van Balken Michael R
Rijnstate Hospital, Department of Urology, PO Box 9555, NL-6800 TA, Arnhem, The Netherlands.
Expert Rev Med Devices. 2007 Sep;4(5):693-8. doi: 10.1586/17434440.4.5.693.
Lower urinary tract disorders, with its main representative the overactive bladder, are an increasing problem that impact patients' quality of life tremendously. Neuromodulative treatment may fill the gap between conservative measures and invasive surgery. Percutaneous tibial nerve stimulation (Urgent PC) is a neuromodulation technique that is minimally invasive and easy to perform. Stimulation is carried out in 12 weekly sessions of 30 min each, through a percutaneously placed needle cephalad to the medial malleolus. Success can be obtained in approximately two-thirds of patients, but the therapy has the disadvantage of the necessity of maintenance therapy. The development of a small implantable device may be the future next step in the evolution of the technique.
下尿路疾病，以膀胱过度活动症为主要代表，是一个日益严重的问题，极大地影响了患者的生活质量。神经调节治疗可能填补保守治疗措施和侵入性手术之间的空白。经皮胫神经刺激（紧急PC）是一种微创且易于实施的神经调节技术。刺激通过经皮放置在内踝上方的针进行，每周进行12次，每次30分钟。大约三分之二的患者可以取得成功，但该疗法的缺点是需要维持治疗。开发一种小型可植入设备可能是该技术未来发展的下一步。
