Ptns
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Ptns
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Author : Vera Vandoninck
language : en
Publisher:
Release Date : 2007
Ptns written by Vera Vandoninck and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007 with categories.
Selectivity Of Neural Activation During Percutaneous Tibial Nerve Stimulation For Overactive Bladder
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Author : Christopher Elder
language : en
Publisher:
Release Date : 2016
Selectivity Of Neural Activation During Percutaneous Tibial Nerve Stimulation For Overactive Bladder written by Christopher Elder and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016 with categories.
Percutaneous tibial nerve stimulation (PTNS) is a minimally-invasive neuromodulation therapy for overactive bladder (OAB) that uses an uninsulated needle electrode to electrically activate the tibial nerve (TN). Discrepancies between clinically applied stimulation amplitudes and those used in recent preclinical animal studies led us to hypothesize that the effect of PTNS involves a secondary neural pathway, the saphenous nerve (SAFN). A computational model was developed and used to investigate the relative activation of the TN and the SAFN during PTNS treatment for varying needle electrode locations, types (uninsulated vs. insulated), and stimulation amplitudes. Significant SAFN activation was found to occur in response to clinical PTNS parameters. Selective TN stimulation was found to be possible via the use of an accurately placed insulated needle electrode. The effect SAFN activation may have on clinical outcomes is not yet understood, however the work presented here along with recent preclinical trials support further investigation of the subject.
A Prospective Pilot Study Comparing Ptns And Biofeedback Treatment On Slow Transit Idiopathic Constipation
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Author : Yvette Marie Wright
language : en
Publisher:
Release Date : 2010
A Prospective Pilot Study Comparing Ptns And Biofeedback Treatment On Slow Transit Idiopathic Constipation written by Yvette Marie Wright and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010 with categories.
Uncovering The Neural Pathways Mediating The Bladder Inhibitory Effects Of Percutaneous Tibial Nerve Stimulation
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Author : Zainab Moazzam
language : en
Publisher:
Release Date : 2019
Uncovering The Neural Pathways Mediating The Bladder Inhibitory Effects Of Percutaneous Tibial Nerve Stimulation written by Zainab Moazzam and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019 with categories.
Each year, millions of Canadians suffer from the debilitating effects of overactive bladder (OAB) resulting in profound socio-economic costs. Various treatment algorithms, such as behavioral therapies and pharmacotherapies have been introduced to counter the unwanted results of this disorder. Such treatments are, however, modest in their effectiveness. An alternative to conventional therapies, neuromodulation, is proven efficient in reducing OAB symptoms. However, it's the invasiveness and the surgical cost (e.g., sacral nerve stimulation - SNS), which precludes it as a first line of treatment in the algorithm of incontinence care. Consequently, percutaneous tibial nerve stimulation (PTNS) was introduced as a less-invasive yet effective therapy for treating OAB symptoms. In PTNS, clinical efficacy is achieved by repeatedly applying electrical stimulation through a percutaneous needle electrode, which is used to target the tibial nerve (TN). However, the lack of rationale for using the set stimulation parameters (20 Hz coupled with intensities below the motor threshold), the need for repeated treatments to maintain the therapeutic effects as well as the inconsistent response rates pose a major barrier to its widespread use. The focus of this work is therefore, to rationalize the lack of consistency in the bladder-inhibitory output following standard TNS techniques. In particular, we investigated the role of saphenous nerve (SAFN), largest cutaneous branch of the femoral nerve which, intercedes with the anatomical point of PTNS delivery, in modulating bladder function. This project uses well-established animal models to explore and systematically characterize the effects of TNS and SAFNS on bladder function and is divided into three main aims. The first aim focuses on rationalizing the inconsistency in response rates observed during non-selective TNS approaches by optimizing the role of stimulation parameters. The second aim targets the investigation of SAFN afferents in inhibiting bladder activity in a continuous urodynamic model. Finally, the last aim validates the consistency of SAFN-evoked bladder inhibitory reflexes at high stimulation amplitudes and its role in the development of a model for underactive bladder (UAB). Together, these results improve our understanding of the neural network underlying the therapeutic output of PTNS and the role of SAFN afferents within the urodynamic circuitry.
Posterior Tibial Nerve Stimulation
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Author : Mario Kovacevic
language : en
Publisher:
Release Date : 2014
Posterior Tibial Nerve Stimulation written by Mario Kovacevic and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with categories.
Pediatric Incontinence
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Author : Israel Franco
language : en
Publisher: John Wiley & Sons
Release Date : 2015-09-03
Pediatric Incontinence written by Israel Franco and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-09-03 with Medical categories.
Pediatric incontinence: evaluation and clinical management offers urologists practical, 'how-to' clinical guidance to what is a very common problem affecting up to 15% of children aged 6 years old. Introductory chapters cover the neurophysiology, psychological and genetic aspects, as well as the urodynamics of incontinence, before it moves on to its core focus, namely the evaluation and management of the problem. All types of management methods will be covered, including behavioural, psychological, medical and surgical, thus providing the reader with a solution to every patient's specific problem. The outstanding editor team led by Professor Israel Franco, one of the world’s leading gurus of pediatric urology, have recruited a truly stellar team of contributors each of whom have provided first-rate, high-quality contributions on their specific areas of expertise. Clear management algorithms for each form of treatment support the text, topics of controversy are covered openly, and the latest guidelines from the ICCS, AUA and EAU are included throughout. Perfect to refer to prior to seeing patients on the wards and in the clinics, this is the ideal guide to the topic and an essential purchase for all urologists, pediatric urologists and paediatricians managing children suffering from incontinence.
Fishery Market News
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Author :
language : en
Publisher:
Release Date : 1984
Fishery Market News written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1984 with Fish trade categories.
Female Pelvic Surgery
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Author : Farzeen Firoozi
language : en
Publisher: Springer Nature
Release Date : 2020-01-21
Female Pelvic Surgery written by Farzeen Firoozi and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-01-21 with Medical categories.
The fully updated edition of this text provides a state-of-the-art surgical review of female pelvic surgery, and will serve as a valuable resource for clinicians and surgeons dealing with, and interested in the treatment of pelvic floor disorders. The book reviews the basic indications for treatment and details the many surgical approaches to the management of all pelvic floor disorders, including stress urinary incontinence, transvaginal prolapse, transabdominal sacrocolpopexy, robotic/laparoscopic sacrocolpopexy, vaginal and vulvar cysts, and interstitial cystitis/bladder pain syndrome. In addition to step-by-step descriptions, the text is augmented with illustrations and photographs of surgical techniques demonstrating the major repairs described in each section. Written by experts in their fields, the second edition of Female Pelvic Surgery provides a concise and comprehensive review of all surgical approaches to female pelvic surgery.
Pelvic Floor Disorders
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Author : Giulio A. Santoro
language : en
Publisher: Springer Nature
Release Date : 2020-12-10
Pelvic Floor Disorders written by Giulio A. Santoro and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-12-10 with Medical categories.
This excellent textbook provides up-to-date information on all aspects of pelvic floor disorders. After an opening section on anatomy and physiology, it explains the methodology, role and application of the integrated imaging approach in detail, including the most advanced 3D, 4D, and dynamic ultrasound techniques, illustrated with hundreds of images. It then discusses in depth the epidemiology, etiology, assessment, and management of the full range of pelvic floor disorders from multidisciplinary and practical perspectives. The book also provides information on the various forms of obstetric perineal trauma, urinary incontinence and voiding dysfunction, anal incontinence, pelvic organ prolapse, constipation and obstructed defecation, pelvic pain and sexual dysfunction, and fistulas, and includes treatment algorithms as well as helpful guidance on what to do when surgical treatment goes wrong. The authors are leading experts in the field from around the globe. Since the first edition from 2010 (more than 200,000 chapter downloads), the book has been extensively rewritten and features numerous additional topics. The result is a comprehensive textbook that is invaluable for gynecologists, colorectal surgeons, urologists, radiologists, and gastroenterologists, beginners and veterans alike.
Minimally Invasive Therapy For Urinary Incontinence And Pelvic Organ Prolapse
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Author : Gopal H. Badlani
language : en
Publisher: Springer Science & Business Media
Release Date : 2014-03-18
Minimally Invasive Therapy For Urinary Incontinence And Pelvic Organ Prolapse written by Gopal H. Badlani and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-03-18 with Medical categories.
Minimally Invasive Therapy for Urinary Incontinence and Pelvic Organ Prolapse provides a detailed insight into “when, why, what and how” of various minimally invasive surgical procedures for surgical management of SUI, OAB & POP. The volume provides detailed diagrammatic and pictorial step-by-step descriptions of the techniques and management of complications related to these procedures. This book also presents an up to date, one-stop reference for anything pertaining to MIT of these pelvic disorders. Written by experts in the field, Minimally Invasive Therapy for Urinary Incontinence and Pelvic Organ Prolapse is a comprehensive resource designed for both the urologist and urogynecologist treating patients with urinary disorders and pelvic organ prolapsed, as well as for residents in training.