Electrical neuromodulatory therapy in female voiding dysfunction
- 27 July 2006
- journal article
- review article
- Published by Wiley in BJU International
- Vol. 98 (s1), 43-48
- https://doi.org/10.1111/j.1464-410x.2006.06316.x
Abstract
Female voiding dysfunction such as urge-frequency syndrome, urge incontinence and unobstructive urinary retention are often refractory to conservative management. Electrical neuromodulation with surface electrodes or with implantable systems has become a valuable addition to the therapeutic options in the last two decades. Interstitial cystitis is an emerging indication. The application of these techniques in non-neurogenic patients is reviewed. The techniques using unimplantable electrodes, anogenital electrical stimulation with plug electrodes, transcutaneous electrical nerve stimulation with surface electrodes, and posterior tibial nerve stimulation using needle electrodes are addressed. Several techniques using implantable systems are discussed, e.g. sacral nerve neuromodulation (Interstim device), pudendal nerve stimulation (Interstim and Bion device) and paraurethral neuromodulation (Miniaturo device). The long-term efficacy of neuromodulation for the established indications is more than half, but 20-50% of the patients initially tested do not respond to a test procedure. The disadvantage is the high surgical revision rate and the high cost of treatment. Technical advances will hopefully be able to address these aspects.Keywords
This publication has 53 references indexed in Scilit:
- A novel surgical technique for implanting a new electrostimulation system for treating female overactive bladder: a preliminary reportBJU International, 2005
- POSTERIOR TIBIAL NERVE STIMULATION AS NEUROMODULATIVE TREATMENT OF LOWER URINARY TRACT DYSFUNCTIONJournal of Urology, 2001
- Author and Subject IndexEuropean Urology, 2000
- Effect of Renal Pelvic Distension on the Ureteropelvic and Ureterovesical Junctions and the Urinary Bladder: The Renal Pelvivesical ReflexJournal of Urology, 1999
- TENS: A treatment option for bladder dysfunctionInternational Urogynecology Journal, 1996
- Transcutaneous Electrical Nerve Stimulation and Temporary S3 Neuromodulation in Idiopathic Detrusor InstabilityJournal of Urology, 1996
- Transcutaneous Electrical Nerve Stimulation and Temporary S3 Neuromodulation in Idiopathic Detrusor InstabilityJournal of Urology, 1996
- Maximal electrostimulation of the pelvic floor in female idiopathic detrusor instability and urge incontinenceNeurourology and Urodynamics, 1989
- Editorial commentNeurourology and Urodynamics, 1989