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[Neuromodulation and neurostimulation in urology].
W A Scheepens1, P E van Kerrebroeck
1Academisch Ziekenhuis, afd. Urologie, Postbus 5800, 6202 AZ Maastricht.
Nederlands Tijdschrift Voor Geneeskunde
|September 27, 2001
Summary
Sacral neuromodulation and neurostimulation offer effective treatments for functional voiding disorders and spinal cord injuries, improving quality of life. These advanced therapies should be considered before resorting to invasive surgical procedures.
Area of Science:
- Urology
- Neuroscience
- Biomedical Engineering
Context:
- Functional voiding disorders (urge incontinence, urine retention) are prevalent, impacting quality of life.
- Conservative treatments are often insufficient for idiopathic voiding dysfunctions.
- Spinal cord injury (SCI) patients face significant challenges with bladder and bowel function.
Purpose:
- To review the efficacy of sacral neuromodulation and electrical neurostimulation for functional voiding disorders and SCI.
- To highlight advanced neuromodulation techniques as alternatives to invasive surgery.
Summary:
- Sacral neuromodulation, a reversible treatment involving an implanted pulse generator, benefits 73% of patients with idiopathic voiding disorders.
- Electrical neurostimulation of anterior sacral roots in SCI patients restores voiding without residue in over 80% of cases.
- These neurostimulation techniques also improve continence, bladder capacity, and associated functions in SCI patients.
Impact:
- Neuromodulation and neurostimulation provide effective, less invasive treatment options for complex voiding dysfunction.
- These therapies significantly improve patient outcomes and quality of life for individuals with functional voiding disorders and SCI.
- Recommends considering neuromodulation/neurostimulation prior to invasive surgical interventions for refractory cases.