R Ramnarayan2* and H Krishna Moorthy2
1Consultant Neurosurgeon, New Hope Hospital, Chennai, India
2Consultant Urologist, Lourdes Hospital, Kochi, India
*Corresponding Author: R Ramnarayan, Consultant Neurosurgeon, New Hope Hospital, Chennai, India.
Received: July 24, 2020; Published: August 31, 2020
Introduction: Neurogenic bladder is a condition causing significant effect on the quality of life of the patient. Sacral nerve stimulation (SNM) has a good role in these patients. We report our experience with sacral neuromodulation.
Methods: 15 patients with refractory urinary bladder were included in this study. The aetiology of the neurogenic bladder included 7 spinal cord injury, 3 meningomyelocele, 2 failed back surgery syndromes, two multiple sclerosis and one mixed bowel/bladder (aetiology unknown). All 15 underwent test stimulation.
Results: Only 10 out the 15 had a positive trial and proceeded to the next stage of implantation. The 3 patients with failed trial were all patients with complete cord injury or injuries below T12 (vertebral level) and more than 8 years duration. Of the other two one was a meningomyelocele and other was a case of advanced multiple sclerosis. Follow up period was upto four years; all 10 patients doing well. One of early cases had lead migration and had to be repositioned. One patient used to develop shock like sensation in perineum; the stimulation was stopped for six weeks and restarted at lower frequency.
Conclusion: SNM is a very effective therapy for neurologic bladder in selected patients. Detailed preoperative assessments and trial are very important in this selection.
Keywords: Sacral Nerve; Neurogenic Bladder; Stimulation; Results
Citation: R Ramnarayan and H Krishna Moorthy. “Sacral Nerve Stimulation for Neurogenic Bladder: Our Experience". Acta Scientific Neurology 3.9 (2020): 112-116.
Copyright: © 2020 R Ramnarayan and H Krishna Moorthy. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.