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Bart L.h. Bemelmans - One of the best experts on this subject based on the ideXlab platform.
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Posterior Tibial Nerve stimulation in the treatment of urge incontinence
Neurourology and Urodynamics, 2003Co-Authors: Vera Vandoninck, Michael R. Van Balken, Enrico Finazzi Agrò, Filomena Petta, Carlo Caltagirone, John Heesakkers, Lambertus A. Kiemeney, Frans M.j. Debruyne, Bart L.h. BemelmansAbstract:AIMS: The objective of this study was to evaluate the effect of Posterior Tibial Nerve stimulation (PTNS) for treatment of urge incontinence. METHODS: In a prospective multicentre study, 35 patients with complaints of urge incontinence underwent 12 weekly sessions of PTNS at one of five sites in the Netherlands and one site in Italy. Frequency/volume charts and I-QoL and SF-36 questionnaires were completed at 0 and 12 weeks. Success was analysed by using subjective and objective criteria. Overall subjective success was defined as the willingness to continue treatment, whereas objective success was defined as a significant decrease (to<50%) in total number of leakage episodes. RESULTS: Twenty-two patients (63%) reported a subjective success. Twenty-four patients (70%) showed a 50% or greater reduction in total number of leakage episodes. Sixteen (46%) of these-patients were completely cured (i.e., no leakage episodes) after 12 sessions. Quality of life parameters improved significantly. CONCLUSIONS: We conclude that Posterior Tibial Nerve stimulation is an effective, minimally invasive option for treatment of patients with complaints of urge incontinence, as improvement was seen in subjective as well as objective parameters.
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Posterior Tibial Nerve stimulation in the treatment of idiopathic nonobstructive voiding dysfunction.
Urology, 2003Co-Authors: Vera Vandoninck, Michael R. Van Balken, Filomena Petta, John Heesakkers, Lambertus A. Kiemeney, Frans M.j. Debruyne, Enrico Finazzi Agr, Francesco Micali, Bart L.h. BemelmansAbstract:Abstract Objectives To evaluate the effect of stimulation of the Posterior Tibial Nerve in the treatment of voiding dysfunction. Methods Thirty-nine patients with chronic voiding dysfunction necessitating clean intermittent catheterization were enrolled in a prospective multicenter trial in the Netherlands (n = 19) and Italy (n = 20). They underwent 12 weekly sessions of Posterior Tibial Nerve stimulation. Frequency/volume charts, an incontinence quality-of-life instrument, and the MOS 36-item Short-Form Health Survey were completed at 0 and 12 weeks. Subjective success was defined by the patient’s positive response resulting in a request to continue treatment. Efficacy was based on analysis of the frequency/volume charts comparing the baseline values with the data at 12 weeks. A reduction of 50% or more in total catheterized volume was considered as an objective success (primary outcome measurement). Results Of the 39 patients, 23 (59%) chose to continue treatment. The frequency/volume charts showed a 50% decrease in total catheterized volume in 16 (41%) of 39 patients. Additionally, 10 patients (26%) noted a reduction of 25% to 50% in their total catheterized volume. For all patients, the total catheterized volume decreased by a mean of −228 mL (range −49 to −528). The incontinence quality-of-life instrument and Short-Form Health Survey parameters improved significantly. Conclusions Percutaneous stimulation of the Posterior Tibial Nerve seems to be an effective, minimally invasive option worth trying in patients with idiopathic voiding dysfunction. Improvement was seen in objective micturition parameters, as well as in subjective quality-of-life data.
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Posterior Tibial Nerve stimulation in the treatment of urge incontinence.
Neurourology and Urodynamics, 2002Co-Authors: Vera Vandoninck, Michael R. Van Balken, Enrico Finazzi Agrò, Filomena Petta, Carlo Caltagirone, John Heesakkers, Lambertus A. Kiemeney, Frans M.j. Debruyne, Bart L.h. BemelmansAbstract:AIMS: The objective of this study was to evaluate the effect of Posterior Tibial Nerve stimulation (PTNS) for treatment of urge incontinence. METHODS: In a prospective multicentre study, 35 patients with complaints of urge incontinence underwent 12 weekly sessions of PTNS at one of five sites in the Netherlands and one site in Italy. Frequency/volume charts and I-QoL and SF-36 questionnaires were completed at 0 and 12 weeks. Success was analysed by using subjective and objective criteria. Overall subjective success was defined as the willingness to continue treatment, whereas objective success was defined as a significant decrease (to
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Posterior Tibial Nerve STIMULATION AS NEUROMODULATIVE TREATMENT OF LOWER URINARY TRACT DYSFUNCTION
The Journal of urology, 2001Co-Authors: Michael R. Van Balken, Vera Vandoninck, Lambertus A. Kiemeney, Frans M.j. Debruyne, Karel W.h. Gisolf, Henk Vergunst, Bart L.h. BemelmansAbstract:Purpose: Recently, intermittent percutaneous Posterior Tibial Nerve stimulation was introduced as a treatment modality filling the gap between conservative and surgical therapies in patients with certain types of lower urinary tract dysfunction.Materials and Methods: In a prospective multicenter trial Posterior Tibial Nerve stimulation was evaluated in 37 patients who presented with symptoms of bladder overactivity, that is the urgency and frequency syndrome and/or urge incontinence, and 12 with nonobstructive urinary retention. Results were recorded in voiding diaries and on quality of life questionnaires before and after treatment. Patients were classified as responders, including those in whom therapy was successful and chose to continue treatment after the initial 12 weeks, and nonresponders, those who chose to stop treatment.Results: Overall, a positive response was seen in 60% of all patients. In patients with bladder overactivity a statistically significant decrease was observed in leakage episodes...
Vera Vandoninck - One of the best experts on this subject based on the ideXlab platform.
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Posterior Tibial Nerve stimulation in the treatment of urge incontinence
Neurourology and Urodynamics, 2003Co-Authors: Vera Vandoninck, Michael R. Van Balken, Enrico Finazzi Agrò, Filomena Petta, Carlo Caltagirone, John Heesakkers, Lambertus A. Kiemeney, Frans M.j. Debruyne, Bart L.h. BemelmansAbstract:AIMS: The objective of this study was to evaluate the effect of Posterior Tibial Nerve stimulation (PTNS) for treatment of urge incontinence. METHODS: In a prospective multicentre study, 35 patients with complaints of urge incontinence underwent 12 weekly sessions of PTNS at one of five sites in the Netherlands and one site in Italy. Frequency/volume charts and I-QoL and SF-36 questionnaires were completed at 0 and 12 weeks. Success was analysed by using subjective and objective criteria. Overall subjective success was defined as the willingness to continue treatment, whereas objective success was defined as a significant decrease (to<50%) in total number of leakage episodes. RESULTS: Twenty-two patients (63%) reported a subjective success. Twenty-four patients (70%) showed a 50% or greater reduction in total number of leakage episodes. Sixteen (46%) of these-patients were completely cured (i.e., no leakage episodes) after 12 sessions. Quality of life parameters improved significantly. CONCLUSIONS: We conclude that Posterior Tibial Nerve stimulation is an effective, minimally invasive option for treatment of patients with complaints of urge incontinence, as improvement was seen in subjective as well as objective parameters.
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Posterior Tibial Nerve stimulation in the treatment of idiopathic nonobstructive voiding dysfunction.
Urology, 2003Co-Authors: Vera Vandoninck, Michael R. Van Balken, Filomena Petta, John Heesakkers, Lambertus A. Kiemeney, Frans M.j. Debruyne, Enrico Finazzi Agr, Francesco Micali, Bart L.h. BemelmansAbstract:Abstract Objectives To evaluate the effect of stimulation of the Posterior Tibial Nerve in the treatment of voiding dysfunction. Methods Thirty-nine patients with chronic voiding dysfunction necessitating clean intermittent catheterization were enrolled in a prospective multicenter trial in the Netherlands (n = 19) and Italy (n = 20). They underwent 12 weekly sessions of Posterior Tibial Nerve stimulation. Frequency/volume charts, an incontinence quality-of-life instrument, and the MOS 36-item Short-Form Health Survey were completed at 0 and 12 weeks. Subjective success was defined by the patient’s positive response resulting in a request to continue treatment. Efficacy was based on analysis of the frequency/volume charts comparing the baseline values with the data at 12 weeks. A reduction of 50% or more in total catheterized volume was considered as an objective success (primary outcome measurement). Results Of the 39 patients, 23 (59%) chose to continue treatment. The frequency/volume charts showed a 50% decrease in total catheterized volume in 16 (41%) of 39 patients. Additionally, 10 patients (26%) noted a reduction of 25% to 50% in their total catheterized volume. For all patients, the total catheterized volume decreased by a mean of −228 mL (range −49 to −528). The incontinence quality-of-life instrument and Short-Form Health Survey parameters improved significantly. Conclusions Percutaneous stimulation of the Posterior Tibial Nerve seems to be an effective, minimally invasive option worth trying in patients with idiopathic voiding dysfunction. Improvement was seen in objective micturition parameters, as well as in subjective quality-of-life data.
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Posterior Tibial Nerve stimulation in the treatment of urge incontinence.
Neurourology and Urodynamics, 2002Co-Authors: Vera Vandoninck, Michael R. Van Balken, Enrico Finazzi Agrò, Filomena Petta, Carlo Caltagirone, John Heesakkers, Lambertus A. Kiemeney, Frans M.j. Debruyne, Bart L.h. BemelmansAbstract:AIMS: The objective of this study was to evaluate the effect of Posterior Tibial Nerve stimulation (PTNS) for treatment of urge incontinence. METHODS: In a prospective multicentre study, 35 patients with complaints of urge incontinence underwent 12 weekly sessions of PTNS at one of five sites in the Netherlands and one site in Italy. Frequency/volume charts and I-QoL and SF-36 questionnaires were completed at 0 and 12 weeks. Success was analysed by using subjective and objective criteria. Overall subjective success was defined as the willingness to continue treatment, whereas objective success was defined as a significant decrease (to
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Posterior Tibial Nerve STIMULATION AS NEUROMODULATIVE TREATMENT OF LOWER URINARY TRACT DYSFUNCTION
The Journal of urology, 2001Co-Authors: Michael R. Van Balken, Vera Vandoninck, Lambertus A. Kiemeney, Frans M.j. Debruyne, Karel W.h. Gisolf, Henk Vergunst, Bart L.h. BemelmansAbstract:Purpose: Recently, intermittent percutaneous Posterior Tibial Nerve stimulation was introduced as a treatment modality filling the gap between conservative and surgical therapies in patients with certain types of lower urinary tract dysfunction.Materials and Methods: In a prospective multicenter trial Posterior Tibial Nerve stimulation was evaluated in 37 patients who presented with symptoms of bladder overactivity, that is the urgency and frequency syndrome and/or urge incontinence, and 12 with nonobstructive urinary retention. Results were recorded in voiding diaries and on quality of life questionnaires before and after treatment. Patients were classified as responders, including those in whom therapy was successful and chose to continue treatment after the initial 12 weeks, and nonresponders, those who chose to stop treatment.Results: Overall, a positive response was seen in 60% of all patients. In patients with bladder overactivity a statistically significant decrease was observed in leakage episodes...
Michael D Millen - One of the best experts on this subject based on the ideXlab platform.
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femoral artery ischemia during spinal scoliosis surgery detected by Posterior Tibial Nerve somatosensory evoked potential monitoring
Spine, 2000Co-Authors: David G Vossler, Thomas Stonecipher, Michael D MillenAbstract:Study Design. A case report of unilateral leg ischemia caused by femoral artery compression detected using Posterior Tibial Nerve somatosensory-evoked potentials during spinal scoliosis instrumentation surgery. Objectives. To report a rare cause of intraoperative unilateral loss of all Posterior Tibial Nerve somatosensory-evoked potential waveforms. Summary of Background Data. Failure to obtain adequate popliteal fossa, spinal, subcortical, and cortical potentials during Posterior Tibial Nerve somatosensory-evoked potential spinal cord monitoring usually results from technical factors or chronic conditions affecting the peripheral Nerve. Methods. A 16-year-old boy with thoracic scoliosis had normal Posterior Tibial Nerve somatosensory-evoked potentials both before surgery and in the operating room immediately after anesthesia induction and prone positioning on a four-post spinal frame. Results. One hour after the start of surgery, a minimal amplitude reduction of the right popliteal fossa potentials appeared. Fifteen minutes later, the amplitudes of the popliteal fossa, subcortical, and cortical potentials evoked by right Posterior Tibial Nerve stimulation became substantially reduced. Subsequently, all waveforms were lost. Malfunction of the right Posterior Tibial Nerve stimulator was initially suspected, but when proper function was verified, a search for other causes of this loss led to discovery of leg ischemia. The patient was repositioned on the spinal frame, and all Posterior Tibial Nerve somatosensory-evoked potentials waveforms began to reappear 7 minutes later. There was no postoperative clinically detectable complication. Conclusions. Although technical malfunction should always be suspected when all intraoperative somatosensory-evoked potential waveforms are initially seen and subsequently lost, one should also consider the possibility that intraoperative ischemia due to limb positioning could be the etiology.
John Heesakkers - One of the best experts on this subject based on the ideXlab platform.
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Acute urodynamic effects of Posterior Tibial Nerve stimulation on neurogenic detrusor overactivity in patients with MS.
European urology, 2006Co-Authors: Morten Voss Fjorback, Farida S. Van Rey, Floor Van Der Pal, Nico Rijkhoff, Thor Petersen, John HeesakkersAbstract:Abstract Objectives The aim of this study was to investigate whether acute electrical stimulation of the Posterior Tibial Nerve could suppress detrusor contractions in multiple sclerosis (MS) patients with neurogenic detrusor overactivity. Methods Two successive slow-fill cystometries (16ml/min) were carried out in eight MS patients with neurogenic detrusor overactivity. The first filling served as control without stimulation. In the second filling, electrical stimulation using needle electrodes was applied automatically to the Posterior Tibial Nerve when the detrusor pressure exceeded 10cm H 2 O. An additional filling in which the needle electrodes were replaced by surface electrodes was carried out in three patients. Results The control filling showed detrusor overactivity in eight patients, but electrical stimulation of the Posterior Tibial Nerve failed to suppress detrusor contractions in all tested patients. Conclusions Although neuromodulative effects may be obtained with therapeutic electrical stimulation of the Posterior Tibial Nerve, no acute effects were demonstrated. For this reason, electrical stimulation of pudendal afferents remains the only option if acute suppression of a detrusor contraction is required.
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Posterior Tibial Nerve stimulation in the treatment of urge incontinence
Neurourology and Urodynamics, 2003Co-Authors: Vera Vandoninck, Michael R. Van Balken, Enrico Finazzi Agrò, Filomena Petta, Carlo Caltagirone, John Heesakkers, Lambertus A. Kiemeney, Frans M.j. Debruyne, Bart L.h. BemelmansAbstract:AIMS: The objective of this study was to evaluate the effect of Posterior Tibial Nerve stimulation (PTNS) for treatment of urge incontinence. METHODS: In a prospective multicentre study, 35 patients with complaints of urge incontinence underwent 12 weekly sessions of PTNS at one of five sites in the Netherlands and one site in Italy. Frequency/volume charts and I-QoL and SF-36 questionnaires were completed at 0 and 12 weeks. Success was analysed by using subjective and objective criteria. Overall subjective success was defined as the willingness to continue treatment, whereas objective success was defined as a significant decrease (to<50%) in total number of leakage episodes. RESULTS: Twenty-two patients (63%) reported a subjective success. Twenty-four patients (70%) showed a 50% or greater reduction in total number of leakage episodes. Sixteen (46%) of these-patients were completely cured (i.e., no leakage episodes) after 12 sessions. Quality of life parameters improved significantly. CONCLUSIONS: We conclude that Posterior Tibial Nerve stimulation is an effective, minimally invasive option for treatment of patients with complaints of urge incontinence, as improvement was seen in subjective as well as objective parameters.
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Posterior Tibial Nerve stimulation in the treatment of idiopathic nonobstructive voiding dysfunction.
Urology, 2003Co-Authors: Vera Vandoninck, Michael R. Van Balken, Filomena Petta, John Heesakkers, Lambertus A. Kiemeney, Frans M.j. Debruyne, Enrico Finazzi Agr, Francesco Micali, Bart L.h. BemelmansAbstract:Abstract Objectives To evaluate the effect of stimulation of the Posterior Tibial Nerve in the treatment of voiding dysfunction. Methods Thirty-nine patients with chronic voiding dysfunction necessitating clean intermittent catheterization were enrolled in a prospective multicenter trial in the Netherlands (n = 19) and Italy (n = 20). They underwent 12 weekly sessions of Posterior Tibial Nerve stimulation. Frequency/volume charts, an incontinence quality-of-life instrument, and the MOS 36-item Short-Form Health Survey were completed at 0 and 12 weeks. Subjective success was defined by the patient’s positive response resulting in a request to continue treatment. Efficacy was based on analysis of the frequency/volume charts comparing the baseline values with the data at 12 weeks. A reduction of 50% or more in total catheterized volume was considered as an objective success (primary outcome measurement). Results Of the 39 patients, 23 (59%) chose to continue treatment. The frequency/volume charts showed a 50% decrease in total catheterized volume in 16 (41%) of 39 patients. Additionally, 10 patients (26%) noted a reduction of 25% to 50% in their total catheterized volume. For all patients, the total catheterized volume decreased by a mean of −228 mL (range −49 to −528). The incontinence quality-of-life instrument and Short-Form Health Survey parameters improved significantly. Conclusions Percutaneous stimulation of the Posterior Tibial Nerve seems to be an effective, minimally invasive option worth trying in patients with idiopathic voiding dysfunction. Improvement was seen in objective micturition parameters, as well as in subjective quality-of-life data.
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Posterior Tibial Nerve stimulation in the treatment of urge incontinence.
Neurourology and Urodynamics, 2002Co-Authors: Vera Vandoninck, Michael R. Van Balken, Enrico Finazzi Agrò, Filomena Petta, Carlo Caltagirone, John Heesakkers, Lambertus A. Kiemeney, Frans M.j. Debruyne, Bart L.h. BemelmansAbstract:AIMS: The objective of this study was to evaluate the effect of Posterior Tibial Nerve stimulation (PTNS) for treatment of urge incontinence. METHODS: In a prospective multicentre study, 35 patients with complaints of urge incontinence underwent 12 weekly sessions of PTNS at one of five sites in the Netherlands and one site in Italy. Frequency/volume charts and I-QoL and SF-36 questionnaires were completed at 0 and 12 weeks. Success was analysed by using subjective and objective criteria. Overall subjective success was defined as the willingness to continue treatment, whereas objective success was defined as a significant decrease (to
Michael R. Van Balken - One of the best experts on this subject based on the ideXlab platform.
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Posterior Tibial Nerve stimulation in the treatment of urge incontinence
Neurourology and Urodynamics, 2003Co-Authors: Vera Vandoninck, Michael R. Van Balken, Enrico Finazzi Agrò, Filomena Petta, Carlo Caltagirone, John Heesakkers, Lambertus A. Kiemeney, Frans M.j. Debruyne, Bart L.h. BemelmansAbstract:AIMS: The objective of this study was to evaluate the effect of Posterior Tibial Nerve stimulation (PTNS) for treatment of urge incontinence. METHODS: In a prospective multicentre study, 35 patients with complaints of urge incontinence underwent 12 weekly sessions of PTNS at one of five sites in the Netherlands and one site in Italy. Frequency/volume charts and I-QoL and SF-36 questionnaires were completed at 0 and 12 weeks. Success was analysed by using subjective and objective criteria. Overall subjective success was defined as the willingness to continue treatment, whereas objective success was defined as a significant decrease (to<50%) in total number of leakage episodes. RESULTS: Twenty-two patients (63%) reported a subjective success. Twenty-four patients (70%) showed a 50% or greater reduction in total number of leakage episodes. Sixteen (46%) of these-patients were completely cured (i.e., no leakage episodes) after 12 sessions. Quality of life parameters improved significantly. CONCLUSIONS: We conclude that Posterior Tibial Nerve stimulation is an effective, minimally invasive option for treatment of patients with complaints of urge incontinence, as improvement was seen in subjective as well as objective parameters.
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Posterior Tibial Nerve stimulation in the treatment of idiopathic nonobstructive voiding dysfunction.
Urology, 2003Co-Authors: Vera Vandoninck, Michael R. Van Balken, Filomena Petta, John Heesakkers, Lambertus A. Kiemeney, Frans M.j. Debruyne, Enrico Finazzi Agr, Francesco Micali, Bart L.h. BemelmansAbstract:Abstract Objectives To evaluate the effect of stimulation of the Posterior Tibial Nerve in the treatment of voiding dysfunction. Methods Thirty-nine patients with chronic voiding dysfunction necessitating clean intermittent catheterization were enrolled in a prospective multicenter trial in the Netherlands (n = 19) and Italy (n = 20). They underwent 12 weekly sessions of Posterior Tibial Nerve stimulation. Frequency/volume charts, an incontinence quality-of-life instrument, and the MOS 36-item Short-Form Health Survey were completed at 0 and 12 weeks. Subjective success was defined by the patient’s positive response resulting in a request to continue treatment. Efficacy was based on analysis of the frequency/volume charts comparing the baseline values with the data at 12 weeks. A reduction of 50% or more in total catheterized volume was considered as an objective success (primary outcome measurement). Results Of the 39 patients, 23 (59%) chose to continue treatment. The frequency/volume charts showed a 50% decrease in total catheterized volume in 16 (41%) of 39 patients. Additionally, 10 patients (26%) noted a reduction of 25% to 50% in their total catheterized volume. For all patients, the total catheterized volume decreased by a mean of −228 mL (range −49 to −528). The incontinence quality-of-life instrument and Short-Form Health Survey parameters improved significantly. Conclusions Percutaneous stimulation of the Posterior Tibial Nerve seems to be an effective, minimally invasive option worth trying in patients with idiopathic voiding dysfunction. Improvement was seen in objective micturition parameters, as well as in subjective quality-of-life data.
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Posterior Tibial Nerve stimulation in the treatment of urge incontinence.
Neurourology and Urodynamics, 2002Co-Authors: Vera Vandoninck, Michael R. Van Balken, Enrico Finazzi Agrò, Filomena Petta, Carlo Caltagirone, John Heesakkers, Lambertus A. Kiemeney, Frans M.j. Debruyne, Bart L.h. BemelmansAbstract:AIMS: The objective of this study was to evaluate the effect of Posterior Tibial Nerve stimulation (PTNS) for treatment of urge incontinence. METHODS: In a prospective multicentre study, 35 patients with complaints of urge incontinence underwent 12 weekly sessions of PTNS at one of five sites in the Netherlands and one site in Italy. Frequency/volume charts and I-QoL and SF-36 questionnaires were completed at 0 and 12 weeks. Success was analysed by using subjective and objective criteria. Overall subjective success was defined as the willingness to continue treatment, whereas objective success was defined as a significant decrease (to
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Posterior Tibial Nerve STIMULATION AS NEUROMODULATIVE TREATMENT OF LOWER URINARY TRACT DYSFUNCTION
The Journal of urology, 2001Co-Authors: Michael R. Van Balken, Vera Vandoninck, Lambertus A. Kiemeney, Frans M.j. Debruyne, Karel W.h. Gisolf, Henk Vergunst, Bart L.h. BemelmansAbstract:Purpose: Recently, intermittent percutaneous Posterior Tibial Nerve stimulation was introduced as a treatment modality filling the gap between conservative and surgical therapies in patients with certain types of lower urinary tract dysfunction.Materials and Methods: In a prospective multicenter trial Posterior Tibial Nerve stimulation was evaluated in 37 patients who presented with symptoms of bladder overactivity, that is the urgency and frequency syndrome and/or urge incontinence, and 12 with nonobstructive urinary retention. Results were recorded in voiding diaries and on quality of life questionnaires before and after treatment. Patients were classified as responders, including those in whom therapy was successful and chose to continue treatment after the initial 12 weeks, and nonresponders, those who chose to stop treatment.Results: Overall, a positive response was seen in 60% of all patients. In patients with bladder overactivity a statistically significant decrease was observed in leakage episodes...