A percutan nervus tibialis stimuláció szerepe egyes kismedencei kórképek kezelésében
| Autor: | Attila Majoros, Róbert Póka, Peter Takacs, Bence Kozma, Akos Pytel |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Pelvic floor business.industry Pelvic pain 030232 urology & nephrology Urinary incontinence Orvostudományok General Medicine Klinikai orvostudományok medicine.disease Neuromodulation (medicine) Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Lower urinary tract symptoms 030220 oncology & carcinogenesis medicine Fecal incontinence medicine.symptom Percutaneous tibial nerve stimulation business Tibial nerve |
| Zdroj: | Orvosi Hetilap. 159:1735-1740 |
| ISSN: | 1788-6120 0030-6002 |
| Popis: | Abstract: Percutaneous tibial nerve stimulation (PTNS) is a minimally invasive, safe and well-tolerated neuromodulation technique for the lower urinary tract dysfunctions. PTNS delivers neuromodulation to the pelvic floor through the S2–4 junction of the sacral nerve plexus via the route of the posterior tibial nerve. Using the fine needle electrode insertion above the ankle, the tibial nerve is accessed, which connected to the stimulator. To date despite of its excessive clinical use, PTNS mechanism of action still remains unclear. The technique seems to be an efficacious and safe treatment for overactive bladder syndrome (OAB). It could be recommended according to the Urinary Incontinence Guideline of the European Association of Urology in women who did not have adequate improvement or could not tolerate anti-muscarinic therapy. The success rate is comparable to sacral nerve stimulation in OAB patients. PTNS has been used for fecal incontinence since 2003, however, many of the published studies are of poor quality. PTNS has also been shown to have positive effects on chronic pelvic pain, when the usual therapeutic steps did not result in satisfactory improvement. No major complications are reported in the literature, following PTNS treatment. Orv Hetil. 2018; 159(43): 1735–1740. |
| Databáze: | OpenAIRE |
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