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Current Urology Reports
Published in: Current Urology Reports 2/2015

01-02-2015 | Female Urology (K Kobashi, Section Editor)

Percutaneous Tibial Nerve Stimulation and Sacral Neuromodulation: an Update

Authors: Priyanka Gupta, Michael J. Ehlert, Larry T. Sirls, Kenneth M. Peters

Published in: Current Urology Reports | Issue 2/2015

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Abstract

Neuromodulation is an important treatment modality for a variety of pelvic floor disorders. Percutaneous tibial nerve stimulation (PTNS) and sacral neuromodulation (SNM) are currently the two approved methods for delivering this therapy. Percutaneous tibial nerve stimulation is a minimally invasive office-based procedure that has shown efficacy in the treatment of overactive bladder, fecal incontinence, and pelvic pain. It has the advantage of minimal side effects but is limited by the need for patients to make weekly office visits to receive the series of treatments. Sacral neuromodulation uses an implanted device that stimulates the S3 nerve root and can improve symptoms of overactive bladder, non-obstructive urinary retention, fecal incontinence, and pelvic pain. This paper will review the most recent literature regarding this topic and discuss their advantages and limitations and recent innovations in their use.
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Metadata
Title
Percutaneous Tibial Nerve Stimulation and Sacral Neuromodulation: an Update
Authors
Priyanka Gupta
Michael J. Ehlert
Larry T. Sirls
Kenneth M. Peters
Publication date
01-02-2015
Publisher
Springer US
Published in
Current Urology Reports / Issue 2/2015
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-014-0479-1

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