Electrical management of neurogenic lower urinary tract disorders

Annals of Physical and Rehabilitation Medicine
C Joussain, P Denys

Abstract

Management of lower urinary tract dysfunction (LUTD) in neurological diseases remains a priority because it leads to many complications such as incontinence, renal failure and decreased quality of life. A pharmacological approach remains the first-line treatment for patients with neurogenic LUTD, but electrical stimulation is a well-validated and recommended second-line treatment. However, clinicians must be aware of the indications, advantages and side effects of the therapy. This report provides an update on the 2 main electrical stimulation therapies for neurogenic LUTD - inducing direct bladder contraction with the Brindley procedure and modulating LUT physiology (sacral neuromodulation, tibial posterior nerve stimulation or pudendal nerve stimulation). We also describe the indications of these therapies for neurogenic LUTD, following international guidelines, as illustrated by their efficacy in patients with neurologic disorders. Electrical stimulation could be proposed for neurogenic LUTD as second-line treatment after failure of oral pharmacologic approaches. Nevertheless, further investigations are needed for a better understanding of the mechanisms of action of these techniques and to confirm their efficacy. Other elec...Continue Reading

References

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Citations

Oct 25, 2016·Experimental Neurology·Blessen C EapenDavid X Cifu
Jan 1, 2017·Biomedical Physics & Engineering Express·L ChenB Feng
Nov 8, 2017·Acupuncture in Medicine : Journal of the British Medical Acupuncture Society·Xiaoxu LiuZhishun Liu
Sep 9, 2021·Neuromodulation : Journal of the International Neuromodulation Society·Martina PericoliniGerard Amarenco

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