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Eur Urol. 2004 Jan;45(1):65-9.

Peripheral afferent nerve stimulation for treatment of lower urinary tract irritative symptoms.

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  • 1Servicio de Urología, Hospital Universitario Virgen del Rocío, Manuel Siurot S/N, 41012, Sevilla, Spain. bcongre@hotmail.com

Abstract

OBJECTIVES:

To assess the efficacy of posterior tibial nerve stimulation for treatment of lower urinary tract irritative symptoms (urgency, frequency, urge incontinence and pelvic pain).

PATIENTS AND METHODS:

51 female patients with a mean age of 55 years were enrolled in the study. The patients presented with the following symptoms: Frequency/urgency 26 patients (50.98%), urge incontinence 22 (43.13%) and interstitial cystitis 3 patients (5.88%). The technique consists in administering low voltage electric stimulation via a 3-5cm needle placed above the tibial malleolus. Patients received weekly stimulations of 30 minutes for a 10-week period. Quality of life questionnaires and voiding diaries before and after treatment were completed. Moreover, the results were evaluated by patients. The variables analysed include: daytime and nighttime voiding frequency, daytime and nighttime voiding volume, daytime and nighttime leakage episodes and hypogastric pain.

RESULTS:

A statistically significant improvement was seen in all variables, especially remarkable in relation to frequency/urgency, impact on women quality of life and hypogastric pain, being less marked in relation to leakage episodes and voiding volume.

CONCLUSIONS:

Afferent nerve stimulation offers an alternative treatment for managing lower urinary tract irritative symptoms. However, it would be advisable to confirm the results obtained by means of long-term randomized, follow-up studies.

PMID:
14667518
[PubMed - indexed for MEDLINE]
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