Acute urodynamic effects of posterior tibial nerve stimulation on neurogenic detrusor overactivity in patients with MS
| Autor: | Nico Rijkhoff, John Heesakkers, Morten Voss Fjorback, Farida S. van Rey, Thor Petersen, Floor van der Pal |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty Multiple Sclerosis Genetics and epigenetic pathways of disease [NCMLS 6] Urology Urinary incontinence Stimulation urologic and male genital diseases Central nervous system disease medicine Perception and Action [DCN 1] Humans Tibial nerve Urinary bladder business.industry Urinary Bladder Overactive Multiple sclerosis Middle Aged medicine.disease musculoskeletal system Neuromodulation (medicine) Electric Stimulation Surgery Urodynamics medicine.anatomical_structure Overactive bladder Anesthesia Female Functional Imaging [UMCN 1.1] medicine.symptom Tibial Nerve business Functional Neurogenomics [DCN 2] |
| Zdroj: | European Urology, 51, 464-72 European Urology, 51, 2, pp. 464-72 Fjorback, M V, van Rey, F S, van der Pal, F, Rijkhoff, N, Petersen, T & Heesakkers, J P 2007, ' Acute urodynamic effects of posterior tibial nerve stimulation on neurogenic detrusor overactivity in patients with MS ', European Urology, vol. 51, no. 2, pp. 464-472 . https://doi.org/10.1016/j.eururo.2006.07.024 |
| ISSN: | 0302-2838 |
| DOI: | 10.1016/j.eururo.2006.07.024 |
| Popis: | Contains fulltext : 52927.pdf (Publisher’s version ) (Closed access) OBJECTIVES: The aim of this study was to investigate whether acute electrical stimulation of the posterior tibial nerve could suppress detrusor contractions in multiple sclerosis (MS) patients with neurogenic detrusor overactivity. METHODS: Two successive slow-fill cystometries (16 ml/min) were carried out in eight MS patients with neurogenic detrusor overactivity. The first filling served as control without stimulation. In the second filling, electrical stimulation using needle electrodes was applied automatically to the posterior tibial nerve when the detrusor pressure exceeded 10 cm H(2)O. An additional filling in which the needle electrodes were replaced by surface electrodes was carried out in three patients. RESULTS: The control filling showed detrusor overactivity in eight patients, but electrical stimulation of the posterior tibial nerve failed to suppress detrusor contractions in all tested patients. CONCLUSIONS: Although neuromodulative effects may be obtained with therapeutic electrical stimulation of the posterior tibial nerve, no acute effects were demonstrated. For this reason, electrical stimulation of pudendal afferents remains the only option if acute suppression of a detrusor contraction is required. |
| Databáze: | OpenAIRE |
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