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Implantable Chronic Tibial Nerve Modulation

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Handbook of Neurourology

Abstract

Peripheral neuromodulation is derived from techniques used in traditional Chinese medicine, better known as acupuncture. The location of SP-6 and the organs affected by its stimulation have remarkable similarities with current posterior tibial nerve stimulation (PTNS). In combination with the applied ground patch, an electrical current is applied to the acupuncture needle, which transforms into an electrical form of acupuncture.

McGuire et al. were the first to report the use of PTNS in 22 patients with neurogenic OAB. PTNS was effective in 87% of patients who demonstrated a complete or partial improvement of their symptoms. Subsequently, Stoller et al. further developed PTNS (known as Stoller afferent nerve stimulation (SANS)), as a clinical treatment for OAB.

More recently, new and improved products have entered into trials. There continues to be other devices on the market that are placed on the skin surface (transcutaneous) and have demonstrated success in nDO patients. The upcoming CTNM improves the individual patient’s quality of life and makes them more independent when compared to common PTNS.

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Author information

Authors and Affiliations

  1. Department of Urology, Universitätsklinikum OWL der Universität Bielefeld Campus Klinikum Lippe, Detmold, Germany

    Karl-Dietrich Sievert

  2. Department of Urology, Comprehensive Cancer Center, Medical University Vienna, Vienna General Hospital, Vienna, Austria

    Karl-Dietrich Sievert

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  1. Karl-Dietrich Sievert
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Correspondence to Karl-Dietrich Sievert .

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Editors and Affiliations

  1. Department of Urology Department of Neurourology, China Rehabiliation Research Center China Rehabilitation Science InstituteCapital Medical University, Beijing, China

    Limin Liao

  2. Department of Urology, Medical University Innsbruck, University Hospital, Innsbruck, Austria

    Helmut Madersbacher

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Sievert, KD. (2023). Implantable Chronic Tibial Nerve Modulation. In: Liao, L., Madersbacher, H. (eds) Handbook of Neurourology. Springer, Singapore. https://doi.org/10.1007/978-981-99-1659-7_39

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  • DOI: https://doi.org/10.1007/978-981-99-1659-7_39

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-99-1658-0

  • Online ISBN: 978-981-99-1659-7

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