Abstract
Patients with intractably diminished bladder storage function are encountered frequently by neurourologists, occasionally requiring reconstructive surgery for appropriate resolution. Although sacral neuromodulation is a recognized effective therapeutic modality, present techniques are technically demanding, invasive, and expensive. This study investigated the effect of non-invasive third sacral nerve (S3) stimulation on bladder activity during filling cystometry. One hundred forty-six patients underwent standard urodynamic filling cystometry that was then immmediately repeated. Patients in the study group (n = 74) received antidromic transcutaneous sacral neurostimulation during the second fill and the control group (n = 72) underwent a second fill without neurostimulation. A statistically significant increase in bladder storage capacity without a corresponding rise in detrusor pressure was observed in the neurostimulated patients. This improvement in functional capacity is an encouraging finding that further supports the use of this non-invasive treatment modality in clinical practice.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 73-84 |
| Number of pages | 12 |
| Journal | Neurourology and Urodynamics |
| Volume | 20 |
| Issue number | 1 |
| State | Published - 2001 |
Keywords
- Cystometry
- Neuromodulation
- Neurostimulation
- Sacral nerve
ASJC Scopus subject areas
- Clinical Neurology
- Nephrology
- Urology