AIM: We aimed to evaluate if posterior tibial nerve stimulation (PTNS) exerts its effects on overactive bladder symptoms through changes in bladder circulation.
MATERIALS AND METHODS: Eighteen women who applied to Istanbul Medical Faculty with symptoms of urgency, frequency ± urge incontinence and did not respond to anticholinergic treatment and behavioral modification were enrolled in the study. Weekly PTNS in 30-min sessions for 12 weeks was performed. Urogynecologic symptom assessment, 1-h pad test, bladder diary, King's Health Questionnaire (KHQ), and transvaginal Doppler ultrasonography were performed before and after treatment.
RESULTS: Ten patients (55.5 %) were cured, five (27.8 %) improved, and no effect was observed in three (16.7 %). No significant change was observed in systolic and diastolic flow rate, pulsatility index, resistive index, systolic/diastolic ratio and average flow rate. Significant decrease in frequency, urgency, urge incontinence, pad test results and increase in fluid intake was observed. There was a significant improvement in physical limitations and sleeping/energy domains of KHQ. No significant change was observed in urodynamics.
CONCLUSIONS: PTNS does not have any effect on the bladder circulation despite positive effects on bladder diary, pad test, and quality of life in overactive bladder syndrome.
Onal M, Ugurlucan FG, Yalcin O. Are you the author?
Department of Obstetrics and Gynecology, Istanbul Medical Faculty, Istanbul University, Atakoy 9 Kisim, B6 Blok, Daire 40, Atakoy, Istanbul, Turkey.
Reference: Arch Gynecol Obstet. 2012 Jul 17. Epub ahead of print.