Maurelli Valentina, Petta Filomena, Carsillo Gianni, Miano Roberto, Lamorte Fiorenza, Perugia Claudio, Finazzi Agrò Enrico
Scuola di Specializzazione in Urologia, Università di Roma Tor Vergata - Italy.
Urologia. 2012 Dec 30;79 Suppl 19:86-90. doi: 10.5301/RU.2012.9366.
Aim of this pilot study was to assess the feasibility of a home-based transcutaneous tibial nerve stimulation (TTNS) protocol in patients responding to percutaneous tibial nerve stimulation (PTNS ).
16 overactive bladder syndrome (OAB) patients, responding to PTNS, were included. Patients performed a flexible home protocol of TTNS. Satisfied patients were considered "subjective responders"; patients not showing a ≥10% increase of urgency/urgency incontinence episodes/day were considered "objective responders".
14/16 patients were followed up for a mean of 19.7 months. All patients were considered subjective responders; 13 were considered objective responders. The mean number of stimulations/week was 1.6 (1-3).
After this pilot study, it is possible to conclude that home-based TTNS is feasible. Nevertheless, further randomized trials are needed before drawing any conclusions.
本初步研究的目的是评估在经皮胫神经刺激(PTNS)有反应的患者中,基于家庭的经皮胫神经刺激(TTNS)方案的可行性。
纳入16例对PTNS有反应的膀胱过度活动症(OAB)患者。患者实施了灵活的家庭TTNS方案。满意的患者被视为“主观反应者”;每日尿急/急迫性尿失禁发作次数未增加≥10%的患者被视为“客观反应者”。
14/16例患者接受了平均19.7个月的随访。所有患者均被视为主观反应者;13例被视为客观反应者。每周刺激的平均次数为1.6次(1 - 3次)。
经过本初步研究,可以得出基于家庭的TTNS是可行的结论。然而,在得出任何结论之前还需要进一步的随机试验。