Neuromodulation

Priyanka Gupta, Chirag N. Dave, Kenneth M. Peters

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

Neuromodulation is an effective treatment for pelvic floor disorders as it can affect both the spinal and cortical centers for voiding control. However, limited studies have shown success in the treatment of pelvic pain syndromes. Neuromodulation can be performed at the sacral or pudendal nerve as well as at the tibial nerve through percutaneous access. While these methods were primarily developed to treat overactive bladder symptoms, further study has shown that it may also be effective in reducing pain symptoms. This chapter reviews the mechanism of action for sacral, pudendal, and percutaneous tibial nerve stimulation. The techniques for performing these procedures and the literature regarding their efficacy for pelvic pain syndromes will be reviewed. Clinical pearls and tips for counseling patients regarding these procedures are discussed.

Original languageEnglish (US)
Title of host publicationUrological and Gynaecological Chronic Pelvic Pain
Subtitle of host publicationCurrent Therapies
PublisherSpringer International Publishing
Pages339-357
Number of pages19
ISBN (Electronic)9783319484648
ISBN (Print)9783319484624
DOIs
StatePublished - Aug 3 2017
Externally publishedYes

Keywords

  • Neuromodulation
  • Pelvic pain
  • Percutaneous tibial nerve stimulation
  • Pudendal neuromodulation
  • Sacral neuromodulation

ASJC Scopus subject areas

  • General Medicine

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