Predictors of successful percutaneous tibial nerve stimulation (PTNS) in the treatment of overactive bladder syndrome

Rostaminia, Ghazaleh; Chang, Cecilia; Pincus, Joseph B.; Sand, Peter K.; Goldberg, Roger P.

doi:10.1007/s00192-018-3834-9

Cited by 16 publications

(12 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There was a statistically significant improvement in urinary frequency, nocturia and urge incontinence episodes in the PTNS group, with the effect seen by week 10 of treatment; 61.5% of participants selfreported > 50% improvement in symptoms with the number of PTNS sessions increasing the odds of subjective success. In addition to the number of sessions as a success predictor, a retrospective study by Rostaminia et al (2018) [22] showed that a history of depression/anxiety and severe baseline urgency urinary incontinence were positive predictors of successful PTNS outcome in women with OAB. Review of urodynamic data in 90 patients with OAB treated with PTNS showed that patients without detrusor overactivity may respond better to PTNS suggesting that urodynamics may help in patient selection [23].…”

Section: Ptns Compared With Transvaginal Stimulations and Pelvic Floomentioning

confidence: 99%

Posterior tibial nerve stimulation for overactive bladder—techniques and efficacy

et al. 2019

View full text Add to dashboard Cite

The ideal treatment for overactive bladder is still elusive. In those where medication fails to improve symptoms options include invasive treatments such as botulinum toxin-A, sacral neural stimulation or posterior tibial nerve stimulation. Scientific professional society guidelines advise percutaneous posterior tibial nerve stimulation as a third line treatment option only after multidisciplinary team review as well as failure of both conservative and pharmacological management. The aim of this article is to review all techniques for tibial nerve stimulation and their efficacy.

show abstract

Section: Ptns Compared With Transvaginal Stimulations and Pelvic Floomentioning

confidence: 99%

Posterior tibial nerve stimulation for overactive bladder—techniques and efficacy

et al. 2019

View full text Add to dashboard Cite

show abstract

“…In an effort to identify ideal candidates for PTNS treatment in OAB, a number of investigators identified that history of prior SNM therapy correlated negatively with PTNS outcomes. On the other hand, more severe complaints of urge urinary incontinence and urinary bladder volume at first sensation (a UDS parameter) were predictors of PTNS success [90].…”

Section: Predictors Of Ptns Successmentioning

confidence: 98%

“…As a matter of fact, home administration systems and micro implants are being developed for that sole purpose [84,88]. PTNS, too, is less costly than SNM, on average [89,90].…”

Section: Mode Of Effectmentioning

confidence: 99%

Neuromodulation in Urology: Current Trends and Future Applications

Yaiesh¹,

Al‐Terki²,

Al-Shaiji³

2020

Neurostimulation and Neuromodulation in Contemporary Therapeutic Practice

View full text Add to dashboard Cite

Urological applications of neuromodulation and neurostimulation are among the most evolving fields for these technologies. First approved for management of refractory urge incontinence, different modalities of neuromodulation and stimulation have been tested, applied and verified for a vast spectrum of voiding and pelvic floor dysfunction disorders. The modalities of delivering this treatment have also evolved in the last three decades, with a focus on sacral neuromodulation. The experimental and established "off-label" applications of neuromodulation have also encompassed chronic pelvic pain disorders, including chronic prostatitis and bladder pain syndrome, among others. In this chapter, we discuss all the hypothesized theories suggested on how this technology provides therapeutic potential for a number of chronic and debilitating urological conditions, the modes of delivery be it anterior, sacral, and posterior tibial to name a few, and the evolving and future applications.

show abstract

“…Although the mechanism of action of PTNS is not clear, it is thought that inhibition of preganglionic motor neurons of the bladder is achieved through afferent stimulation of the sacral cord [5]. In the literature, it was observed that improvement in symptoms of more than 50% in patients with refractory OAB whose complaints do not relieve using antimuscarinic agents and/or beta 3 agonists for at least 8 weeks [6][7][8]. Sherif et al compared PTNS and botulinum toxin A (BoNT/A) in patients with refractory OAB in their study and found that BoNT/A was more effective [9].…”

Section: Posterior Tibial Nerve Stimulation (Ptns)mentioning

confidence: 99%

Alternative Treatment Methods for Refractory Overactive Bladder

Alkış¹,

Aras²,

Sevim³

2021

GJU

View full text Add to dashboard Cite

Overactive bladder is a serious condition that can significantly impair quality of life. Antimuscarinic agents are recommended as second-line therapy in patients who do not benefit from behavioral therapy. However, the therapeutic efficacy of antimuscarinic agents is limited. Alternative treatment methods to medical treatment have been developed due to its limited effectiveness and frequent side effects. Posterior tibial nerve stimulation (PTNS), transcutaneous tibial nerve stimulation (TTNS), sacral neuromodulation (SNM), intravesical Botulinum toxin-A (BoNT/A) are prominent among these minimally invasive treatment methods in refractory OAB. All these methods have been demonstrated to be effective in the literature. BoNT/A and SNM are more effective, but have been reported to cause more side effects. In refractory OAB, any of these methods can be applied by considering the medical condition and request of the patient.

show abstract

Predictors of successful percutaneous tibial nerve stimulation (PTNS) in the treatment of overactive bladder syndrome

Cited by 16 publications

References 13 publications

Posterior tibial nerve stimulation for overactive bladder—techniques and efficacy

Posterior tibial nerve stimulation for overactive bladder—techniques and efficacy

Neuromodulation in Urology: Current Trends and Future Applications

Alternative Treatment Methods for Refractory Overactive Bladder

Contact Info

Product

Resources

About