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 |
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Keywords
- Cystometry
- Neuromodulation
- Neurostimulation
- Sacral nerve
ASJC Scopus subject areas
- Clinical Neurology
- Nephrology
- Urology
Cite this
Non-invasive antidromic neurostimulation : A simple effective method for improving bladder storage. / Walsh, I. K.; Thompson, T.; Loughridge, W. G G; Johnston, S. R.; Keane, P. F.; Stone, Anthony R.
In: Neurourology and Urodynamics, Vol. 20, No. 1, 2001, p. 73-84.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Non-invasive antidromic neurostimulation
T2 - A simple effective method for improving bladder storage
AU - Walsh, I. K.
AU - Thompson, T.
AU - Loughridge, W. G G
AU - Johnston, S. R.
AU - Keane, P. F.
AU - Stone, Anthony R
PY - 2001
Y1 - 2001
N2 - 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.
AB - 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.
KW - Cystometry
KW - Neuromodulation
KW - Neurostimulation
KW - Sacral nerve
UR - http://www.scopus.com/inward/record.url?scp=0035143281&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0035143281&partnerID=8YFLogxK
M3 - Article
C2 - 11135384
AN - SCOPUS:0035143281
VL - 20
SP - 73
EP - 84
JO - Neurourology and Urodynamics
JF - Neurourology and Urodynamics
SN - 0733-2467
IS - 1
ER -