Abstract
Tibial nerve stimulation (TNS) is a minimally invasive method of neuromodulation for treatment of functional micturition disorders via delivering electrical stimulation to sacral nerve plexus through of tibial nerve. TNS is performed in two ways: minimally invasive (percutaneous TNS-PTNS) or noninvasive (transcutaneous TNS-TTNS).
The exactly mechanism of action of TNS is only partially understood.
Patients underwent 12 weekly outpatient treatment sessions, each lasting for 30 min. In case of a good response (≥50% reduction of the number incontinence episodes and/or voids on bladder diary), patients were offered chronic treatment. There is strong evidence for the efficacy of TNS versus a sham treatment.
TNS was approved just for female patients with idiopathic urge urinary incontinence, who has no benefits from anticholinergics.
TNS is a simple, effective, and safe method for treatment patients with idiopathic overactive bladder.
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Krivoborodov, G. (2023). Percutaneous/Transcutaneous Tibial Nerve Stimulation. In: Liao, L., Madersbacher, H. (eds) Handbook of Neurourology. Springer, Singapore. https://doi.org/10.1007/978-981-99-1659-7_32
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DOI: https://doi.org/10.1007/978-981-99-1659-7_32
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