Therapeutic effect of sacral nerve stimulation for neurogenic bladder
10.3760/cma.j.issn.1671-8925.2008.05.020
- VernacularTitle:骶神经刺激治疗神经源性膀胱的疗效观察
- Author:
Jun-An YAN
1
;
Zhi-Wen CHEN
;
Long-Kun LI
;
Bo SONG
Author Information
1. 第三军医大学西南医院
- Keywords:
Sacral nerve stimulation;
Neurogenic bladder;
Complication
- From:
Chinese Journal of Neuromedicine
2008;7(5):505-507,510
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the therapeutic effect of the sacral nerve stimulation (SNS)on the neurogenic bladder. Methods SNS was used to treat 94 patients with neurogenic bladder. The ICI-Q-SF scores, voiding diary (including urinary incontinence times, urinal pad test, urination times,nocturia times and urinary volume) and urine dynamics test (including bladder volume, pressure of detrusor, maximum urinary flow rate, average urinary flow rate, pressure of bladder neck, maximal urethral pressure, functional urethral length and residual urine volume) were observed before and 1 week after SNS. And the data was analyzed statistically. Results The ICI-Q-SF scores were 17.2±1.8 before the treatment of SNS and 8.3±1.6 after SNS (P＜0.05). The urinary incontinence times, urination times and nocturia times were significantly decreased (P＜0.05) compared with those before treatment. The weight of urinal pads was lessened significantly (P＜0.05), while the urinary volumes were increased significantly (P＜0.05). The bladder volume, the maximum urinary flow rate and the average urinary flow rate were increased significantly (P＜0.05) while the residual urine volumes were decreased significantly (P＜0.05). There were no differences in pressure of detrusor, pressure of bladder neck, maximal urethral pressure and functional urethral length (P＞0.05). No complication occurred in our study and total effective rate was 75.5%. Conclusions The therapeutic effect of SNS on the neurogenic bladder is sure, and the symptom of the neurogenic bladder is well improved with few complications. It should be widely used.
