The Clinical and Urodynamic Results of Percutaneous Posterior Tibial Nerve Stimulation on Neurogenic Detrusor Overactivity in Patients With Parkinson's Disease
Objectıve To investigate the effect of percutaneous posterior tibial nerve stimulation (PTNS) treatment after 12 weeks on urodynamic and clinical findings in patients with Parkinson's disease (PD) with neurogenic detrusor overactivity. Methods A total of 47 patients with PD with neurogenic detr...
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| Veröffentlicht in: | Urology (Ridgewood, N.J.) N.J.), 2016-01, Vol.87, p.76-81 |
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| creator | Kabay, Sahin Canbaz Kabay, Sibel Cetiner, Mustafa Mestan, Emine Sevim, Mehmet Ayas, Selahattin Ozden, Hilmi Ozisik Karaman, Handan |
| description | Objectıve To investigate the effect of percutaneous posterior tibial nerve stimulation (PTNS) treatment after 12 weeks on urodynamic and clinical findings in patients with Parkinson's disease (PD) with neurogenic detrusor overactivity. Methods A total of 47 patients with PD with neurogenic detrusor overactivity were enrolled in the study. Urodynamic studies before and after 12-week PTNS treatment were performed. International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF), Overactive Bladder Questionnaire (OAB-V8), and Overactive Bladder Questionnaire Short Form (OAB-q SF) have been assessed before and after PTNS treatment. Results The mean first involuntary detrusor contraction volume ( 1st IDCV) on standard cystometry was 133.2 ± 48.1 (24-265) mL, whereas it was 237.3 ± 43.1 (145-390) mL after PTNS. The mean maximum cystometric capacity (MCC) on standard cystometry was 202.2 ± 36.5 (115-320) mL, whereas it was 292.1 ± 50.6 (195-395) mL after stimulation. The improvements in the first involuntary detrusor contraction volume and maximum cystometric capacity were statistically significant after stimulation. The mean Pdetmax at first involuntary detrusor contraction, maximal detrusor pressure at maximum cystometric capacity, PdetQmax, Qmax, and post-void residual volume were statistically significant after 12-week stimulation. Mean parametric improvements at 12-week PTNS treatment from baseline included daytime frequency decreased by 5.6 voids daily, urge incontinence decreased by 3.1 episodes daily, urgency episodes decreased by 6.3 episodes daily, nocturia decreased by 2.7 voids, and voided volume improved by a mean of 92.6 mL. The change from baseline on the ICIQ-SF, OABv8, and OAB-q at 12-week PTNS treatment demonstrated statistically significant improvements. Conclusion These results have demonstrated that PTNS improves the lower urinary tract symptoms and urodynamic parameters in patients with PD. |
| doi_str_mv | 10.1016/j.urology.2015.09.026 |
| format | Article |
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Methods A total of 47 patients with PD with neurogenic detrusor overactivity were enrolled in the study. Urodynamic studies before and after 12-week PTNS treatment were performed. International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF), Overactive Bladder Questionnaire (OAB-V8), and Overactive Bladder Questionnaire Short Form (OAB-q SF) have been assessed before and after PTNS treatment. Results The mean first involuntary detrusor contraction volume ( 1st IDCV) on standard cystometry was 133.2 ± 48.1 (24-265) mL, whereas it was 237.3 ± 43.1 (145-390) mL after PTNS. The mean maximum cystometric capacity (MCC) on standard cystometry was 202.2 ± 36.5 (115-320) mL, whereas it was 292.1 ± 50.6 (195-395) mL after stimulation. The improvements in the first involuntary detrusor contraction volume and maximum cystometric capacity were statistically significant after stimulation. The mean Pdetmax at first involuntary detrusor contraction, maximal detrusor pressure at maximum cystometric capacity, PdetQmax, Qmax, and post-void residual volume were statistically significant after 12-week stimulation. Mean parametric improvements at 12-week PTNS treatment from baseline included daytime frequency decreased by 5.6 voids daily, urge incontinence decreased by 3.1 episodes daily, urgency episodes decreased by 6.3 episodes daily, nocturia decreased by 2.7 voids, and voided volume improved by a mean of 92.6 mL. The change from baseline on the ICIQ-SF, OABv8, and OAB-q at 12-week PTNS treatment demonstrated statistically significant improvements. Conclusion These results have demonstrated that PTNS improves the lower urinary tract symptoms and urodynamic parameters in patients with PD.</description><identifier>ISSN: 0090-4295</identifier><identifier>EISSN: 1527-9995</identifier><identifier>DOI: 10.1016/j.urology.2015.09.026</identifier><identifier>PMID: 26436213</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Parkinson Disease - complications ; Surveys and Questionnaires ; Tibial Nerve ; Time Factors ; Transcutaneous Electric Nerve Stimulation - methods ; Treatment Outcome ; Urinary Bladder - physiopathology ; Urinary Bladder, Neurogenic - complications ; Urinary Bladder, Neurogenic - physiopathology ; Urinary Bladder, Neurogenic - therapy ; Urinary Bladder, Overactive - complications ; Urinary Bladder, Overactive - physiopathology ; Urinary Bladder, Overactive - therapy ; Urodynamics - physiology ; Urology</subject><ispartof>Urology (Ridgewood, N.J.), 2016-01, Vol.87, p.76-81</ispartof><rights>Elsevier Inc.</rights><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-f929ffdc5ffce07177a554f837140675ab27719f354bf91211751800d0efa5ce3</citedby><cites>FETCH-LOGICAL-c420t-f929ffdc5ffce07177a554f837140675ab27719f354bf91211751800d0efa5ce3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0090429515009279$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26436213$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kabay, Sahin</creatorcontrib><creatorcontrib>Canbaz Kabay, Sibel</creatorcontrib><creatorcontrib>Cetiner, Mustafa</creatorcontrib><creatorcontrib>Mestan, Emine</creatorcontrib><creatorcontrib>Sevim, Mehmet</creatorcontrib><creatorcontrib>Ayas, Selahattin</creatorcontrib><creatorcontrib>Ozden, Hilmi</creatorcontrib><creatorcontrib>Ozisik Karaman, Handan</creatorcontrib><title>The Clinical and Urodynamic Results of Percutaneous Posterior Tibial Nerve Stimulation on Neurogenic Detrusor Overactivity in Patients With Parkinson's Disease</title><title>Urology (Ridgewood, N.J.)</title><addtitle>Urology</addtitle><description>Objectıve To investigate the effect of percutaneous posterior tibial nerve stimulation (PTNS) treatment after 12 weeks on urodynamic and clinical findings in patients with Parkinson's disease (PD) with neurogenic detrusor overactivity. Methods A total of 47 patients with PD with neurogenic detrusor overactivity were enrolled in the study. Urodynamic studies before and after 12-week PTNS treatment were performed. International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF), Overactive Bladder Questionnaire (OAB-V8), and Overactive Bladder Questionnaire Short Form (OAB-q SF) have been assessed before and after PTNS treatment. Results The mean first involuntary detrusor contraction volume ( 1st IDCV) on standard cystometry was 133.2 ± 48.1 (24-265) mL, whereas it was 237.3 ± 43.1 (145-390) mL after PTNS. The mean maximum cystometric capacity (MCC) on standard cystometry was 202.2 ± 36.5 (115-320) mL, whereas it was 292.1 ± 50.6 (195-395) mL after stimulation. The improvements in the first involuntary detrusor contraction volume and maximum cystometric capacity were statistically significant after stimulation. The mean Pdetmax at first involuntary detrusor contraction, maximal detrusor pressure at maximum cystometric capacity, PdetQmax, Qmax, and post-void residual volume were statistically significant after 12-week stimulation. Mean parametric improvements at 12-week PTNS treatment from baseline included daytime frequency decreased by 5.6 voids daily, urge incontinence decreased by 3.1 episodes daily, urgency episodes decreased by 6.3 episodes daily, nocturia decreased by 2.7 voids, and voided volume improved by a mean of 92.6 mL. The change from baseline on the ICIQ-SF, OABv8, and OAB-q at 12-week PTNS treatment demonstrated statistically significant improvements. Conclusion These results have demonstrated that PTNS improves the lower urinary tract symptoms and urodynamic parameters in patients with PD.</description><subject>Adult</subject><subject>Aged</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Parkinson Disease - complications</subject><subject>Surveys and Questionnaires</subject><subject>Tibial Nerve</subject><subject>Time Factors</subject><subject>Transcutaneous Electric Nerve Stimulation - methods</subject><subject>Treatment Outcome</subject><subject>Urinary Bladder - physiopathology</subject><subject>Urinary Bladder, Neurogenic - complications</subject><subject>Urinary Bladder, Neurogenic - physiopathology</subject><subject>Urinary Bladder, Neurogenic - therapy</subject><subject>Urinary Bladder, Overactive - complications</subject><subject>Urinary Bladder, Overactive - physiopathology</subject><subject>Urinary Bladder, Overactive - therapy</subject><subject>Urodynamics - physiology</subject><subject>Urology</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUs1uEzEQthCIhsAjgHyDSxbbu17HF1CV8idVbURTcbQc77h1umsX2xtpn4ZXxVECBy5IlmxL38_MfIPQa0oqSmj7fleNMfThbqoYobwisiKsfYJmlDOxkFLyp2hGiCSLhkl-hl6ktCOEtG0rnqMz1jZ1y2g9Q78294BXvfPO6B5r3-HbGLrJ68EZ_B3S2OeEg8VriGbM2kMYE16HlCG6EPHGbV3hXUHcA77Jbhh7nV3wuJwrKBXeQVHGF5DjmAr-eg9Rm-z2Lk_YebwuaPDF4ofL9-UXH5xPwb9N-MIl0AleomdW9wlene45uv38abP6uri8_vJtdX65MA0jeWElk9Z2hltrgAgqhOa8scta0Ia0gustE4JKW_NmayVllApOl4R0BKzmBuo5enfUfYzh5wgpq8ElA31_bFlR0bK6WbIytDniR6iJIaUIVj1GN-g4KUrUIRu1U6ds1CEbRaQq2RTem5PFuB2g-8v6E0YBfDwCoDS6dxBVMmU6BjoXwWTVBfdfiw__KJhTtA8wQdqFMfoyRUVVYoqom8OCHPaD8vJiQta_AYbLuyU</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Kabay, Sahin</creator><creator>Canbaz Kabay, Sibel</creator><creator>Cetiner, Mustafa</creator><creator>Mestan, Emine</creator><creator>Sevim, Mehmet</creator><creator>Ayas, Selahattin</creator><creator>Ozden, Hilmi</creator><creator>Ozisik Karaman, Handan</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160101</creationdate><title>The Clinical and Urodynamic Results of Percutaneous Posterior Tibial Nerve Stimulation on Neurogenic Detrusor Overactivity in Patients With Parkinson's Disease</title><author>Kabay, Sahin ; Canbaz Kabay, Sibel ; Cetiner, Mustafa ; Mestan, Emine ; Sevim, Mehmet ; Ayas, Selahattin ; Ozden, Hilmi ; Ozisik Karaman, Handan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-f929ffdc5ffce07177a554f837140675ab27719f354bf91211751800d0efa5ce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Parkinson Disease - complications</topic><topic>Surveys and Questionnaires</topic><topic>Tibial Nerve</topic><topic>Time Factors</topic><topic>Transcutaneous Electric Nerve Stimulation - methods</topic><topic>Treatment Outcome</topic><topic>Urinary Bladder - physiopathology</topic><topic>Urinary Bladder, Neurogenic - complications</topic><topic>Urinary Bladder, Neurogenic - physiopathology</topic><topic>Urinary Bladder, Neurogenic - therapy</topic><topic>Urinary Bladder, Overactive - complications</topic><topic>Urinary Bladder, Overactive - physiopathology</topic><topic>Urinary Bladder, Overactive - therapy</topic><topic>Urodynamics - physiology</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kabay, Sahin</creatorcontrib><creatorcontrib>Canbaz Kabay, Sibel</creatorcontrib><creatorcontrib>Cetiner, Mustafa</creatorcontrib><creatorcontrib>Mestan, Emine</creatorcontrib><creatorcontrib>Sevim, Mehmet</creatorcontrib><creatorcontrib>Ayas, Selahattin</creatorcontrib><creatorcontrib>Ozden, Hilmi</creatorcontrib><creatorcontrib>Ozisik Karaman, Handan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kabay, Sahin</au><au>Canbaz Kabay, Sibel</au><au>Cetiner, Mustafa</au><au>Mestan, Emine</au><au>Sevim, Mehmet</au><au>Ayas, Selahattin</au><au>Ozden, Hilmi</au><au>Ozisik Karaman, Handan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Clinical and Urodynamic Results of Percutaneous Posterior Tibial Nerve Stimulation on Neurogenic Detrusor Overactivity in Patients With Parkinson's Disease</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>87</volume><spage>76</spage><epage>81</epage><pages>76-81</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><abstract>Objectıve To investigate the effect of percutaneous posterior tibial nerve stimulation (PTNS) treatment after 12 weeks on urodynamic and clinical findings in patients with Parkinson's disease (PD) with neurogenic detrusor overactivity. Methods A total of 47 patients with PD with neurogenic detrusor overactivity were enrolled in the study. Urodynamic studies before and after 12-week PTNS treatment were performed. International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF), Overactive Bladder Questionnaire (OAB-V8), and Overactive Bladder Questionnaire Short Form (OAB-q SF) have been assessed before and after PTNS treatment. Results The mean first involuntary detrusor contraction volume ( 1st IDCV) on standard cystometry was 133.2 ± 48.1 (24-265) mL, whereas it was 237.3 ± 43.1 (145-390) mL after PTNS. The mean maximum cystometric capacity (MCC) on standard cystometry was 202.2 ± 36.5 (115-320) mL, whereas it was 292.1 ± 50.6 (195-395) mL after stimulation. The improvements in the first involuntary detrusor contraction volume and maximum cystometric capacity were statistically significant after stimulation. The mean Pdetmax at first involuntary detrusor contraction, maximal detrusor pressure at maximum cystometric capacity, PdetQmax, Qmax, and post-void residual volume were statistically significant after 12-week stimulation. Mean parametric improvements at 12-week PTNS treatment from baseline included daytime frequency decreased by 5.6 voids daily, urge incontinence decreased by 3.1 episodes daily, urgency episodes decreased by 6.3 episodes daily, nocturia decreased by 2.7 voids, and voided volume improved by a mean of 92.6 mL. The change from baseline on the ICIQ-SF, OABv8, and OAB-q at 12-week PTNS treatment demonstrated statistically significant improvements. Conclusion These results have demonstrated that PTNS improves the lower urinary tract symptoms and urodynamic parameters in patients with PD.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26436213</pmid><doi>10.1016/j.urology.2015.09.026</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Aged Female Follow-Up Studies Humans Male Middle Aged Parkinson Disease - complications Surveys and Questionnaires Tibial Nerve Time Factors Transcutaneous Electric Nerve Stimulation - methods Treatment Outcome Urinary Bladder - physiopathology Urinary Bladder, Neurogenic - complications Urinary Bladder, Neurogenic - physiopathology Urinary Bladder, Neurogenic - therapy Urinary Bladder, Overactive - complications Urinary Bladder, Overactive - physiopathology Urinary Bladder, Overactive - therapy Urodynamics - physiology Urology |
| title | The Clinical and Urodynamic Results of Percutaneous Posterior Tibial Nerve Stimulation on Neurogenic Detrusor Overactivity in Patients With Parkinson's Disease |
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