Repetitive Lumbosacral Nerve Magnetic Stimulation Improves Bladder Dysfunction Due to Lumbosacral Nerve Injury

Abstract

rLMS at 15 Hz may improve urinary dysfunction secondary to lumbosacral nerve injury. Further trials can determine the profile of patients who may benefit and optimal stimulation parameters.

Modulation of human visceral sensitivity by noninvasive magnetoelectrical neural stimulation in health and irritable bowel syndrome

“…Improved urinary symptoms were seen when patients with intractable neurogenic urinary bladder dysfunction secondary to lumbosacral nerve injuries were treated with 15-Hz rLSMS. 21 Furthermore, sacral nerve stimulation (SNS) has been reported to produce significant pain reduction in patients with chronic functional anorectal pain disorders not responding to conventional treatments. 6,15 Moreover, in a series of studies, Fassov et al, [7][8][9] found that SNS could induce thermal and biomechanical changes in rectal function alongside improvements in symptoms and quality of life in patients with IBS during the on-phase of SNS but no effects on small bowel motility.…”

Peripheral repetitive magnetic stimulation for the treatment of neurogenic urinary disorders: literature review and investigational study

“…• подавлению обратного нейронального захвата норадреналина и серотонина [45]; • стимуляции афферентных волокон пудендаль-ного нерва в составе крестцовых корешков [46]; • активации спинальной опиодной системы, подавляющей сокращения детрузора [47]; • стимуляции эфферентных волокон тазового нерва в составе крестцовых корешков [48]. В исследовании P. M. Braun и соавт.…”

“…При клинически противоположных формах нейро-генных расстройств мочеиспускания во многих иссле-довательских работах наблюдался положительный терапевтический эффект сакральной МС, что может быть объяснено активацией различных регуляторных рефлексов в ответ на стимуляцию одних и тех же структур [48][49][50].…”

A double-blind randomized clinical trial on the efficacy of magnetic sacral root stimulation for the treatment of Monosymptomatic Nocturnal Enuresis

“… Fujishiro et al (2002) reported that magnetic stimulation of the sacral roots for the treatment of urinary frequency and urge incontinence produced a useful improvement in symptoms. Khedr et al (2011) also found that repetitive lumbosacral root magnetic stimulation (rLMS) at 15 Hz may improve urinary dysfunction secondary to lumbosacral nerve injury. A comparative study investigating the urodynamic effects of functional magnetic stimulation (FMS) (pulsegen device) and functional electrical stimulation (FES) (a vaginal electrode in women and a surface electrode on the dorsal part of the penis in men) found that both treatments reduced detrusor overactivity with FMS being slightly superior to FES ( Yamanishi et al, 2000 ).…”

“…More recently, magnetic stimulation has been proposed as a potential method for stimulation of sacral nerves ( Khedr et al, 2011 ). It is believed to have the same underlying effect as functional electrical stimulation since it generates an electrical field resulting similar to that produced by conventional electrical stimulators ( Karim et al, 2003 ).…”