{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T23:52:01Z","timestamp":1785887521496,"version":"3.56.0"},"reference-count":39,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2013,6,22]],"date-time":"2013-06-22T00:00:00Z","timestamp":1371859200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Chronic pelvic pain (<jats:styled-content style=\"fixed-case\">CPP<\/jats:styled-content>) and bladder pain syndrome (<jats:styled-content style=\"fixed-case\">BPS<\/jats:styled-content>) can have a negative impact on quality of life. Neuromodulation has been suggested as a possible treatment for refractory pain. To assess the effectiveness of tibial and sacral nerve stimulation in the treatment of <jats:styled-content style=\"fixed-case\">BPS<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">CPP<\/jats:styled-content>. We searched until July 2012: the Cochrane Library, EMBASE (1980\u20132012), Medline (1950\u20132012), Web of knowledge (1900\u20132012), LILACS (1982\u20132012) and SIGLE (1990\u20132012) with no language restrictions. We manually searched through bibliographies and conference proceedings of the International Continence Society. Randomized and prospective quasi\u2010randomized controlled studies vs. sham nerve stimulation treatment or usual care of patients with <jats:styled-content style=\"fixed-case\">CPP<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">BPS<\/jats:styled-content> who underwent sacral or tibial nerve stimulation were included. Any studies involving transcutaneous stimulation were excluded. The outcome was a cure or improvement in symptoms. Three studies with 169 patients treated with tibial nerve stimulation were included; two for <jats:styled-content style=\"fixed-case\">CPP<\/jats:styled-content> and one for <jats:styled-content style=\"fixed-case\">BPS<\/jats:styled-content>. There were improvements in pain, urinary and quality of life scores. There were no reported data for sacral nerve stimulation. There is scanty literature reporting variable success of posterior tibial nerve stimulation in improving pain, urinary symptoms and quality of life in <jats:styled-content style=\"fixed-case\">CPP<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">BPS<\/jats:styled-content>. In view of the dearth of quality literature, a large multi\u2010centered clinical trial investigating the effectiveness of electrical nerve stimulation to treat <jats:styled-content style=\"fixed-case\">BPS<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">CPP<\/jats:styled-content> along with the cost\u2010analysis of this treatment is recommended.<\/jats:p>","DOI":"10.1111\/aogs.12184","type":"journal-article","created":{"date-parts":[[2013,5,24]],"date-time":"2013-05-24T12:54:52Z","timestamp":1369400092000},"page":"881-887","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["Nerve stimulation for chronic pelvic pain and bladder pain syndrome: a systematic review"],"prefix":"10.1111","volume":"92","author":[{"given":"Seema A.","family":"Tirlapur","sequence":"first","affiliation":[{"name":"Women's Health Research Unit Queen Mary University of London London UK"},{"name":"Barts Health NHS Trust Royal 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