Long term sustained therapeutic effects of percutaneous posterior tibial nerve stimulation treatment of neurogenic overactive bladder in multiple sclerosis patients: 12-months results

2015 ◽  
Vol 36 (1) ◽  
pp. 104-110 ◽  
Author(s):  
Sibel Canbaz Kabay ◽  
Sahin Kabay ◽  
Emine Mestan ◽  
Mustafa Cetiner ◽  
Selahattin Ayas ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Overactive Bladder ◽  
Tibial Nerve ◽  
Therapeutic Effects ◽  
Posterior Tibial Nerve ◽  
Posterior Tibial Nerve Stimulation ◽  
Posterior Tibial ◽  
Tibial Nerve Stimulation ◽  
Multiple Sclerosis Patients

Effectiveness of percutaneous posterior tibial nerve stimulation for the management of bowel dysfunction in multiple sclerosis patients

2020 ◽  
pp. 135245852097226
Author(s):  
Rosaria Sacco ◽  
Andrea Braga ◽  
Giulio Disanto ◽  
Giuseppe Alessandro Digesu ◽  
Paolo Maino ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Fecal Incontinence ◽  
Nerve Stimulation ◽  
Tibial Nerve ◽  
Cleveland Clinic ◽  
Posterior Tibial Nerve ◽  
Posterior Tibial Nerve Stimulation ◽  
Posterior Tibial ◽  
Tibial Nerve Stimulation ◽  
Multiple Sclerosis Patients

Background: Neurogenic bowel dysfunctions (NBDs) in the form of both fecal incontinence (FI) and functional constipation (FC) are frequent in multiple sclerosis (MS) patients and significantly affect their quality of life. Therapeutic options are limited. Objective: To investigate effectiveness of percutaneous posterior tibial nerve stimulation (PTNS) in MS patients suffering from FI and FC. Methods: Prevalence and severity of FI and FC were prospectively collected among MS patients undergoing 12 weeks of PTNS for neurogenic bladder. The Cleveland Clinic Fecal Incontinence Score (CCFIS) and the Rome III criteria were used to define FI and FC, respectively. Subjective treatment satisfaction was estimated using the Benefit Satisfaction and Willingness to Continue (BSWC) questionnaire. Results: A total of 60 patients undergoing PTNS suffered from NBDs (25 FI+/FC+, 5 FI+/FC–, 30 FI–/FC+). Median CCFIS decreased after PTNS from 12.0 (11.0–13.0) to 8.5 (7.0–11.0, p < 0.001), with particular improvements in liquid and flatal incontinence, pads’ need, and lifestyle restrictions. Seven patients became FC free after PTNS and no patients developed FC during the study ( p = 0.023). More than 50% of the patients were satisfied and willing to continue PTNS at study end. Conclusion: PTNS represents a valid minimally invasive alternative treatment for MS patients suffering from NBDs.

scholarly journals Clinical Efficacy in the Treatment of Overactive Bladder Refractory to Anticholinergics by Posterior Tibial Nerve Stimulation

2012 ◽  
Vol 53 (7) ◽  
pp. 483 ◽  
Author(s):  
Miguel Angel Arrabal-Polo ◽  
Francisco Palao-Yago ◽  
Iluminada Campon-Pacheco ◽  
Maribel Martinez-Sanchez ◽  
Armando Zuluaga-Gomez ◽  
...  
Keyword(s):  
Overactive Bladder ◽  
Clinical Efficacy ◽  
Nerve Stimulation ◽  
Tibial Nerve ◽  
Posterior Tibial Nerve ◽  
Posterior Tibial Nerve Stimulation ◽  
Posterior Tibial ◽  
Tibial Nerve Stimulation

scholarly journals Percutaneous posterior tibial nerve stimulation for the treatment of the overactive bladder in children: Is it effective?

2019 ◽  
Vol 25 (1) ◽  
Author(s):  
Hisham Ibrahim ◽  
Ahmed Mahmoud Shouman ◽  
Waseem Ela ◽  
Waleed Ghoneima ◽  
Ahmed Ismail Shoukry ◽  
...  
Keyword(s):  
Overactive Bladder ◽  
Nerve Stimulation ◽  
Tibial Nerve ◽  
Symptomatic Improvement ◽  
Posterior Tibial Nerve ◽  
Posterior Tibial Nerve Stimulation ◽  
Therapeutic Success ◽  
Posterior Tibial ◽  
Tibial Nerve Stimulation ◽  
Continue Therapy

Abstract Background To assess the efficacy and durability of percutaneous posterior tibial nerve stimulation for the treatment of the overactive bladder in children. Results Twenty patients with a mean age of 7 ± 3.3 years were included in the study. Subjective success was found in 12 patients (60%) who considered their situation to be better and requested to continue therapy to maintain the response which was considered as a therapeutic success, while eight patients (40%) patients chose not to continue therapy because they did not have symptomatic improvement. Conclusion Posterior tibial nerve stimulation is an effective, minimally invasive method for treatment and is easily applied to induce improvement in overactive bladder symptoms and objective urodynamic changes with negligible side effects.

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