Author

Jin Kwan Jung, Sang Min Yoon, Tack Lee

Place of duty

From the Department of Urology, Inha University College of Medicine, Incheon, Korea.

Title

Posterior Tibial Nerve Magnetic Stimulation in Patients with Neurogenic Bladder

Publicationinfo

The Korean Journal of Urology 2005 Sep 046(09): 956-961.

Key_word

Bladder,Tibial nerve,Magnetics,Urinary incontinence

Full-Text

Abstract

Purpose: To evaluate the effect of posterior tibial nerve magnetic stimulation (PTNS), using a newly developed magnetic arm stimulator, for the treatment of patients with neurogenic bladder. Materials and Methods: 25 patients with urgency, frequency and voiding difficulty symptoms of a neurogenic cause were enrolled in this study. Of these patients, 19 and 6 had neurogenic detrusor overactivity and detrusor areflexia, respectively. The patients underwent a total of 16 PTNS sessions, twice a week, using an Arm type Magnetic Stimulator (BioCon 1000, Mcube, Korea). Subjective success was defined as the request to continue treatment, whereas objective success was defined as a significant reduction (>or=50%) in the total number of leakage episodes per 24 hours. Results: 13 of the 16 patients with neurogenic detrusor overactivity (81.2%) reported subjective success, and 8 (50%) reported objective success. A statistically significant decrease in leakage episodes and voiding frequency (p<0.05), and an increase in the mean volume voided were observed (p<0.05). Statistically significant improvements were noted in quality of life score (p<0.05). In patients with detrusor areflexia, no significant improvements were observed in the frequency/volume chart data, quality of life scores or urodynamic data. No significant adverse events were noted in relation to the treatment. Conclusions: PTNS can be considered to be a safe, non-invasive and effective treatment for neurogenic detrusor overactivity. (Korean J Urol 2005;46:956-961)

저 자

정진관·윤상민·이택

소 속

인하대학교 의과대학 비뇨기과학교실

제 목

신경인성방광 환자에서 후부경골신경 자기장자극치료 효과