Tags

Type your tag names separated by a space and hit enter

Patient controlled versus automatic stimulation of pudendal nerve afferents to treat neurogenic detrusor overactivity.
J Urol. 2008 Oct; 180(4):1403-8.JU

Abstract

PURPOSE

We investigated whether patients with neurogenic detrusor overactivity can sense the onset of bladder contraction and in turn suppress the contraction by electrical stimulation of the dorsal penile-clitoral nerve.

MATERIALS AND METHODS

A total of 67 patients with different neurological disorders were recruited to undergo 3 filling cystometries. The first cystometry was done without stimulation. The second cystometry was performed with automatic controlled stimulation based on detrusor pressure. The third cystometry was done with patient controlled stimulation using a push button.

RESULTS

Four females and 13 males underwent all 3 fillings. Compared to cystometry 1 average bladder capacity for cystometries 2 and 3 was 60% higher. Compared to peak pressure for cystometry 1 average peak pressure during suppressed contractions for cystometries 2 and 3 was 49% and 26% lower, respectively. The average delay of the onset of stimulation during cystometry 3 with respect to cystometry 2 was 5.7 seconds.

CONCLUSIONS

The study shows that patient controlled genital nerve stimulation is as effective as automatic controlled stimulation to treat neurogenic detrusor overactivity. Thus, patient controlled stimulation is feasible in select patients, although patients must be trained in the technique.

Authors+Show Affiliations

Guttmann Institute-Neurorehabilitation Hospital, Badalona, Barcelona, Spain. eopisso.investigacio@guttmann.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

18710774

Citation

Opisso, E, et al. "Patient Controlled Versus Automatic Stimulation of Pudendal Nerve Afferents to Treat Neurogenic Detrusor Overactivity." The Journal of Urology, vol. 180, no. 4, 2008, pp. 1403-8.
Opisso E, Borau A, Rodríguez A, et al. Patient controlled versus automatic stimulation of pudendal nerve afferents to treat neurogenic detrusor overactivity. J Urol. 2008;180(4):1403-8.
Opisso, E., Borau, A., Rodríguez, A., Hansen, J., & Rijkhoff, N. J. (2008). Patient controlled versus automatic stimulation of pudendal nerve afferents to treat neurogenic detrusor overactivity. The Journal of Urology, 180(4), 1403-8. https://doi.org/10.1016/j.juro.2008.06.023
Opisso E, et al. Patient Controlled Versus Automatic Stimulation of Pudendal Nerve Afferents to Treat Neurogenic Detrusor Overactivity. J Urol. 2008;180(4):1403-8. PubMed PMID: 18710774.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Patient controlled versus automatic stimulation of pudendal nerve afferents to treat neurogenic detrusor overactivity. AU - Opisso,E, AU - Borau,A, AU - Rodríguez,A, AU - Hansen,J, AU - Rijkhoff,N J M, Y1 - 2008/08/16/ PY - 2008/02/04/received PY - 2008/8/20/pubmed PY - 2008/10/1/medline PY - 2008/8/20/entrez SP - 1403 EP - 8 JF - The Journal of urology JO - J Urol VL - 180 IS - 4 N2 - PURPOSE: We investigated whether patients with neurogenic detrusor overactivity can sense the onset of bladder contraction and in turn suppress the contraction by electrical stimulation of the dorsal penile-clitoral nerve. MATERIALS AND METHODS: A total of 67 patients with different neurological disorders were recruited to undergo 3 filling cystometries. The first cystometry was done without stimulation. The second cystometry was performed with automatic controlled stimulation based on detrusor pressure. The third cystometry was done with patient controlled stimulation using a push button. RESULTS: Four females and 13 males underwent all 3 fillings. Compared to cystometry 1 average bladder capacity for cystometries 2 and 3 was 60% higher. Compared to peak pressure for cystometry 1 average peak pressure during suppressed contractions for cystometries 2 and 3 was 49% and 26% lower, respectively. The average delay of the onset of stimulation during cystometry 3 with respect to cystometry 2 was 5.7 seconds. CONCLUSIONS: The study shows that patient controlled genital nerve stimulation is as effective as automatic controlled stimulation to treat neurogenic detrusor overactivity. Thus, patient controlled stimulation is feasible in select patients, although patients must be trained in the technique. SN - 1527-3792 UR - https://www.unboundmedicine.com/medline/citation/18710774/Patient_controlled_versus_automatic_stimulation_of_pudendal_nerve_afferents_to_treat_neurogenic_detrusor_overactivity_ L2 - https://www.jurology.com/doi/10.1016/j.juro.2008.06.023?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -