Current advances in neuromodulation techniques in urology practices: A review of literature.

IF 1 Q4 UROLOGY & NEPHROLOGY
Bulent Erol, Yavuz Onur Danacioglu, Kenneth M Peters
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引用次数: 5

Abstract

Neuromodulation has become a valid therapeutic option for patients with various lower urinary tract disorders. In clinical practice, the most used and recommended neuromodulation techniques are sacral neuromodulation (SNM), pudendal neuromodulation (PN), and percutaneous tibial nerve stimulation (PTNS). There are many theories concerning the mechanism of action of neuromodulation. Although SNM, PN, and PTNS show their activities through different nerve roots, all provide central and peripheral nervous system modulations. SNM has been approved for the treatment of overactive bladder (OAB), nonobstructive urinary retention, and fecal incontinence, while PTNS has been approved for OAB treatment. However, they are also used off-label in other urinary and nonurinary pelvic floor disorders, such as neurogenic lower urinary system disorder, interstitial cystitis, chronic pelvic pain, and sexual dysfunction. Minor and nonsurgical reversible complications are usually seen after neuromodulation techniques. In addition, in the last few years, there have been various developments in neuromodulation technology. Some of the examples of these developments are rechargeable batteries with wireless charging, improvements in programing, less invasive single-stage implantation in outpatient settings, and lower-cost new devices. We performed a literature search using Medline (PubMed), Cochrane Library, EMBASE, and Google scholar databases in the English language from January 2010 to February 2021. We included reviews, meta-analyses, randomized controlled trials, and prospective and retrospective studies to evaluate the activities and reliability of SNM, PN, and PTNS and the developments in this area in the last decade based on the current literature.

Abstract Image

神经调节技术在泌尿外科实践中的最新进展:文献综述。
神经调节已成为各种下尿路疾病患者的有效治疗选择。在临床实践中,最常用和推荐的神经调节技术是骶神经调节(SNM)、阴部神经调节(PN)和经皮胫神经刺激(PTNS)。关于神经调节的作用机制有许多理论。虽然SNM, PN和PTNS通过不同的神经根显示其活动,但它们都提供中枢和周围神经系统调节。SNM已被批准用于治疗膀胱过动症(OAB)、非阻塞性尿潴留和大便失禁,而PTNS已被批准用于治疗OAB。然而,它们也用于其他泌尿和非泌尿性盆底疾病,如神经源性下泌尿系统疾病、间质性膀胱炎、慢性盆腔疼痛和性功能障碍。神经调节技术后通常出现轻微和非手术可逆的并发症。此外,在过去的几年里,神经调节技术有了各种各样的发展。这些发展的一些例子是无线充电的可充电电池,编程的改进,门诊环境中侵入性更小的单阶段植入,以及成本更低的新设备。从2010年1月到2021年2月,我们使用Medline (PubMed)、Cochrane Library、EMBASE和Google scholar数据库进行了英文文献检索。我们纳入了综述、荟萃分析、随机对照试验、前瞻性和回顾性研究,以评估SNM、PN和PTNS的活性和可靠性,以及基于当前文献在过去十年中该领域的发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Turkish journal of urology
Turkish journal of urology Medicine-Urology
CiteScore
2.10
自引率
0.00%
发文量
53
期刊介绍: The aim of the Turkish Journal of Urology is to contribute to the literature by publishing scientifically high-quality research articles as well as reviews, editorials, letters to the editor and case reports. The journal’s target audience includes, urology specialists, medical specialty fellows and other specialists and practitioners who are interested in the field of urology.
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