Loading…

Randomized trial of long-term effects of percutaneous tibial nerve stimulation on chronic pelvic pain

Objective To evaluate the long-term effects of percutaneous tibial nerve stimulation (PTNS) on quality of life in women with chronic pelvic pain. Materials and methods Thirty-three women with chronic pelvic pain were randomized into PTNS ( n  = 16) or control ( n  = 17) groups. In PTNS group, weekly...

Full description

Saved in:
Bibliographic Details
Published in:Archives of gynecology and obstetrics 2014-08, Vol.290 (2), p.291-298
Main Authors: Istek, Ayse, Gungor Ugurlucan, Funda, Yasa, Cenk, Gokyildiz, Sule, Yalcin, Onay
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective To evaluate the long-term effects of percutaneous tibial nerve stimulation (PTNS) on quality of life in women with chronic pelvic pain. Materials and methods Thirty-three women with chronic pelvic pain were randomized into PTNS ( n  = 16) or control ( n  = 17) groups. In PTNS group, weekly PTNS in 30-min sessions for 12 weeks was performed whereas the control group received no stimulation. Present pain intensity-visual analog scale (PPI-VAS), short-form McGill pain questionnaire (SF-MPQ), and SF-36 were used at baseline, 12-week, and 6-month follow-up for the evaluation of pain intensity and quality of life. Results Two women (12.5 %) were cured, 7 (43.8 %) were much improved, 6 (37.5 %) were the same and 1 (6.3 %) was worse after PTNS. Two women (11.8 %) were improved, 10 (58.8 %) were the same, and 5 (29.4 %) were worse in the control group. Mean PPI-VAS of PTNS group at baseline, 12 weeks, and 6 months was 8.4 ± 1.1, 3.8 ± 3.5 and 4.5 ± 3.7, respectively. There was a significant improvement in PPI-VAS scores of PTNS group whereas no change was observed in the control group. There was a slight increase in the PPI-VAS scores of the PTNS group at 6-month, but the difference was not statistically significant. There was significant improvement in all domains of SF-MPQ and SF-36 in PTNS group with continuing effects at 6 months whereas no significant change was observed in the control group. Conclusion PTNS is a minimally invasive treatment method that leads to decrease in pain severity and improvement in quality of life in women with chronic pelvic pain with effects continuing at 6 months.
ISSN:0932-0067
1432-0711
DOI:10.1007/s00404-014-3190-z