The Clinical and Urodynamic Results of Percutaneous Posterior Tibial Nerve Stimulation on Neurogenic Detrusor Overactivity in Patients With Parkinson's Disease

Kabay, Şahin; Kabay, Sibel Canbaz; Çetiner, Mustafa; Mestan, Emine; Sevim, Mehmet; Ayas, Selahattin; Özden, Hilmi; Karaman, Handan Özışık

doi:10.1016/j.urology.2015.09.026

Cited by 58 publications

(57 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The coronary balloon dilatation catheter was inserted into the rectum. Our model of IAP assessment shows characteristic similar to the previous result in human [21] (Figure 3). Cystometrograms were obtained by use of simultaneous recording of intravesical and intra-abdominal pressure shows that abdominal straining can increase the IAP.…”

Section: Discussionsupporting

confidence: 87%

Minimal Invasive Cystometry and Intra-Abdominal Pressure Assessments in Rodents: A Novel Animal Study

Yang

Chen

et al. 2017

Med Sci Monit

View full text Add to dashboard Cite

BackgroundThe abdominal straining pattern can act as a novel parameter for improving the prediction of bladder outlet obstruction (BOO). To preserve detrusor function in the early stage of urinary system impairment, such as BOO, we establish a novel method for cystometry and Intra-abdominal pressure (IAP) assessments in rodents without cystostomy.Material/MethodsTwenty mice and rats were divided into three groups (control, sham-operated and BOO group) respectively. The cystometry and IAP assessments were measured by the pediatric venous indwelling sheath and coronary dilatation catheter connected to Laborie urodynamic system on postoperative day 7. Data was collected simultaneously through urethra and rectum in each group. In addition, bladder histology was assessed to confirm BOO.ResultsThe novel method can collect the urodynamic parameters successfully, including the BLPP, IAP, MBC, etc. IAP was elevated in BOO rats, but no significantly difference was found between the sham-operated rats and the control rats. The hypertrophy of detrusor muscle in bladder section was observed by Masson trichrome staining in BOO group compared with other groups.ConclusionsOur novel method based on innovative research implement for cystometry and IAP assessments in rodents is a reliable and replicable approach for evaluating the lower urinary tract function. Especially it provides detailed information to evaluate lower urinary tract structures and function in the early stage of BOO.

show abstract

Section: Discussionsupporting

confidence: 87%

Minimal Invasive Cystometry and Intra-Abdominal Pressure Assessments in Rodents: A Novel Animal Study

Yang

Chen

et al. 2017

Med Sci Monit

View full text Add to dashboard Cite

show abstract

“…Using this questionnaire in PD patients both male and female, Sammour et al found that 57.2% of the PD patients (n = 110 – 84 men) were symptomatic and that the voiding dysfunction was predicted by the PD disease severity and affected both men and women. This questionnaire was recently used to assess the effects of transcutaneous tibial nerve stimulation on urinary disorders of PD …”

Section: Resultsmentioning

confidence: 91%

“…The reliability of most items was excellent . It was also sensitive to change following intervention . Validation has been done mainly in populations other than PD, but it has been used in several studies in PD for both male and female patients.…”

Section: Resultsmentioning

confidence: 99%

Clinical Rating Scales for Urinary Symptoms in Parkinson Disease: Critique and Recommendations

Traon¹,

Cotterill

Amarenco

et al. 2018

Movement Disord Clin Pract

View full text Add to dashboard Cite

Background The prevalence of lower urinary tract symptoms (LUTS) is high in Parkinson's disease (PD). These problems negatively affect quality of life and include both storage and voiding problems. The International Parkinson and Movement Disorder Society established a task force to review clinical rating scales/questionnaires for the assessment of urinary symptoms in PD. Methods According to prespecified criteria, these scales/questionnaires were classified as “Recommended” or “Recommended with caveats” when clinimetric properties were satisfactory for Recommended status but had not been assessed specifically in PD, “Suggested” or “Listed.” These assessments were applied to rate scales as screening tools for the diagnosis of LUTS and for the rating of symptom severity. Results Among scales that included LUTS but focused on overall autonomic or non‐motor symptoms in PD, no scale reached the clinimetric rigor to be designated as Recommended or Recommended with caveats, but some were Suggested for either diagnostic screening tools or severity measures. Among primary urological scales, most are well validated in urological setting, but none was validated specifically in PD. DAN‐PSS (Danish PSS), ICIQ (International Consultation for Incontinence Questionnaire)‐MLUTS (Male Lower Urinary Tract Symptoms), OABq, OABq‐SF (ICIQ‐OABqol), OAB‐V8 (as screening tool), and OABSS (OAB Symptom Score) met criteria for Recommended with caveats. Conclusion The Task Force does not recommend the development of a new scale. However, all above‐mentioned questionnaires need to be studied further and specifically validated in PD.

show abstract

“…The most common alternative to behavioral therapy is drug therapy and most bladder relaxant therapy has the potential for anticholinergic side effects, which could impact cognitive function. Newer, more invasive therapies such as percutaneous tibial nerve stimulation or cystoscopic onobotulinumtoxin injection are associated with either multiple clinic visits for therapy or the need for sedation during a procedure . Given these caveats to other therapeutic options, it is reasonable for clinicians to offer behavioral therapy as an initial treatment strategy in persons who are interested even in the presence of cognitive dysfunction.…”

Section: Discussionmentioning

confidence: 99%

Behavioral therapy for urinary symptoms in Parkinson's disease: A randomized clinical trial

Vaughan

Burgio

Goode

et al. 2019

Neurourology and Urodynamics

View full text Add to dashboard Cite

Aim Determine the efficacy of behavioral therapy for urinary symptoms in Parkinson's disease. Methods Randomized trial of behavioral therapy compared with control condition among adults (aged 54‐85 years, 74% male, 10% Black/ 83% White) with Parkinson's and greater than or equal to 4 incontinence episodes weekly. Behavioral therapy included pelvic floor muscle exercises, bladder training, fluid and constipation management. Both groups completed bladder diary self‐monitoring. Outcomes included diary‐derived incontinence and ICIQ‐overactive bladder (OAB) score (range, 0‐16) with bother and quality of life questionnaires (higher scores = worse outcomes). Results Fifty‐three participants randomized and 47 reported 8‐week outcomes including 26 behavioral therapy and 21 control. Behavioral vs control participants were similar with respect to age (71.0 ± 6.1 vs 69.7 ± 8.2 years), sex (70% vs 78% male), motor score, cognition, mean weekly incontinence episodes (13.9 ± 9.6 vs 15.1 ± 11.1) and OAB symptoms (8.9 ± 2.4 vs 8.3 ± 2.2). Weekly incontinence reduction was similar between behavioral (−6.2 ± 8.7) and control participants (−6.5 ± 13.8) (P = 0.89). After multiple imputation analysis, behavioral therapy participants reported statistically similar reduction in OAB symptoms compared to control (−3.1 ± 2.8 vs −1.9 ± 2.2, P = 0.19); however quality of life (−22.6 ± 19.1 vs −7.0 ± 18.4, P = 0.048) and bother (−12.6 ± 17.2 vs − 6.7 ± 8.8, P = 0.037) improved significantly more with behavioral therapy. Conclusion Self‐monitoring resulted in fewer urinary symptoms; however, only multicomponent behavioral therapy was associated with reduced bother and improved quality of life. Providers should consider behavioral therapy as initial treatment for urinary symptoms in Parkinson's disease.

show abstract

The Clinical and Urodynamic Results of Percutaneous Posterior Tibial Nerve Stimulation on Neurogenic Detrusor Overactivity in Patients With Parkinson's Disease

Cited by 58 publications

References 28 publications

Minimal Invasive Cystometry and Intra-Abdominal Pressure Assessments in Rodents: A Novel Animal Study

Minimal Invasive Cystometry and Intra-Abdominal Pressure Assessments in Rodents: A Novel Animal Study

Clinical Rating Scales for Urinary Symptoms in Parkinson Disease: Critique and Recommendations

Behavioral therapy for urinary symptoms in Parkinson's disease: A randomized clinical trial

Contact Info

Product

Resources

About