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Does Response to Percutaneous Tibial Nerve Stimulation Predict Similar Outcome to Sacral Nerve Stimulation? by Konstantinos Kapriniotis; Julie Jenks; Bogdan Toia; Mahreen Pakzad; Helena Gresty; Ross Stephens; Sachin Malde; Arun Sahai; Tamsin Greenwell; Jeremy Ockrim is a Medicine article available to read on EtoBox.
What is Does Response to Percutaneous Tibial Nerve Stimulation Predict Similar Outcome to Sacral Nerve Stimulation? about?
## Abstract ## Aims Percutaneous tibial nerve stimulation (PTNS) is a simple neuromodulation technique to treat an overactive bladder. It is unclear whether the response to PTNS would suggest a similar response to sacral nerve stimulation (SNS), and whether PTNS could be utilized as an alternative test phase for an SNS implant. This study assessed whether PTNS response was a reliable indicator for subsequent SNS trials. ## Methods We performed a retrospective review of the hospital databases to collect all patients who had PTNS and who subsequently had an SNS trial in two tertiary hospitals from 2014 to 2020. Response to both interventions was assessed. A 50% reduction in overactive symptoms (frequency−volume charts) was considered a positive response. McNemar's tests using exact binomial probability calculations were used. The statistical significance level was set to 0.05. ## Results Twenty‐three patients who had PTNS subsequently went on to a trial of SNS. All patients except one had previously poor response to PTNS treatment. Eight of them also failed the SNS trial. However, 15 patients (including the PTNS responder) had a successful SNS trial and proceeded with the second‐stag
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- Author
- Konstantinos Kapriniotis; Julie Jenks; Bogdan Toia; Mahreen Pakzad; Helena Gresty; Ross Stephens; Sachin Malde; Arun Sahai; Tamsin Greenwell; Jeremy Ockrim
- Publisher
- Wiley
- Published
- 2022
- Language
- EN
- Field
- Medicine (Health Sciences)