Use of Transcutaneous Electrical Nerve Stimulation in the Management of Bladder Pain Syndrome
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Our study, presented at different stages [1–3], was of a pilot character but in this connection there were a substantial number of patients, 60 men and women in the final report, published a few years after the book on Interstitial Cystitis. There were and still remain many unsolved technical issues e.g. about the most efficacious electrical parameters to use, about optimal electrode shape and positioning, including the problem how to best overcome sensory limitations of percutaneous electrical stimulation, and also about the choice of most appropriate nerve afferents for an optimal effect; stimulation efficacy depends on the size of the responsible afferent nerve and the distance to the stimulating electrode as well as the selection of optimal electrical parameters for the desired effect . We used standard TENS equipment, and cannot be sure that it was best suited for the effect we aimed to attain. It is should also be noted that there were no experimental studies as to treatment with this modality on this indication. More in-depth investigation of factors mentioned above would maybe have further improved the outcome; such studies are still feasible.
KeywordsBladder Pain Syndrome Transcutaneous Electrical Nerve Stimulation Optimal Electrode Shapes Percutaneous Electrical Stimulation Classic Interstitial Cystitis
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