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Non‐invasive antidromic neurostimulation: A simple effective method for improving bladder storage
Author(s) -
Walsh I.K.,
Thompson T.,
Loughridge W.G.G.,
Johnston S.R.,
Keane P.F.,
Stone A.R.
Publication year - 2000
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/1520-6777(2001)20:1<73::aid-nau9>3.0.co;2-3
Subject(s) - medicine , cystometry , neurostimulation , antidromic , sacral nerve stimulation , surgery , anesthesia , urology , urinary bladder , stimulation
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. Neurourol. Urodynam. 20:73–84, 2001. © 2001 Wiley‐Liss, Inc.