The effects of posterior tibial nerve stimulation on refractory overactive bladder syndrome and bladder circulation - Abstract

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.

Written by:
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.
doi: 10.1007/s00404-012-2464-6

PubMed Abstract
PMID: 22802118 Overactive Bladder (OAB) Section


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