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

IK Walsh*, T Thompson, WGG Loughridge, S. L. Johnston, PF Keane, AR Stone

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

17 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 immediately 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. Neurourol. Urodynam. 20:73-84. 2001. (C) 2001 Wiley-Liss, Inc.

Original languageEnglish
Pages (from-to)73-81
Number of pages9
JournalNeurourology and Urodynamics
Volume20
Issue number1
Publication statusPublished - 2001

Keywords

  • neurostimulation
  • neuromodulation
  • sacral nerve
  • cystometry
  • IDIOPATHIC DETRUSOR INSTABILITY
  • ELECTRICAL-STIMULATION
  • URINARY-INCONTINENCE
  • OVERACTIVE BLADDER
  • NERVE-STIMULATION
  • FOLLOW-UP
  • NEUROMODULATION
  • COMPLICATIONS
  • MANAGEMENT
  • URGENCY

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