Electrical stimulation in the treatment of bladder dysfunction: technology update

RL Coolen, J Groen, BFM Blok Department of Urology, Erasmus Medical Center, Rotterdam 3015 GD, The NetherlandsCorrespondence: BFM BlokDepartment of Urology, Erasmus Medical Center, Room SK-1270, Doctor Molewaterplein 40, Rotterdam 3015 GD, The NetherlandsTel +31 10 703 2414Fax +31 10 703 5632Email b...

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Autores principales:	Coolen RL, Groen J, Blok BFM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	lower urinary tract symptoms neurogenic bladder electrical stimulation neuromodulation sacral neuromodulation tibial nerve stimulation Medical technology R855-855.5
Acceso en línea:	https://doaj.org/article/2f8485ca0ef64e3298a9e357c9381e9c
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spelling	oai:doaj.org-article:2f8485ca0ef64e3298a9e357c9381e9c2021-12-02T06:22:26ZElectrical stimulation in the treatment of bladder dysfunction: technology update1179-1470https://doaj.org/article/2f8485ca0ef64e3298a9e357c9381e9c2019-09-01T00:00:00Zhttps://www.dovepress.com/electrical-stimulation-in-the-treatment-of-bladder-dysfunction-technol-peer-reviewed-article-MDERhttps://doaj.org/toc/1179-1470RL Coolen, J Groen, BFM Blok Department of Urology, Erasmus Medical Center, Rotterdam 3015 GD, The NetherlandsCorrespondence: BFM BlokDepartment of Urology, Erasmus Medical Center, Room SK-1270, Doctor Molewaterplein 40, Rotterdam 3015 GD, The NetherlandsTel +31 10 703 2414Fax +31 10 703 5632Email b.blok@erasmusmc.nlAbstract: The urinary bladder has two functions: urine storage and voiding. Clinically, two major categories of lower urinary tract symptoms can be defined: storage symptoms such as incontinence and urgency, and voiding symptoms such as feeling of incomplete bladder emptying and slow urinary stream. Urgency to void with or without incontinence is called overactive bladder (OAB). Slow urinary stream, hesitancy, and straining to void with the feeling of incomplete bladder emptying are often called underactive bladder (UAB). The underlying causes of OAB or UAB can be either non-neurogenic (also referred to as idiopathic) and neurogenic, for example due to spinal cord injury or multiple sclerosis. OAB and UAB can be treated conservatively by lifestyle intervention or medication. In the case that conservative treatment does not provide sufficient benefit, electrical stimulation can be used. Sacral neurostimulation or neuromodulation (SNM) is offered as a third-line therapy to patients with non-neurogenic OAB or UAB. In SNM, the third or fourth sacral nerve root is stimulated and after a test period, a neuromodulator is implanted in the buttock. Until recently only a non-rechargeable neuromodulator was approved for clinical use. However, nowadays, a rechargeable sacral neuromodulator is also on the market, with similar safety and effectiveness to the non-rechargeable SNM system. The rechargeable device was approved for full body 1.5T and 3T MRI in Europe in February 2019. Regarding neurogenic lower urinary tract dysfunction, electrical stimulation only seems to benefit a selected group of patients.Keywords: lower urinary tract symptoms, neurogenic bladder, electrical stimulation, neuromodulation, sacral neuromodulation, tibial nerve stimulationCoolen RLGroen JBlok BFMDove Medical Pressarticlelower urinary tract symptomsneurogenic bladderelectrical stimulationneuromodulationsacral neuromodulationtibial nerve stimulationMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol Volume 12, Pp 337-345 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	lower urinary tract symptoms neurogenic bladder electrical stimulation neuromodulation sacral neuromodulation tibial nerve stimulation Medical technology R855-855.5
spellingShingle	lower urinary tract symptoms neurogenic bladder electrical stimulation neuromodulation sacral neuromodulation tibial nerve stimulation Medical technology R855-855.5 Coolen RL Groen J Blok BFM Electrical stimulation in the treatment of bladder dysfunction: technology update
description	RL Coolen, J Groen, BFM Blok Department of Urology, Erasmus Medical Center, Rotterdam 3015 GD, The NetherlandsCorrespondence: BFM BlokDepartment of Urology, Erasmus Medical Center, Room SK-1270, Doctor Molewaterplein 40, Rotterdam 3015 GD, The NetherlandsTel +31 10 703 2414Fax +31 10 703 5632Email b.blok@erasmusmc.nlAbstract: The urinary bladder has two functions: urine storage and voiding. Clinically, two major categories of lower urinary tract symptoms can be defined: storage symptoms such as incontinence and urgency, and voiding symptoms such as feeling of incomplete bladder emptying and slow urinary stream. Urgency to void with or without incontinence is called overactive bladder (OAB). Slow urinary stream, hesitancy, and straining to void with the feeling of incomplete bladder emptying are often called underactive bladder (UAB). The underlying causes of OAB or UAB can be either non-neurogenic (also referred to as idiopathic) and neurogenic, for example due to spinal cord injury or multiple sclerosis. OAB and UAB can be treated conservatively by lifestyle intervention or medication. In the case that conservative treatment does not provide sufficient benefit, electrical stimulation can be used. Sacral neurostimulation or neuromodulation (SNM) is offered as a third-line therapy to patients with non-neurogenic OAB or UAB. In SNM, the third or fourth sacral nerve root is stimulated and after a test period, a neuromodulator is implanted in the buttock. Until recently only a non-rechargeable neuromodulator was approved for clinical use. However, nowadays, a rechargeable sacral neuromodulator is also on the market, with similar safety and effectiveness to the non-rechargeable SNM system. The rechargeable device was approved for full body 1.5T and 3T MRI in Europe in February 2019. Regarding neurogenic lower urinary tract dysfunction, electrical stimulation only seems to benefit a selected group of patients.Keywords: lower urinary tract symptoms, neurogenic bladder, electrical stimulation, neuromodulation, sacral neuromodulation, tibial nerve stimulation
format	article
author	Coolen RL Groen J Blok BFM
author_facet	Coolen RL Groen J Blok BFM
author_sort	Coolen RL
title	Electrical stimulation in the treatment of bladder dysfunction: technology update
title_short	Electrical stimulation in the treatment of bladder dysfunction: technology update
title_full	Electrical stimulation in the treatment of bladder dysfunction: technology update
title_fullStr	Electrical stimulation in the treatment of bladder dysfunction: technology update
title_full_unstemmed	Electrical stimulation in the treatment of bladder dysfunction: technology update
title_sort	electrical stimulation in the treatment of bladder dysfunction: technology update
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/2f8485ca0ef64e3298a9e357c9381e9c
work_keys_str_mv	AT coolenrl electricalstimulationinthetreatmentofbladderdysfunctiontechnologyupdate AT groenj electricalstimulationinthetreatmentofbladderdysfunctiontechnologyupdate AT blokbfm electricalstimulationinthetreatmentofbladderdysfunctiontechnologyupdate
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Electrical stimulation in the treatment of bladder dysfunction: technology update

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