First-line treatment posterior tibial nerve stimulation in patients with interstitial cystitis/bladder pain syndrome

被引:8
作者
Kabay, Sahin [1 ]
Kabay, Sibel Canbaz [2 ]
Sevim, Mehmet [3 ]
机构
[1] Altinbas Univ, Dept Urol, Fac Med, Kartaltepe Mah Incirli Cad 11, TR-34217 Istanbul, Turkey
[2] Kutahya Hlth Sci Univ, Fac Med, Dept Neurol, Kutahya, Turkey
[3] Kutahya Hlth Sci Univ, Fac Med, Dept Urol, Kutahya, Turkey
关键词
posterior tibial nerve stimulation; interstitial cystitis; bladder pain syndrome; neuromodulation; electrical stimulation; NEUROGENIC DETRUSOR OVERACTIVITY; SACRAL NEUROMODULATION; EPIDEMIOLOGY;
D O I
10.5173/ceju.2021.0372
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
Introduction The aim of this study was to determine the effects of first-line treatment posterior tibial nerve stimulation (PTNS), applied once a week for a 12 week period, as a treatment modality for patients with Interstitial Cystitis/Bladder Pain Syndrome (IC/BPS). Material and methods A total of 39 female patients with IC/BPS were enrolled in the study. Patients had one 30-minute session of PTNS per week for 12 weeks and symptoms were assessed before and after the treatment sessions by the use of a voiding diary, visual analog scale (VAS) for pain, O'LearySant interstitial cystitis symptom index (ICSI), and O'Leary-Sant interstitial cystitis problem index (ICPI). Results The mean age of the patients was 38.9 +/- 7.1 years. The improvements in voiding diary parameters after 12 weeks of PTNS treatment were statistically significant compared to baseline but the changes in nocturia, and average voiding volume were not statistically significant. Mean parametric improvements after 12 weeks of PTNS treatment compared to baseline included a daytime frequency decrease by 3.8 voids daily, urgency episodes decrease by 4.7 episodes daily, nocturia decrease by 0.3 voids and voided volume improvement by a mean of 8.4 ml. The difference for ICSI, ICPI and VAS between baseline and the 12th week of PTNS treatment scores demonstrated statistically significant improvements in pain severity, symptom and problem index. Conclusions The findings in this study demonstrated the improvements of voiding diaries, ICSI, ICPI and VAS scores in patients with IC/BPS after 12 weeks PTNS. PTNS treatment is a beneficial firs-line treatment option to IC/BPS symptom amelioration.
引用
收藏
页码:208 / 214
页数:7
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