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

被引：59
作者：
Staskin, David R. [1 ,6 ]
Peters, Kenneth M. [2 ]
MacDiarmid, Scott [3 ]
Shore, Neal [4 ]
de Groat, William C. [5 ]
机构：
[1] Tufts Univ, Sch Med, Dept Urol, Boston, MA 02111 USA
[2] William Beaumont Hosp, Dept Urol, Royal Oak, MI 48072 USA
[3] Alliance Urol Specialists, Greensboro, NC USA
[4] Carolina Urol Res Ctr, Dept Urol, Myrtle Beach, SC USA
[5] Univ Pittsburgh, Sch Med, Dept Pharmacol, Pittsburgh, PA 15261 USA
[6] Steward Hlth St Elizabeths Med Ctr, Div Urol, Boston, MA 02135 USA
来源：
CURRENT UROLOGY REPORTS | 2012年 / 13卷 / 05期
关键词：
Electric stimulation therapy; Urinary bladder; Overactive; Cost-benefit; Electrodes; Stimulation; Overactive detrusor activity; DETRUSOR OVERACTIVITY; NEUROMODULATION; REFLEXES;
D O I：
10.1007/s11934-012-0274-9
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
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.
引用
收藏
页码：327 / 334
页数：8
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