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




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Current Urology Reports

, Volume 13, Issue 5, pp 327–334

First Online: 15 August 2012

Abstract

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.

KeywordsElectric stimulation therapy Urinary bladder Overactive Cost-benefit Electrodes Stimulation Overactive detrusor activity  Download fulltext PDF



Author: David R. Staskin - Kenneth M. Peters - Scott MacDiarmid - Neal Shore - William C. de Groat

Source: https://link.springer.com/







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