Posterior tibial nerve stimulation in patients who have failed anticholinergic therapy: efficacy and time to response.
| Autor: | Leong FC; From the Department of Obstetrics and Gynecology, Division of Urogynecology, Saint Louis University, St Louis, MO., McLennan MT, Barr SA, Steele AC |
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| Jazyk: | angličtina |
| Zdroj: | Female pelvic medicine & reconstructive surgery [Female Pelvic Med Reconstr Surg] 2011 Mar; Vol. 17 (2), pp. 74-5. |
| DOI: | 10.1097/SPV.0b013e31820dbf81 |
| Abstrakt: | Objectives: : We sought to determine the efficacy of posterior tibial nerve stimulation in patients who had failed anticholinergic medications. A secondary outcome was to determine the time to response for different parameters of overactive bladder. Study Design: : The medical records of all patients treated with posterior tibial nerve stimulation from 2000 to 2009 seen in a university urogynecology practice were abstracted. Patients underwent weekly treatments. Patients were asked about the 4 index symptoms at each weekly visit. Descriptive statistics were performed on the data set using SPSS 15. Results: : A total of 141 patients were analyzed. Of these patients, 67.4% were satisfied with treatment results. The median week to improvement was 5 weeks for nocturia, 7 weeks for frequency, 6 weeks for urgency, and 6 weeks for urge incontinence. Conclusions: : Posterior tibial nerve stimulation is an effective treatment of overactive bladder in patients who have failed anticholinergic therapy. Most patients noted improvement by 6 weeks. |
| Databáze: | MEDLINE |
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