Percutaneous Tibial Nerve Stimulation: A Clinically and Cost Effective Addition to the Overactive Bladder Algorithm of Care

Overactive bladder affects millions of adults, with profound personal and economic costs. Although antimuscarinic drugs can cause a reduction in voiding symptoms, the effect is modest, and many patients are intolerant of the side effects, or do not experience sufficient relief. For these patients, t...

Descripción completa

Detalles Bibliográficos
Autores principales: Staskin, David R., Peters, Kenneth M., MacDiarmid, Scott, Shore, Neal, de Groat, William C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Current Science Inc. 2012
Materias:
Voiding Dysfunction and Lower Urinary Tract Symptoms (GH Badlani and HB Goldman, Section Editors)
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3438389/
https://www.ncbi.nlm.nih.gov/pubmed/22893501
http://dx.doi.org/10.1007/s11934-012-0274-9
_version_ 1782242902502539264
author Staskin, David R.
Peters, Kenneth M.
MacDiarmid, Scott
Shore, Neal
de Groat, William C.
author_facet Staskin, David R.
Peters, Kenneth M.
MacDiarmid, Scott
Shore, Neal
de Groat, William C.
author_sort Staskin, David R.
collection PubMed
description Overactive bladder affects millions of adults, with profound personal and economic costs. Although antimuscarinic drugs can cause a reduction in voiding symptoms, the effect is modest, and many patients are intolerant of the side effects, or do not experience sufficient relief. For these patients, the modulation of bladder reflex pathways via percutaneous tibial nerve stimulation (PTNS) or via implanted sacral nerve stimulation (SNS) has been acknowledged as a logical next step in the algorithm of care. This review examines the mechanism of action, the relative benefits, adverse effects, and costs of percutaneous nerve stimulation compared to other treatment modalities.
format Online
Article
Text
id pubmed-3438389
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher Current Science Inc.
record_format MEDLINE/PubMed
spelling pubmed-34383892012-09-17 Percutaneous Tibial Nerve Stimulation: A Clinically and Cost Effective Addition to the Overactive Bladder Algorithm of Care Staskin, David R. Peters, Kenneth M. MacDiarmid, Scott Shore, Neal de Groat, William C. Curr Urol Rep Voiding Dysfunction and Lower Urinary Tract Symptoms (GH Badlani and HB Goldman, Section Editors) Overactive bladder affects millions of adults, with profound personal and economic costs. Although antimuscarinic drugs can cause a reduction in voiding symptoms, the effect is modest, and many patients are intolerant of the side effects, or do not experience sufficient relief. For these patients, the modulation of bladder reflex pathways via percutaneous tibial nerve stimulation (PTNS) or via implanted sacral nerve stimulation (SNS) has been acknowledged as a logical next step in the algorithm of care. This review examines the mechanism of action, the relative benefits, adverse effects, and costs of percutaneous nerve stimulation compared to other treatment modalities. Current Science Inc. 2012-08-15 2012 /pmc/articles/PMC3438389/ /pubmed/22893501 http://dx.doi.org/10.1007/s11934-012-0274-9 Text en © The Author(s) 2012 https://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Voiding Dysfunction and Lower Urinary Tract Symptoms (GH Badlani and HB Goldman, Section Editors)
Staskin, David R.
Peters, Kenneth M.
MacDiarmid, Scott
Shore, Neal
de Groat, William C.
Percutaneous Tibial Nerve Stimulation: A Clinically and Cost Effective Addition to the Overactive Bladder Algorithm of Care
title Percutaneous Tibial Nerve Stimulation: A Clinically and Cost Effective Addition to the Overactive Bladder Algorithm of Care
title_full Percutaneous Tibial Nerve Stimulation: A Clinically and Cost Effective Addition to the Overactive Bladder Algorithm of Care
title_fullStr Percutaneous Tibial Nerve Stimulation: A Clinically and Cost Effective Addition to the Overactive Bladder Algorithm of Care
title_full_unstemmed Percutaneous Tibial Nerve Stimulation: A Clinically and Cost Effective Addition to the Overactive Bladder Algorithm of Care
title_short Percutaneous Tibial Nerve Stimulation: A Clinically and Cost Effective Addition to the Overactive Bladder Algorithm of Care
title_sort percutaneous tibial nerve stimulation: a clinically and cost effective addition to the overactive bladder algorithm of care
topic Voiding Dysfunction and Lower Urinary Tract Symptoms (GH Badlani and HB Goldman, Section Editors)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3438389/
https://www.ncbi.nlm.nih.gov/pubmed/22893501
http://dx.doi.org/10.1007/s11934-012-0274-9
work_keys_str_mv AT staskindavidr percutaneoustibialnervestimulationaclinicallyandcosteffectiveadditiontotheoveractivebladderalgorithmofcare
AT peterskennethm percutaneoustibialnervestimulationaclinicallyandcosteffectiveadditiontotheoveractivebladderalgorithmofcare
AT macdiarmidscott percutaneoustibialnervestimulationaclinicallyandcosteffectiveadditiontotheoveractivebladderalgorithmofcare
AT shoreneal percutaneoustibialnervestimulationaclinicallyandcosteffectiveadditiontotheoveractivebladderalgorithmofcare
AT degroatwilliamc percutaneoustibialnervestimulationaclinicallyandcosteffectiveadditiontotheoveractivebladderalgorithmofcare

Ejemplares similares