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Posterior tibial nerve stimulation in the treatment of voiding dysfunction: Urodynamic data
Objectives To determine urodynamic changes and predictive factors in patients with voiding dysfunction who underwent 12 percutaneous tibial nerve stimulations. Methods Thirty nine patients with chronic voiding dysfunction were enrolled in a prospective multicenter trial in the Netherlands (n = 19) a...
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| Published in: | Neurourology and urodynamics 2004, Vol.23 (3), p.246-251 |
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| Main Authors: | , , , , , , |
| Format: | Article |
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| container_end_page | 251 |
| container_issue | 3 |
| container_start_page | 246 |
| container_title | Neurourology and urodynamics |
| container_volume | 23 |
| creator | Vandoninck, Vera van Balken, Michael R. Finazzi Agrò, Enrico Heesakkers, John P.F.A. Debruyne, Frans M.J. Kiemeney, Lambertus A.L.M. Bemelmans, Bart L.H. |
| description | Objectives
To determine urodynamic changes and predictive factors in patients with voiding dysfunction who underwent 12 percutaneous tibial nerve stimulations.
Methods
Thirty nine patients with chronic voiding dysfunction were enrolled in a prospective multicenter trial in the Netherlands (n = 19) and in Italy (n = 20). A 50% reduction in total catheterised volume per 24 hr was taken as a primary objective outcome measure. Patients' request for continuation of treatment was regarded as subjective success. Objective urodynamic parameters and bladder indices were determined. Odds ratios and their 95% confidence interval were computed as a measure for predictive power in order to reveal predictive factors (Pdet at Qmax, Qmax, BVE, and BCI).
Results
Primary outcome measure was obtained in 41%, an additional 26% reduced their 24 hr residuals with more than 25%. Fifty nine percent of patients chose to continue treatment. Detrusor pressure at maximal flow, cystometric residuals, and bladder indices improved significantly for all patients (P |
| doi_str_mv | 10.1002/nau.10158 |
| format | article |
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To determine urodynamic changes and predictive factors in patients with voiding dysfunction who underwent 12 percutaneous tibial nerve stimulations.
Methods
Thirty nine patients with chronic voiding dysfunction were enrolled in a prospective multicenter trial in the Netherlands (n = 19) and in Italy (n = 20). A 50% reduction in total catheterised volume per 24 hr was taken as a primary objective outcome measure. Patients' request for continuation of treatment was regarded as subjective success. Objective urodynamic parameters and bladder indices were determined. Odds ratios and their 95% confidence interval were computed as a measure for predictive power in order to reveal predictive factors (Pdet at Qmax, Qmax, BVE, and BCI).
Results
Primary outcome measure was obtained in 41%, an additional 26% reduced their 24 hr residuals with more than 25%. Fifty nine percent of patients chose to continue treatment. Detrusor pressure at maximal flow, cystometric residuals, and bladder indices improved significantly for all patients (P < 0.05). Patients with minor voiding dysfunction were more prone to notice success (Odds ratio: 0.73; 95% CI: 0.51–0.94).
Conclusions
PTNS is a young treatment modality, minimally invasive, and easily accessible. It might be an attractive first line option for patients with (minor) voiding dysfunction. Neurourol. Urodynam. 23:246–251, 2004. © 2004 Wiley‐Liss, Inc.</description><identifier>ISSN: 0733-2467</identifier><identifier>EISSN: 1520-6777</identifier><identifier>DOI: 10.1002/nau.10158</identifier><identifier>PMID: 15098221</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; Aged ; Electric Stimulation Therapy - adverse effects ; Female ; Humans ; Male ; Middle Aged ; nerve stimulation ; neuromodulation ; Predictive Value of Tests ; Prospective Studies ; Quality of Life ; tibial nerve ; Tibial Nerve - physiology ; Treatment Outcome ; Urinary Bladder - physiopathology ; Urination Disorders - physiopathology ; Urination Disorders - psychology ; Urination Disorders - therapy ; urodynamics ; Urodynamics - physiology ; voiding dysfunction</subject><ispartof>Neurourology and urodynamics, 2004, Vol.23 (3), p.246-251</ispartof><rights>Copyright © 2004 Wiley‐Liss, Inc.</rights><rights>Copyright 2004 Wiley-Liss, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3598-c45e051c6e726f748dfd4012e13dd1d00ac69f0ea363917044f0213f052342fb3</citedby><cites>FETCH-LOGICAL-c3598-c45e051c6e726f748dfd4012e13dd1d00ac69f0ea363917044f0213f052342fb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4022,27922,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15098221$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vandoninck, Vera</creatorcontrib><creatorcontrib>van Balken, Michael R.</creatorcontrib><creatorcontrib>Finazzi Agrò, Enrico</creatorcontrib><creatorcontrib>Heesakkers, John P.F.A.</creatorcontrib><creatorcontrib>Debruyne, Frans M.J.</creatorcontrib><creatorcontrib>Kiemeney, Lambertus A.L.M.</creatorcontrib><creatorcontrib>Bemelmans, Bart L.H.</creatorcontrib><title>Posterior tibial nerve stimulation in the treatment of voiding dysfunction: Urodynamic data</title><title>Neurourology and urodynamics</title><addtitle>Neurourol. Urodyn</addtitle><description>Objectives
To determine urodynamic changes and predictive factors in patients with voiding dysfunction who underwent 12 percutaneous tibial nerve stimulations.
Methods
Thirty nine patients with chronic voiding dysfunction were enrolled in a prospective multicenter trial in the Netherlands (n = 19) and in Italy (n = 20). A 50% reduction in total catheterised volume per 24 hr was taken as a primary objective outcome measure. Patients' request for continuation of treatment was regarded as subjective success. Objective urodynamic parameters and bladder indices were determined. Odds ratios and their 95% confidence interval were computed as a measure for predictive power in order to reveal predictive factors (Pdet at Qmax, Qmax, BVE, and BCI).
Results
Primary outcome measure was obtained in 41%, an additional 26% reduced their 24 hr residuals with more than 25%. Fifty nine percent of patients chose to continue treatment. Detrusor pressure at maximal flow, cystometric residuals, and bladder indices improved significantly for all patients (P < 0.05). Patients with minor voiding dysfunction were more prone to notice success (Odds ratio: 0.73; 95% CI: 0.51–0.94).
Conclusions
PTNS is a young treatment modality, minimally invasive, and easily accessible. It might be an attractive first line option for patients with (minor) voiding dysfunction. Neurourol. Urodynam. 23:246–251, 2004. © 2004 Wiley‐Liss, Inc.</description><subject>Adult</subject><subject>Aged</subject><subject>Electric Stimulation Therapy - adverse effects</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>nerve stimulation</subject><subject>neuromodulation</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>tibial nerve</subject><subject>Tibial Nerve - physiology</subject><subject>Treatment Outcome</subject><subject>Urinary Bladder - physiopathology</subject><subject>Urination Disorders - physiopathology</subject><subject>Urination Disorders - psychology</subject><subject>Urination Disorders - therapy</subject><subject>urodynamics</subject><subject>Urodynamics - physiology</subject><subject>voiding dysfunction</subject><issn>0733-2467</issn><issn>1520-6777</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNp1kE9PFTEURxuigSe64AuYrkxcDNz-memMO0IUiATQ-MKCRdM3vZXiTIttB33f3sH31JWrexfndxaHkAMGhwyAHwUzzQ-r2x2yYDWHqlFKPSMLUEJUXDZqj7zI-R4AWiG7XbLHauhaztmC3F7HXDD5mGjxK28GGjA9Is3Fj9Ngio-B-kDLHdKS0JQRQ6HR0cforQ9fqV1nN4X-iXtHlynadTCj76k1xbwkz50ZMr7a3n2y_PD-y8lZdXF1en5yfFH1ou7aqpc1Qs36BhVvnJKtdVYC48iEtcwCmL7pHKARjeiYAikdcCYc1FxI7lZin7zZeB9S_D5hLnr0ucdhMAHjlLVirRSt4jP4dgP2Keac0OmH5EeT1pqBfiqp55L6d8mZfb2VTqsR7T9ym24GjjbADz_g-v8mfXm8_KOsNgs_J__5d2HSN90ooWp9c3mq2edPN80ZF_qj-AVZiYyq</recordid><startdate>2004</startdate><enddate>2004</enddate><creator>Vandoninck, Vera</creator><creator>van Balken, Michael R.</creator><creator>Finazzi Agrò, Enrico</creator><creator>Heesakkers, John P.F.A.</creator><creator>Debruyne, Frans M.J.</creator><creator>Kiemeney, Lambertus A.L.M.</creator><creator>Bemelmans, Bart L.H.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2004</creationdate><title>Posterior tibial nerve stimulation in the treatment of voiding dysfunction: Urodynamic data</title><author>Vandoninck, Vera ; van Balken, Michael R. ; Finazzi Agrò, Enrico ; Heesakkers, John P.F.A. ; Debruyne, Frans M.J. ; Kiemeney, Lambertus A.L.M. ; Bemelmans, Bart L.H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3598-c45e051c6e726f748dfd4012e13dd1d00ac69f0ea363917044f0213f052342fb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Electric Stimulation Therapy - adverse effects</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>nerve stimulation</topic><topic>neuromodulation</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>tibial nerve</topic><topic>Tibial Nerve - physiology</topic><topic>Treatment Outcome</topic><topic>Urinary Bladder - physiopathology</topic><topic>Urination Disorders - physiopathology</topic><topic>Urination Disorders - psychology</topic><topic>Urination Disorders - therapy</topic><topic>urodynamics</topic><topic>Urodynamics - physiology</topic><topic>voiding dysfunction</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vandoninck, Vera</creatorcontrib><creatorcontrib>van Balken, Michael R.</creatorcontrib><creatorcontrib>Finazzi Agrò, Enrico</creatorcontrib><creatorcontrib>Heesakkers, John P.F.A.</creatorcontrib><creatorcontrib>Debruyne, Frans M.J.</creatorcontrib><creatorcontrib>Kiemeney, Lambertus A.L.M.</creatorcontrib><creatorcontrib>Bemelmans, Bart L.H.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Neurourology and urodynamics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vandoninck, Vera</au><au>van Balken, Michael R.</au><au>Finazzi Agrò, Enrico</au><au>Heesakkers, John P.F.A.</au><au>Debruyne, Frans M.J.</au><au>Kiemeney, Lambertus A.L.M.</au><au>Bemelmans, Bart L.H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Posterior tibial nerve stimulation in the treatment of voiding dysfunction: Urodynamic data</atitle><jtitle>Neurourology and urodynamics</jtitle><addtitle>Neurourol. Urodyn</addtitle><date>2004</date><risdate>2004</risdate><volume>23</volume><issue>3</issue><spage>246</spage><epage>251</epage><pages>246-251</pages><issn>0733-2467</issn><eissn>1520-6777</eissn><abstract>Objectives
To determine urodynamic changes and predictive factors in patients with voiding dysfunction who underwent 12 percutaneous tibial nerve stimulations.
Methods
Thirty nine patients with chronic voiding dysfunction were enrolled in a prospective multicenter trial in the Netherlands (n = 19) and in Italy (n = 20). A 50% reduction in total catheterised volume per 24 hr was taken as a primary objective outcome measure. Patients' request for continuation of treatment was regarded as subjective success. Objective urodynamic parameters and bladder indices were determined. Odds ratios and their 95% confidence interval were computed as a measure for predictive power in order to reveal predictive factors (Pdet at Qmax, Qmax, BVE, and BCI).
Results
Primary outcome measure was obtained in 41%, an additional 26% reduced their 24 hr residuals with more than 25%. Fifty nine percent of patients chose to continue treatment. Detrusor pressure at maximal flow, cystometric residuals, and bladder indices improved significantly for all patients (P < 0.05). Patients with minor voiding dysfunction were more prone to notice success (Odds ratio: 0.73; 95% CI: 0.51–0.94).
Conclusions
PTNS is a young treatment modality, minimally invasive, and easily accessible. It might be an attractive first line option for patients with (minor) voiding dysfunction. Neurourol. Urodynam. 23:246–251, 2004. © 2004 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>15098221</pmid><doi>10.1002/nau.10158</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0733-2467 |
| ispartof | Neurourology and urodynamics, 2004, Vol.23 (3), p.246-251 |
| issn | 0733-2467 1520-6777 |
| language | eng |
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| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Adult Aged Electric Stimulation Therapy - adverse effects Female Humans Male Middle Aged nerve stimulation neuromodulation Predictive Value of Tests Prospective Studies Quality of Life tibial nerve Tibial Nerve - physiology Treatment Outcome Urinary Bladder - physiopathology Urination Disorders - physiopathology Urination Disorders - psychology Urination Disorders - therapy urodynamics Urodynamics - physiology voiding dysfunction |
| title | Posterior tibial nerve stimulation in the treatment of voiding dysfunction: Urodynamic data |
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