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Real-Time Changes in Brain Activity during Sacral Neuromodulation for Overactive Bladder.

Bradley C Gill1, Javier Pizarro-Berdichevsky2, Pallab K Bhattacharyya3

  • 1Department of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio; Lerner College of Medicine, Education Institute, Cleveland Clinic, Cleveland, Ohio; Department of Biomedical Engineering, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio.

The Journal of Urology
|June 25, 2017
PubMed
Summary
This summary is machine-generated.

Sacral neuromodulation (SNM) alters brain activity in women with overactive bladder (OAB) who respond to therapy. Brain activation patterns change with varying SNM stimulation intensity, confirming its neurological effects.

Keywords:
brain mappingimplantable neurostimulatorsmagnetic resonance imagingoveractivesurveys and questionnairesurinary bladder

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Area of Science:

  • Neuroscience
  • Urology
  • Medical Imaging

Background:

  • Overactive bladder (OAB) is a common condition affecting quality of life.
  • Sacral neuromodulation (SNM) is an effective treatment for refractory OAB.
  • Understanding the neural mechanisms of SNM is crucial for optimizing treatment.

Purpose of the Study:

  • To investigate brain activity changes during SNM in women with OAB who responded to therapy.
  • To correlate brain activation patterns with different SNM stimulation intensities.

Main Methods:

  • Functional magnetic resonance imaging (fMRI) was used to map brain activity.
  • Three fMRI scans were performed at subsensory, sensory, and suprasensory stimulation levels.
  • Patients with refractory OAB who were responsive to SNM were included.

Main Results:

  • SNM influenced brain activity in women with OAB.
  • Brain activation generally increased with stimulation amplitude.
  • Specific brain regions like the insula, pons, and parietal lobes showed varied responses to different stimulation levels.

Conclusions:

  • fMRI confirmed SNM's impact on brain activity in OAB patients.
  • The observed brain changes varied significantly with stimulus intensity, highlighting the importance of personalized stimulation settings.