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Current advances in neuromodulation techniques in urology practices: A review of literature

Neuromodulation has become a valid therapeutic option for patients with various lower urinary tract disorders. In clinical practice, the most used and recommended neuromodulation techniques are sacral neuromodulation (SNM), pudendal neuromodulation (PN), and percutaneous tibial nerve stimulation (PT...

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Detalles Bibliográficos
Autores principales: Erol, Bulent, Danacioglu, Yavuz Onur, Peters, Kenneth M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Turkish Journal of Urology 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9612778/
https://www.ncbi.nlm.nih.gov/pubmed/35118977
http://dx.doi.org/10.5152/tud.2021.21152
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author Erol, Bulent
Danacioglu, Yavuz Onur
Peters, Kenneth M.
author_facet Erol, Bulent
Danacioglu, Yavuz Onur
Peters, Kenneth M.
author_sort Erol, Bulent
collection PubMed
description Neuromodulation has become a valid therapeutic option for patients with various lower urinary tract disorders. In clinical practice, the most used and recommended neuromodulation techniques are sacral neuromodulation (SNM), pudendal neuromodulation (PN), and percutaneous tibial nerve stimulation (PTNS). There are many theories concerning the mechanism of action of neuromodulation. Although SNM, PN, and PTNS show their activities through different nerve roots, all provide central and peripheral nervous system modulations. SNM has been approved for the treatment of overactive bladder (OAB), nonobstructive urinary retention, and fecal incontinence, while PTNS has been approved for OAB treatment. However, they are also used off-label in other urinary and nonurinary pelvic floor disorders, such as neurogenic lower urinary system disorder, interstitial cystitis, chronic pelvic pain, and sexual dysfunction. Minor and nonsurgical reversible complications are usually seen after neuromodulation techniques. In addition, in the last few years, there have been various developments in neuromodulation technology. Some of the examples of these developments are rechargeable batteries with wireless charging, improvements in programing, less invasive single-stage implantation in outpatient settings, and lower-cost new devices. We performed a literature search using Medline (PubMed), Cochrane Library, EMBASE, and Google scholar databases in the English language from January 2010 to February 2021. We included reviews, meta-analyses, randomized controlled trials, and prospective and retrospective studies to evaluate the activities and reliability of SNM, PN, and PTNS and the developments in this area in the last decade based on the current literature.
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spelling pubmed-96127782022-11-04 Current advances in neuromodulation techniques in urology practices: A review of literature Erol, Bulent Danacioglu, Yavuz Onur Peters, Kenneth M. Turk J Urol Reviews Neuromodulation has become a valid therapeutic option for patients with various lower urinary tract disorders. In clinical practice, the most used and recommended neuromodulation techniques are sacral neuromodulation (SNM), pudendal neuromodulation (PN), and percutaneous tibial nerve stimulation (PTNS). There are many theories concerning the mechanism of action of neuromodulation. Although SNM, PN, and PTNS show their activities through different nerve roots, all provide central and peripheral nervous system modulations. SNM has been approved for the treatment of overactive bladder (OAB), nonobstructive urinary retention, and fecal incontinence, while PTNS has been approved for OAB treatment. However, they are also used off-label in other urinary and nonurinary pelvic floor disorders, such as neurogenic lower urinary system disorder, interstitial cystitis, chronic pelvic pain, and sexual dysfunction. Minor and nonsurgical reversible complications are usually seen after neuromodulation techniques. In addition, in the last few years, there have been various developments in neuromodulation technology. Some of the examples of these developments are rechargeable batteries with wireless charging, improvements in programing, less invasive single-stage implantation in outpatient settings, and lower-cost new devices. We performed a literature search using Medline (PubMed), Cochrane Library, EMBASE, and Google scholar databases in the English language from January 2010 to February 2021. We included reviews, meta-analyses, randomized controlled trials, and prospective and retrospective studies to evaluate the activities and reliability of SNM, PN, and PTNS and the developments in this area in the last decade based on the current literature. Turkish Journal of Urology 2022-02-01 /pmc/articles/PMC9612778/ /pubmed/35118977 http://dx.doi.org/10.5152/tud.2021.21152 Text en © Copyright 2021 by Turkish Association of Urology https://creativecommons.org/licenses/by-nc/4.0/ Content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Reviews
Erol, Bulent
Danacioglu, Yavuz Onur
Peters, Kenneth M.
Current advances in neuromodulation techniques in urology practices: A review of literature
title Current advances in neuromodulation techniques in urology practices: A review of literature
title_full Current advances in neuromodulation techniques in urology practices: A review of literature
title_fullStr Current advances in neuromodulation techniques in urology practices: A review of literature
title_full_unstemmed Current advances in neuromodulation techniques in urology practices: A review of literature
title_short Current advances in neuromodulation techniques in urology practices: A review of literature
title_sort current advances in neuromodulation techniques in urology practices: a review of literature
topic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9612778/
https://www.ncbi.nlm.nih.gov/pubmed/35118977
http://dx.doi.org/10.5152/tud.2021.21152
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