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 language | English (US) |
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Title of host publication | Urological and Gynaecological Chronic Pelvic Pain |
Subtitle of host publication | Current Therapies |
Publisher | Springer International Publishing |
Pages | 339-357 |
Number of pages | 19 |
ISBN (Electronic) | 9783319484648 |
ISBN (Print) | 9783319484624 |
DOIs | |
State | Published - Aug 3 2017 |
Externally published | Yes |
Keywords
- Neuromodulation
- Pelvic pain
- Percutaneous tibial nerve stimulation
- Pudendal neuromodulation
- Sacral neuromodulation
ASJC Scopus subject areas
- General Medicine