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Related Experiment Video

Updated: Feb 10, 2026

Fixation of Ultrasound Transducers for Spinal Cord Neuromodulation in Mice
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What Is New in Neuromodulation for Overactive Bladder?

Manuela Tutolo1, Enrico Ammirati2, Frank Van der Aa3

  • 1Department of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.

European Urology Focus
|May 19, 2018
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Summary

Percutaneous tibial nerve stimulation (PTNS) and sacral nerve modulation (SNM) effectively treat overactive bladder (OAB) symptoms. Both methods are safe, with PTNS offering a less invasive option with quicker results and fewer side effects.

Keywords:
Lower urinary tract dysfunctionOveractive bladderSacral neuromodulationTibial nerve stimulation

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Area of Science:

  • Urology
  • Neuromodulation

Background:

  • Overactive bladder (OAB) significantly impacts quality of life.
  • Conservative treatments often fail to resolve OAB symptoms.
  • Neuromodulation offers alternative therapeutic strategies for refractory OAB.

Purpose of the Study:

  • To evaluate the efficacy and safety of percutaneous tibial nerve stimulation (PTNS) and sacral nerve modulation (SNM) for OAB.
  • To compare outcomes of PTNS and SNM in patients with OAB unresponsive to conservative care.

Main Methods:

  • Systematic review of randomized controlled trials published between 1998 and 2017.
  • Inclusion criteria: English language, ≥20 adult patients, specific follow-up durations for PTNS (12 weeks) and SNM (6 months).
  • Focused on studies assessing therapeutic success rates and adverse events.

Main Results:

  • Therapeutic success rates ranged from 61% to 90% for SNM and 54% to 79% for PTNS.
  • Both PTNS and SNM demonstrated significant efficacy in managing OAB symptoms.
  • No life-threatening adverse effects were reported for either treatment modality.

Conclusions:

  • Percutaneous tibial nerve stimulation and sacral nerve modulation are effective and safe treatment options for patients with refractory OAB.
  • PTNS presents a less invasive approach with rapid symptom relief and a favorable side effect profile.
  • Both neuromodulation techniques provide valuable therapeutic alternatives for OAB management.