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Sacral nerve stimulation: neuromodulation for voiding dysfunction and pain.

Robert D Mayer1, Fred M Howard

  • 1Department of Urology, University of Rochester, Rochester, New York 14642, USA. robert_mayer@urmc.rochester.edu

Neurotherapeutics : the Journal of the American Society for Experimental Neurotherapeutics
|January 1, 2008
PubMed
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Neuromodulation using sacral nerve stimulation can treat voiding dysfunction, including incontinence and pain. While mechanisms are unclear, techniques targeting sacral nerves and peripheral branches offer improved outcomes with reduced risks.

Area of Science:

  • Urology
  • Neurology
  • Pain Management

Background:

  • Voiding dysfunction (incontinence, retention, chronic pelvic pain) is common and challenging.
  • Sacral nerve neuromodulation shows promise for symptom improvement.
  • The precise mechanisms of sacral nerve stimulation remain incompletely understood.

Purpose of the Study:

  • To review the current understanding of neuromodulation for voiding dysfunction.
  • To discuss variations in nerve stimulation techniques.
  • To highlight advancements in surgical approaches.

Main Methods:

  • Review of existing literature on sacral nerve neuromodulation.
  • Analysis of different electrode placement strategies (sacral nerve roots, pudendal nerve, posterior tibial nerve).

Related Experiment Videos

  • Evaluation of newer surgical techniques and their impact.

    • Main Results:

    • Neuromodulation is an effective therapeutic option for various voiding dysfunctions.
    • Stimulation can target central sacral nerves or peripheral branches.
    • Advanced surgical methods enhance procedural safety and success rates.

    Conclusions:

    • Sacral nerve neuromodulation offers a viable treatment for complex voiding issues.
    • Technique customization is key for optimal patient outcomes.
    • Surgical innovations are improving the efficacy and safety of neuromodulation therapies.