Neuromodulation and the Neurogenic Bladder

Sacral Nerve Stimulation for Pediatric Lower Urinary Tract Dysfunction: Development of a Standardized Pathway with Objective Urodynamic Outcomes

“…Patients with bladder dysfunction secondary to possible neurogenic causes were not excluded at this time as there is evidence in the adult literature to support the use of SNS in patients with neurologic conditions. 6,7 Preoperative evaluation included UDS, validated voiding questionnaire, 8 Detrusor contractions on UDS were interpreted as follows: an event that demonstrated a discrete peak above 15 cm H 2 0 was documented as an uninhibited contraction. An uninhibited contraction was counted as a single event if only one peak was visualized even if that peak was sustained for a long period of time.…”

Sacral Neuromodulation in Urological Practice

“…This seems to occur less often in patients with neurogenic detrusor overactivity. 39,40 Sexual Dysfunction:…”

Status of Tibial Nerve Stimulation for Overactive Bladder

“…The posterior tibial nerve arises from spinal roots L4-S3. The L4-S3 nerve roots carry sensory and motor fibers that innervate the bladder and pelvic floor as well as the urinary sphincter [9]. It is thought that by applying electrical energy to these spinal roots, inappropriate detrusor contractions can be eliminated while leaving the micturition reflex intact [10].…”