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Acute urodynamic effects of posterior tibial nerve stimulation on neurogenic detrusor overactivity in patients with MS.
Eur Urol. 2007 Feb; 51(2):464-70; discussion 471-2.EU

Abstract

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.

Authors+Show Affiliations

Center for Sensory-Motor Interaction, Aalborg University, Aalorg, Denmark. mvf@smi.auc.dk <mvf@smi.auc.dk>No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16956713

Citation

Fjorback, Morten V., et al. "Acute Urodynamic Effects of Posterior Tibial Nerve Stimulation On Neurogenic Detrusor Overactivity in Patients With MS." European Urology, vol. 51, no. 2, 2007, pp. 464-70; discussion 471-2.
Fjorback MV, van Rey FS, van der Pal F, et al. Acute urodynamic effects of posterior tibial nerve stimulation on neurogenic detrusor overactivity in patients with MS. Eur Urol. 2007;51(2):464-70; discussion 471-2.
Fjorback, M. V., van Rey, F. S., van der Pal, F., Rijkhoff, N. J., Petersen, T., & Heesakkers, J. P. (2007). Acute urodynamic effects of posterior tibial nerve stimulation on neurogenic detrusor overactivity in patients with MS. European Urology, 51(2), 464-70; discussion 471-2.
Fjorback MV, et al. Acute Urodynamic Effects of Posterior Tibial Nerve Stimulation On Neurogenic Detrusor Overactivity in Patients With MS. Eur Urol. 2007;51(2):464-70; discussion 471-2. PubMed PMID: 16956713.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute urodynamic effects of posterior tibial nerve stimulation on neurogenic detrusor overactivity in patients with MS. AU - Fjorback,Morten V, AU - van Rey,Farida S, AU - van der Pal,Floor, AU - Rijkhoff,Nico J M, AU - Petersen,Thor, AU - Heesakkers,John P, Y1 - 2006/08/07/ PY - 2006/02/24/received PY - 2006/07/20/accepted PY - 2006/9/8/pubmed PY - 2007/5/5/medline PY - 2006/9/8/entrez SP - 464-70; discussion 471-2 JF - European urology JO - Eur Urol VL - 51 IS - 2 N2 - 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. SN - 0302-2838 UR - https://www.unboundmedicine.com/medline/citation/16956713/Acute_urodynamic_effects_of_posterior_tibial_nerve_stimulation_on_neurogenic_detrusor_overactivity_in_patients_with_MS_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0302-2838(06)00859-1 DB - PRIME DP - Unbound Medicine ER -