The Investigation of Percutaneous Tibial Nerve Stimulation (PTNS) as a Minimally Invasive, Non-Surgical, Non-Hormonal Treatment for Overactive Bladder Symptoms

BACKGROUND

Overactive bladder (OAB) syndrome affects 10-15% of women, severely impacting their quality of life. First-line treatments include behavioural and physical therapy, and second-line medical treatments include medications such as vaginal oestrogen, anticholinergic medications, and ß3-adrenergic agonists-with potential adverse side effects including dizziness, constipation, and delirium, particularly affecting elderly populations. Third-line treatments include more invasive measures, including intradetrusor botulinum injections or sacral nerve modulation, with percutaneous tibial nerve stimulation (PTNS) being a potential alternative treatment.

AIMS

The aim of this study was to explore the long-term efficacy of PTNS treatment for OAB in an Australian cohort.

MATERIALS AND METHODS

This is a prospective cohort study. Patients underwent Phase 1 treatment, whereby women received PTNS treatment once per week for 12 weeks. Following Phase 1, women entered Phase 2, whereby they received 12 PTNS treatments over 6 months. Their response to treatment was measured by obtaining data before and after each phase using ICIQ-OAB and the Australian Pelvic Floor Questionnaire (APFQ).

RESULTS

Phase 1 included 166 women, with 51 completing Phase 2. There was a statistically significant reduction in urinary urgency (29.8%), nocturia (29.8%), incontinence (31.0%), and frequency (33.8%) compared to the baseline. Patients who completed Phase 2 also showed a statistically significant reduction in urinary frequency (56.5%).

CONCLUSIONS

Overall, the results from this study are positive and support that PTNS is a minimally invasive, non-surgical, non-hormonal, and effective treatment for OAB. These results suggest that PTNS may be a second-line treatment for patients with OAB not responding to conservative management or for patients aiming to avoid surgical approaches.

A Real-Time, Non-Contact Method for In-Line Inspection of Oil and Gas Pipelines Using Optical Sensor Array

Corrosion is considered as one of the most predominant causes of pipeline failures in the oil and gas industry and normally cannot be easily detected at the inner surface of pipelines without service disruption. The real-time inspection of oil and gas pipelines is extremely vital to mitigate accidents and maintenance cost as well as to improve the oil and gas transport efficiency. In this paper, a new, non-contact optical sensor array method for real-time inspection and non-destructive evaluation (NDE) of pipelines is presented. The proposed optical method consists of light emitting diodes (LEDs) and light dependent resistors (LDRs) to send light and receive reflected light from the inner surface of pipelines. The uniqueness of the proposed method lies in its accurate detection as well as its localization of corrosion defects, based on the utilization of optical sensor array in the pipeline, and also the flexibility with which this system can be adopted for pipelines with different services, sizes, and materials, as well as the method's economic viability. Experimental studies are conducted considering corrosion defects with different features and dimensions to confirm the robustness and accuracy of the method. The obtained data are processed with discrete wavelet transform (DWT) for noise cancelation and feature extraction. The estimated sizes of the corrosion defects for different physical parameters, such as inspection speed and lift-off distance, are investigated and, finally, some preliminary tests are conducted based on the implementation of the proposed method on an in-line developed smart pipeline inspection gauge (PIG) for in-line inspection (ILI) application, with resulting success.

A Reference-Free and Non-Contact Method for Detecting and Imaging Damage in Adhesive-Bonded Structures Using Air-Coupled Ultrasonic Transducers

Adhesive bonded structures have been widely used in aerospace, automobile, and marine industries. Due to the complex nature of the failure mechanisms of bonded structures, cost-effective and reliable damage detection is crucial for these industries. Most of the common damage detection methods are not adequately sensitive to the presence of weakened bonding. This paper presents an experimental and analytical method for the in-situ detection of damage in adhesive-bonded structures. The method is fully non-contact, using air-coupled ultrasonic transducers (ACT) for ultrasonic wave generation and sensing. The uniqueness of the proposed method relies on accurate detection and localization of weakened bonding in complex adhesive bonded structures. The specimens tested in this study are parts of real-world structures with critical and complex damage types, provided by Hyundai Heavy Industries^® and IKTS Fraunhofer^®. Various transmitter and receiver configurations, including through transmission, pitch-catch scanning, and probe holder angles, were attempted, and the obtained results were analyzed. The method examines the time-of-flight of the ultrasonic waves over a target inspection area, and the spatial variation of the time-of-flight information was examined to visualize and locate damage. The proposed method works without relying on reference data obtained from the pristine condition of the target specimen. Aluminum bonded plates and triplex adhesive layers with debonding and weakened bonding were used to examine the effectiveness of the method.