PTNS on Pubmed: FSD( Female sexual dysfunction) in women with overactive bladder improves after PTNS. PTNS also succesfull in OAB in Parkinson’s disease.
Specifications updates: ongoing research with some new indications and adverse events.
Highlights:
-“motor response”in PTNS procedure not necessary !
– in general counts: Botulinum Toxin A recommended as first option before PTNS
– try PTNS before surgery.
Recommendations Guidelines
| Guideline | Indication |
|---|---|
| NICE guideline CG171 Urinary incontinence | Used for OAB with precaution |
| NICE guideline UK faecal incontinenceIPG395 | Faecal incontinence |
| AUA/SUFU guideline | non-neurogenic OAB third-line recommendation |
| NICE guideline UKIPG450 | refractory neuropathic pain |
| European Association of urology: Urinary incontinence | Urinary urgency incontinence when antimuscarin therapy isn't working/appropriate |
| European Association of Urology:chronic pelvic pain | PPS: Prostate Pain Syndrome Chronic Anorectal Pain |
Recommendations Cochrane database
| Recommended | Publication date |
|---|---|
| PTNS for Overactive Bladder | Dec, 2012 |
| Urologic | Incontinence | Urge Stress Mixed |
| Pain | Bladder pain/IC Pelvic pain |
|
| Voiding obstruction | Urinary retention | |
| Rectal | Incontinence | Fecal |
| Gynaecological | Menstrual | Dysmenorhea Menorrhagia |
| Pain | Chronic pelvic pain Clitoral pain |
|
| Sexual | Vaginism PGAS( Persistent genital arousal syndrome) Dyspareunia |
|
| Andrological | Prostate | Chronic ProstatitisIIIB/CPP |
| Sexual | Impotence |
From: Biemans JMAE, van Balken MR. Efficacy and effectiveness of Percutaneous Tibial Nerve Stimulation (PTNS) in the treatment of pelvic organ disorders: a systematic review. Neuromodulation, Technology at the Neural interface Jan/feb 2013;Vol. 16, no1.