Detail (Long)
May offer to pts unable/unwilling to undergo behavioral, noninvasive, or pharmacological therapies [CP]<br>
◦ If inadequate response to behavioral tx or medication mgmt: PTNS, implantable tibial nerve stimulation, BTX, and SNM assoc w/ high success rates, durable efficacy, excellent pt satisfaction.<br>
◦ Acupuncture: similar improvements to pharmacotherapy in tx-naïve pts (low-certainty evidence).<br>
◦ Laser and radiofrequency: not recommended (poor-quality evidence).
◦ If inadequate response to behavioral tx or medication mgmt: PTNS, implantable tibial nerve stimulation, BTX, and SNM assoc w/ high success rates, durable efficacy, excellent pt satisfaction.<br>
◦ Acupuncture: similar improvements to pharmacotherapy in tx-naïve pts (low-certainty evidence).<br>
◦ Laser and radiofrequency: not recommended (poor-quality evidence).