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Effect of thalamic deep brain stimulation on lower urinary tract function.

Thomas M Kessler1, Fiona C Burkhard, Sebastian Z'Brun

  • 1Department of Urology, University of Bern, Inselspital, Bern, Switzerland.

European Urology
|August 10, 2007
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Summary

Thalamic deep brain stimulation (DBS) in essential tremor patients reduced bladder capacity and urgency. This suggests the thalamus plays a role in urinary tract function, potentially offering new therapeutic targets.

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Area of Science:

  • Neuroscience
  • Urology
  • Neurosurgery

Background:

  • Cerebral regulation of lower urinary tract function remains poorly understood.
  • Thalamic deep brain stimulation (DBS) effectively manages essential tremor (ET) refractory to medication.

Purpose of the Study:

  • To investigate the effect of thalamic DBS on urodynamic parameters in patients with ET.

Main Methods:

  • Seven ET patients with thalamic DBS implants were studied.
  • Urodynamic parameters were compared during DBS ON and OFF states.

Main Results:

  • Thalamic DBS significantly decreased bladder volume at first desire to void, strong desire to void, and maximum cystometric capacity.
  • No significant differences were observed in detrusor pressure, bladder compliance, or flow rates.

Conclusions:

  • Thalamic DBS influences lower urinary tract function by advancing the urge to void and reducing bladder capacity.
  • The thalamus emerges as a potential therapeutic target for lower urinary tract dysfunction.