A Urodynamic Study of Surface Neuromodulation Versus Sham in Detrusor Instability and Sensory Urgency

No AccessJournal of UrologyClinical Urology: Urological Neurology and Urodynamics1 Dec 1998A URODYNAMIC STUDY OF SURFACE NEUROMODULATION VERSUS SHAM IN DETRUSOR INSTABILITY AND SENSORY URGENCY W.F. BOWER, K.H. MOORE, R.D. ADAMS, and R. SHEPHERD W.F. BOWERW.F. BOWER More articles by this author , K.H. MOOREK.H. MOORE More articles by this author , R.D. ADAMSR.D. ADAMS More articles by this author , and R. SHEPHERDR. SHEPHERD More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)62259-6AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We studied the effect of surface neuromodulation on cystometric pressure and volume parameters in women with detrusor instability or sensory urgency. Electrical current was delivered to the suprapubic region and third sacral foramina via a transcutaneous electrical nerve stimulator with sham neuromodulation control. Materials and Methods: A consecutive series of women with proved detrusor instability or sensory urgency were randomized to 3 surface neuromodulation groups. Volume and pressure parameters were the main outcomes of transcutaneous electrical nerve stimulation applied during second cystometric fill. Results: Sham transcutaneous electrical nerve stimulation did not alter the outcome measures. However, neuromodulation delivered across the suprapubic and sacral skin effected a reduction in mean maximum height of detrusor contraction. A current which inhibits motor activity was not superior to that which inhibits sensory perception in reducing detrusor pressure. Response in sensory urgency was poor. Conclusions: Results from our sham controlled study suggest that short-term surface neuromodulation via transcutaneous electrical nerve stimulation may have a role in the treatment of detrusor instability. Future studies must examine the clinical effect of long-term surface neuromodulation. 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Google Scholar From the Western Sydney Continence Management Service Pennant Hills, Department of Obstetrics and Gynaecology, University of New South Wales, New South Wales and School of Physiotherapy, University of Sydney, Sydney, Australia© 1998 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byBarroso U, Viterbo W, Bittencourt J, Farias T and Lordêlo P (2013) Posterior Tibial Nerve Stimulation vs Parasacral Transcutaneous Neuromodulation for Overactive Bladder in ChildrenJournal of Urology, VOL. 190, NO. 2, (673-677), Online publication date: 1-Aug-2013.De Gennaro M, Capitanucci M, Mosiello G and Zaccara A (2011) Current State of Nerve Stimulation Technique for Lower Urinary Tract Dysfunction in ChildrenJournal of Urology, VOL. 185, NO. 5, (1571-1577), Online publication date: 1-May-2011.Hagstroem S, Mahler B, Madsen B, Djurhuus J and Rittig S (2009) Transcutaneous Electrical Nerve Stimulation for Refractory Daytime Urinary Urge IncontinenceJournal of Urology, VOL. 182, NO. 4S, (2072-2078), Online publication date: 1-Oct-2009.van BALKEN M, VERGUNST H and BEMELMANS B (2018) THE USE OF ELECTRICAL DEVICES FOR THE TREATMENT OF BLADDER DYSFUNCTION: A REVIEW OF METHODSJournal of Urology, VOL. 172, NO. 3, (846-851), Online publication date: 1-Sep-2004.AMARENCO G, ISMAEL S, EVEN-SCHNEIDER A, RAIBAUT P, DEMAILLE-WLODYKA S, PARRATTE B and KERDRAON J (2018) Urodynamic Effect of Acute Transcutaneous Posterior Tibial Nerve Stimulation in Overactive BladderJournal of Urology, VOL. 169, NO. 6, (2210-2215), Online publication date: 1-Jun-2003.HOEBEKE P, RENSON C, PETILLON L, WALLE J and DE PAEPE H (2018) Percutaneous Electrical Nerve Stimulation in Children With Therapy Resistant Nonneuropathic Bladder Sphincter Dysfunction: A Pilot StudyJournal of Urology, VOL. 168, NO. 6, (2605-2608), Online publication date: 1-Dec-2002.BOWER W, MOORE K and ADAMS R (2018) A PILOT STUDY OF THE HOME APPLICATION OF TRANSCUTANEOUS NEUROMODULATION IN CHILDREN WITH URGENCY OR URGE INCONTINENCEJournal of Urology, VOL. 166, NO. 6, (2420-2422), Online publication date: 1-Dec-2001.HOEBEKE P, VAN LAECKE E, EVERAERT K, RENSON C, De PAEPE H, RAES A and VANDE WALLE J (2018) TRANSCUTANEOUS NEUROMODULATION FOR THE URGE SYNDROME IN CHILDREN: A PILOT STUDYJournal of Urology, VOL. 166, NO. 6, (2416-2419), Online publication date: 1-Dec-2001.SOOMRO N, KHADRA M, ROBSON W and NEAL D (2018) A CROSSOVER RANDOMIZED TRIAL OF TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION AND OXYBUTYNIN IN PATIENTS WITH DETRUSOR INSTABILITYJournal of Urology, VOL. 166, NO. 1, (146-149), Online publication date: 1-Jul-2001. Volume 160Issue 6 Part 1December 1998Page: 2133-2136 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.MetricsAuthor Information W.F. BOWER More articles by this author K.H. MOORE More articles by this author R.D. ADAMS More articles by this author R. SHEPHERD More articles by this author Expand All Advertisement PDF downloadLoading ...