Current role of neuromodulation in bladder pain syndrome/interstitial cystitis
Neuromodulation is recommended by major international guidelines as a fourth-line treatment in bladder pain syndrome/interstitial cystitis (BPS/IC) patients after failure of behavioural, oral and intravesical pharmacological treatments, including hydrodistension. A non-systematic review of studies i...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2022-11-01
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| Series: | Therapeutic Advances in Urology |
| Online Access: | https://doi.org/10.1177/17562872221135941 |
| _version_ | 1811189124427677696 |
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| author | Bárbara Padilla-Fernández David Hernández-Hernández David M. Castro-Díaz |
| author_facet | Bárbara Padilla-Fernández David Hernández-Hernández David M. Castro-Díaz |
| author_sort | Bárbara Padilla-Fernández |
| collection | DOAJ |
| description | Neuromodulation is recommended by major international guidelines as a fourth-line treatment in bladder pain syndrome/interstitial cystitis (BPS/IC) patients after failure of behavioural, oral and intravesical pharmacological treatments, including hydrodistension. A non-systematic review of studies identified by electronic search of MEDLINE was performed with no time limitation. A narrative synthesis of the existing evidence regarding the results of sacral, tibial and pudendal nerve stimulation in the management of BPS/IC was developed. Neuromodulation in pelvic chronic pain disorders, including BPS/IC, is a useful tool for refractory patients to conventional treatments. Sacral neuromodulation may be effective in patients with BPS without Hunner’s lesions, and the effect seems to be maintained in the mid- and long-term. Posterior tibial nerve stimulation can be offered to patients with BPS/IC in the context of a multidisciplinary approach. When pudendal neuralgia is suspected, selective pudendal nerve stimulation has a high response rate. The aetiology of the pain can influence the outcomes in the mid- and long-term of the different neuromodulation approaches, thus careful diagnosis is recommended. |
| first_indexed | 2024-04-11T14:29:32Z |
| format | Article |
| id | doaj.art-26bd8db3b7874ce4a01e8196f04220b6 |
| institution | Directory Open Access Journal |
| issn | 1756-2880 |
| language | English |
| last_indexed | 2024-04-11T14:29:32Z |
| publishDate | 2022-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Therapeutic Advances in Urology |
| spelling | doaj.art-26bd8db3b7874ce4a01e8196f04220b62022-12-22T04:18:40ZengSAGE PublishingTherapeutic Advances in Urology1756-28802022-11-011410.1177/17562872221135941Current role of neuromodulation in bladder pain syndrome/interstitial cystitisBárbara Padilla-FernándezDavid Hernández-HernándezDavid M. Castro-DíazNeuromodulation is recommended by major international guidelines as a fourth-line treatment in bladder pain syndrome/interstitial cystitis (BPS/IC) patients after failure of behavioural, oral and intravesical pharmacological treatments, including hydrodistension. A non-systematic review of studies identified by electronic search of MEDLINE was performed with no time limitation. A narrative synthesis of the existing evidence regarding the results of sacral, tibial and pudendal nerve stimulation in the management of BPS/IC was developed. Neuromodulation in pelvic chronic pain disorders, including BPS/IC, is a useful tool for refractory patients to conventional treatments. Sacral neuromodulation may be effective in patients with BPS without Hunner’s lesions, and the effect seems to be maintained in the mid- and long-term. Posterior tibial nerve stimulation can be offered to patients with BPS/IC in the context of a multidisciplinary approach. When pudendal neuralgia is suspected, selective pudendal nerve stimulation has a high response rate. The aetiology of the pain can influence the outcomes in the mid- and long-term of the different neuromodulation approaches, thus careful diagnosis is recommended.https://doi.org/10.1177/17562872221135941 |
| spellingShingle | Bárbara Padilla-Fernández David Hernández-Hernández David M. Castro-Díaz Current role of neuromodulation in bladder pain syndrome/interstitial cystitis Therapeutic Advances in Urology |
| title | Current role of neuromodulation in bladder pain syndrome/interstitial cystitis |
| title_full | Current role of neuromodulation in bladder pain syndrome/interstitial cystitis |
| title_fullStr | Current role of neuromodulation in bladder pain syndrome/interstitial cystitis |
| title_full_unstemmed | Current role of neuromodulation in bladder pain syndrome/interstitial cystitis |
| title_short | Current role of neuromodulation in bladder pain syndrome/interstitial cystitis |
| title_sort | current role of neuromodulation in bladder pain syndrome interstitial cystitis |
| url | https://doi.org/10.1177/17562872221135941 |
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