Feasibility of Self-administered Neuromodulation for Neurogenic Bladder in Spinal Cord Injury
- Author:
Argyrios STAMPAS
1
;
Rose KHAVARI
;
Joel E FRONTERA
;
Suzanne L GROAH
Author Information
- Publication Type:Original Article
- Keywords: Spinal cord injuries; Neuromodulation; Neurogenic bladder; Transcutaneous electric stimulation; Anticholinergic
- MeSH: Appointments and Schedules; Catheterization; Catheters; Compliance; Humans; Mouth; Quality of Life; Sleep Stages; Spinal Cord Injuries; Spinal Cord; Tibial Nerve; Transcutaneous Electric Nerve Stimulation; Urinary Bladder; Urinary Bladder, Neurogenic; Urodynamics; Weaning
- From:International Neurourology Journal 2019;23(3):249-256
- CountryRepublic of Korea
- Language:English
- Abstract: PURPOSE: To determine if self-administered transcutaneous tibial nerve stimulation (TTNS) is a feasible treatment option for neurogenic bladder among people with spinal cord injury (SCI) who utilize intermittent catheterization for bladder management. METHODS: Four-week observational trial in chronic SCI subjects performing intermittent catheterization with incontinence episodes using TTNS at home daily for 30 minutes. Those using anticholinergic bladder medications were given a weaning schedule to begin at week 2. Primary outcomes were compliance and satisfaction. Secondary outcomes included change in bladder medications, efficacy based on bladder diary, adverse events, and incontinence quality of life (I-QoL) survey.
