Hungarian Society of Urology

Percutaneous tibial nerve stimulation (ptns) in the treatment of the overactive bladder syndrome: first Hungarian experiences

DOI: 10.22591/magyurol.2018.2.pytela.65

Pytel Ákos dr.
Pécsi Tudományegyetem, Klinikai Központ, Urológiai Klinika, Pécs (igazgató: Szántó Árpád dr.)


Introduction: Overactive bladder is a syndrome of multiple etiological origins. Regarding relevant guidelines second (third) line invasive treatment are indicated in cases, refractory to standard medical treatment. Percutaneous tibial nerve stimulation among the different neuromodulations is one of the treatments of choice as second line therapy. Regarding recent literature data, the procedure is effective in the treatment of overactive bladder. The aim of this current paper is to introduce the technique, and – first in Hungarian literature – to demonstrate the preliminary own data gained with it.
Material and method: Three patients with symptoms of overactive bladder, refractory to standard medical treatment were treated. Pre-treatment bladder diaries were obtained, basic urological investigations, and urodynamics were performed. With Urgent®PC Neuromodulation System 30 minutes’ treatments on weekly basis for 12 weeks were performed. After the fulfilled treatment urine test, ultrasound control was done and repeated bladder diary was asked. By the patient with pathological urodynamic findings prior the treatment, a control urodynamics was performed as well.
Results: Based on the bladder diaries all patients had an improvement regarding incontinent episodes, frequency and urgency. The control urodynamics could not prove significant change compared the findings seen prior the treatment. The treatments were well tolerated, no complication was observed.
Conclusion: Based on relevant literature data and based on our limited own experience, the percutaneous tibial nerve stimulation is an effective, minimally invasive safe treatment of the overactive bladder


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