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Pudendal nerve stimulation: a potential tool for neurogenic bowel dysfunction!

Rocco Salvatore Calabrò¹, Antonino Leo, Placido Bramanti

¹IRCCS Centro Neurolesi Bonino-Pulejo, Messina, Italy.

Neurourology and Urodynamics

|June 28, 2013

Summary

Sacral and pudendal nerve stimulation (PNS) offers a less invasive treatment for neurogenic bowel dysfunction. This emerging therapy may help manage constipation and incontinence after spinal cord injury.

Keywords:

IVES SNS neurogenic bowel dysfunction pudendal nerve stimulation

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Area of Science:

Neuroscience
Gastroenterology
Rehabilitation Medicine

Background:

Neurogenic bowel disease results from spinal cord damage affecting bowel control.
This condition leads to significant challenges like incontinence or constipation.
Current treatments may be invasive, necessitating alternative approaches.

Purpose of the Study:

To explore sacral and pudendal nerve stimulation (PNS) as a treatment for neurogenic bowel dysfunction.
To evaluate the potential of PNS in managing intractable constipation.
To understand the mechanisms underlying PNS effects in spinal cord injury patients.

Main Methods:

Review of emerging therapeutic strategies for neurogenic bowel dysfunction.
Analysis of the role of sacral and pudendal nerve stimulation (PNS).
Consideration of autonomic and somatic pathway interactions in the spinal cord.

Main Results:

Pudendal nerve stimulation (PNS) is emerging as a treatment option for intractable constipation.
PNS may bypass the need for more invasive procedures.
The therapeutic effects of PNS are linked to neural pathway interactions.

Conclusions:

Sacral and pudendal nerve stimulation (PNS) shows promise for treating neurogenic bowel dysfunction.
PNS may be effective even in cases of complete spinal cord damage.
Further research into PNS mechanisms could optimize treatment for these patients.