Non-invasive antidromic neurostimulation: A simple effective method for improving bladder storage

I. K. Walsh, T. Thompson, W. G G Loughridge, S. R. Johnston, P. F. Keane, Anthony R Stone

Research output: Contribution to journalArticle

16 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)73-84
Number of pages12
JournalNeurourology and Urodynamics
Volume20
Issue number1
StatePublished - 2001

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Urinary Bladder
Reconstructive Surgical Procedures
Urodynamics
Pressure
Control Groups
Therapeutics

Keywords

  • Cystometry
  • Neuromodulation
  • Neurostimulation
  • Sacral nerve

ASJC Scopus subject areas

  • Clinical Neurology
  • Nephrology
  • Urology

Cite this

Walsh, I. K., Thompson, T., Loughridge, W. G. G., Johnston, S. R., Keane, P. F., & Stone, A. R. (2001). Non-invasive antidromic neurostimulation: A simple effective method for improving bladder storage. Neurourology and Urodynamics, 20(1), 73-84.

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 journalArticle

Walsh, IK, Thompson, T, Loughridge, WGG, Johnston, SR, Keane, PF & Stone, AR 2001, 'Non-invasive antidromic neurostimulation: A simple effective method for improving bladder storage', Neurourology and Urodynamics, vol. 20, no. 1, pp. 73-84.
Walsh, I. K. ; Thompson, T. ; Loughridge, W. G G ; Johnston, S. R. ; Keane, P. F. ; Stone, Anthony R. / Non-invasive antidromic neurostimulation : A simple effective method for improving bladder storage. In: Neurourology and Urodynamics. 2001 ; Vol. 20, No. 1. pp. 73-84.
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