates varying from 37% to 100%. [72][73][74][75][76][77] While definitions of success varied across studies, PTNS was better overall than sham procedures or placebo with minimal AEs (painful sensation during procedure without interfering with it and minor bleeding at insertion site) and comparable to antimuscarinics.…”

Section: Stimulation (Ptns)mentioning

confidence: 99%

Surgery for urinary incontinence in women: Report from the 6th international consultation on incontinence

Gomelsky

Athanasiou

Choo

et al. 2018

Neurourology and Urodynamics

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Urinary incontinence is a prevalent condition worldwide and causes a tremendous impact on a woman's quality of life. While conservative and non‐surgical therapies are options for treatment, surgery for stress urinary incontinence (SUI) is common. Options include colposuspension, slings (pubovaginal and midurethral), and periurethral bulking. While evidence supports each of these options in the treatment of SUI, each is associated with various rates of success and unique adverse event profiles. Urgency urinary incontinence (UUI) is initially treated with behavioral modification and pharmacologic means, with surgery reserved for those with refractory symptoms or significant complications from medication use. At present, intravesical onabotulinumtoxinA injections, percutaneous tibial nerve stimulation, and sacral neurostimulation are all viable options for refractory UUI/overactive bladder. As with surgical interventions for SUI, each of these is, likewise, associated with unique outcomes and adverse event profiles. Herein, we summarize the findings and conclusions from the 6th International Consultation on Incontinence (ICI) regarding surgical treatment of urinary incontinence in women.

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“…The PTNS is a technique that has been used either as transcutaneous or percutaneous since 1983, in adults for the treatment of urinary incontinence, chronic pelvic pain, sexual dysfunction, and fecal incontinence. 32 Its mechanism of action remains unclear, but it has been postulated that the stimulation of the posterior tibial nerve could stimulate the pudendal nerve via afferents fibers, leading to contraction of striated pelvic floor fibers, activation of detrusor inhibitory reflex, and initiation of better transit time. 33,34 The only study presenting the use of PTNS in the pediatric population was published in 2015 by Lecompte et al They reported an improvement of more than 75% in fecal leaks and an important decrease in Jorge-Wexner and Schurch et al score for urinary incontinence, suggesting that the percutaneous stimulation of the posterior tibial nerve might be considered as a valid tool in the management of fecal incontinence and urinary leaks in pediatrics.…”

Section: Discussionmentioning

confidence: 99%

Current State of Neuromodulation for Constipation and Fecal Incontinence in Children: A Systematic Review

2019

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Background Neuromodulation is the application of electrical stimulation on nerve fibers to modulate the neuronal activity. Its use for chronic constipation and fecal incontinence has increased in popularity over the past few years. Invasive and noninvasive techniques are currently available. We reviewed the current literature on the application of the neuromodulation techniques in the management of chronic constipation and fecal incontinence in children. Materials and Methods A search of Healthcare Database Advanced Search, Embase, Medline, and Cochrane database was performed in accordance with PRISMA guideline. Terms used in the search included neuromodulation, nerve stimulation, fecal/fecal incontinence, incontinence, constipation, children, and pediatric/pediatric. Results Two-hundred forty-one papers were screened. Fourteen papers were included for the systematic review: seven were selected for the ISNM (implantable sacral nerve modulation) technique, one for the transcutaneous tibial nerve stimulation), one for the transcutaneous sacral nerve modulation), and five for the transcutaneous interferential sacral nerve stimulation. Results showed an overall improvement in constipation symptoms in 79 to 85.7% of patients, resolution of symptoms in 40%, reduced use of ACE stoma/transanal irrigation system in 12.5 to 38.4%, and improvement in incontinence symptoms in 75%. High complication rate was reported (17–50%) in the ISNM group. No complications were reported in the non-invasive group. Conclusion Neuromodulation is a promising tool in the management of constipation refractory to medical treatment and fecal incontinence in children. Noninvasive techniques provide good results with no complications. A longer term follow-up will provide more information regarding patient compliance and sustainability of benefits of these new techniques.

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Efficacy and Effectiveness of Percutaneous Tibial Nerve Stimulation in the Treatment of Pelvic Organ Disorders: A Systematic Review

Cited by 47 publications

References 40 publications

Improving Testicular Blood Flow With Electroacupuncture-Like Percutaneous Nerve Stimulation in an Experimental Rat Model of Testicular Torsion

Improving Testicular Blood Flow With Electroacupuncture-Like Percutaneous Nerve Stimulation in an Experimental Rat Model of Testicular Torsion

Surgery for urinary incontinence in women: Report from the 6th international consultation on incontinence

Current State of Neuromodulation for Constipation and Fecal Incontinence in Children: A Systematic Review

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