Non-invasive antidromic neurostimulation: A simple effective method for improving bladder storage

Electrical stimulation of sacral dermatomes in multiple sclerosis patients with neurogenic detrusor overactivity

“…12 Another study using continuous stimulation during urodynamics showed a significant increase in bladder capacity without any concurrent increase in detrusor pressure in a group of 35 patients with NDO. 13 This is inconsistent with our results and may be explained by a different stimulation site (junction of buttock and upper thigh), a pulse rate of 10 Hz (instead of 20 Hz), or the fact that continuous stimulation was used. It is possible that suppression of detrusor contractions can only be obtained with stimulation of the dermatomes in the perianal region which may involve activation of pudendal afferents.…”

“…Several studies have shown beneficial effects from stimulating the sacral dermatomes in patients with detrusor overactivity. [11][12][13][14] One study where stimulation of the sacral dermatomes was applied therapeutically for 90 min twice a day for 6 weeks concluded that the stimulation had ''a minimal effect on urodynamic data but significantly Neurourology and Urodynamics DOI 10.1002/nau Fig. 3.…”

“…The sacral dermatomes may be used as an alternative stimulation site. [11][12][13][14] In principle, detrusor inhibition is only needed in case of an involuntary detrusor contraction and electrical stimulation can thus be initiated when intravesical pressure starts to rise and stopped when the pressure has returned to baseline. This technique is called conditional or event driven stimulation.…”

“…8 Previous studies using stimulation of the sacral dermatomes have focused on the effect of therapeutic stimulation 11,12,14 or continuous stimulation during urodynamics. 13 The aim of this study was to investigate the acute effects of conditional electrical stimulation of the sacral dermatomes in MS patients with NDO. If acute detrusor inhibition with electrical stimulation of the sacral dermatomes is feasible, then it may be an alternative to conditional DPN stimulation.…”

Posterior tibial nerve stimulation in the treatment of urge incontinence

“…However, these treatments involve technical problems, high costs, or low patient compliance because of the discomfort of treatment procedures [Kock and Pompeius, 1963;Habib, 1967;Janez et al, 1979;Merrill, 1979;Schmidt, 1988;Esa et al, 1991;Dijkema et al, 1993;Bosch and Groen, 1995;Primus et al, 1996;McFarlane et al, 1997;Weil et al, 1998;Bemelmans et al, 1999]. Transcutaneous electrical nerve stimulation (TENS) of the S 3 segment is a useful alternative in patients with detrusor instability [Walsh et al, 2001;Webb, 1992]. Hasan et al reported signi¢cant changes in urodynamic parameters in patients by applying TENS for treatment of the overactive bladder [Hasan et al, 1996].…”