Dorsal rhizotomy combined with anterior sacral root stimulation for neurogenic bladder

Vignes, Jean‐Rodolphe; Bauchet, Luc; Ohanna, F

doi:10.1007/978-3-211-33079-1_43

Cited by 15 publications

(13 citation statements)

References 21 publications

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“…The decrease in postvoid RUV reflects the improvement of voiding ability with EA in patients with neurogenic bladder. In addition, findings of heaven amount of postvoid RUV in patients with urinary incontinence or detrusor hyperreflexia in the present study indicate that involuntary contraction in urinary incontinence is ineffective which concurs with other urinary incontinence studies [25, 26]. …”

Section: Discussionsupporting

confidence: 92%

Electroacupuncture Improves Bladder and Bowel Function in Patients with Traumatic Spinal Cord Injury: Results from a Prospective Observational Study

Liu

Wang

et al. 2013

Evidence-Based Complementary and Alternative Medicine

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In order to explore the effect of electroacupuncture (EA) for chronic bowel and bladder dysfunction after traumatic spinal cord injury, 14 patients were treated with electroacupuncture once a day, five times a week for the first four weeks, and once every other day, three times a week for the following four weeks. The patients were then followed up for six months. After treatment, four (4/14, 28.57%) patients resumed normal voiding; six (6/14, 42.86%) resumed normal voiding for no less than half of all micturition behaviors; four (4/14, 28.57%) required supplementary urination methods for higher than half of all micturition behaviors. These effects persisted during followup. Mean postvoid RUV decreased by 190.29 ± 101.87 mL (P < 0.01) after treatment and by 198.86 ± 112.18 mL (P < 0.01) during followup. Patients' weekly urinary incontinence frequency decreased 7.14 ± 46.34 times/week (P = 0.036) after treatment and decreased 49.86 ± 44.38 times/week during followup. After treatment, four (4/14, 28.57%) patients resumed normal bowel movements (P = 0.025); five (5/14, 35.71%) reduced the dependence on supplementary defecation methods; five (5/14, 35.71%) had no changes. In patients with chronic bowel and bladder dysfunction after traumatic SCI, EA may provide a valuable alternative tool in improving patients' self-controlled bowel and bladder functions with minimal side effects.

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Section: Discussionsupporting

confidence: 92%

Electroacupuncture Improves Bladder and Bowel Function in Patients with Traumatic Spinal Cord Injury: Results from a Prospective Observational Study

Liu

Wang

et al. 2013

Evidence-Based Complementary and Alternative Medicine

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“…Using the SARS implant in appropriately selected patients, between 70% and 100% of patients with poor bladder control achieved urinary continence,9 12 with >85% of the first 500 patients continuing to use the stimulator at a mean of 4 years follow-up 13. The most commonly described complications include equipment failure requiring surgical revision, with CSF leakage occurring in <5% of cases and infectious complications in <3% 13 14. Nearly all reported infections were in the early postoperative period and removal of the block and adjoining wire was sufficient to resolve these infections.…”

Section: Discussionmentioning

confidence: 99%

Chronic infection of a Brindley sacral nerve root stimulator

Bramall

Chaudhary

Ahmad³

et al. 2016

BMJ Case Reports

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SUMMARYThe Finetech-Brindley sacral anterior root stimulator (SARS) is implanted for the treatment of bladder dysfunction following spinal cord injury (SCI) and has been successful in improving micturition in many patients with SCI. This case describes a 62-year-old man who presented with a chronic Staphylococcus aureus infection of a Brindley SARS 26 years after implantation following a T5 American Spinal Injury Association A spinal cord injury (T5 ASIA A SCI). He presented with chronic sacral osteomyelitis with a history of periodic implant erosion through the skin. Following a series of interventions, definitive management involved removal of the intradural electrodes and epidural and intradural phlegmon, ligation of the thecal sac and flap reconstruction. In the case of delayed infection of a Brindley SARS, removal of the entire system should be considered, especially if extension of the infection to the intradural compartment is suspected. BACKGROUND

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“…However, these procedures have not yet been proposed as a standard treatment because they still have to improve their results . Furthermore, some authors have evaluated this fact observing that even without the device the patients quality of life improved, thanks to posterior rhizotomy and the associated consequences that this brings …”

Section: Discussionmentioning

confidence: 99%

Extradural implantation of sacral anterior root stimulator in spinal cord injury patients

Castaño-Botero

Ospina-Galeano

Gómez-Illanes

et al. 2015

Neurourology and Urodynamics

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Dorsal rhizotomy combined with anterior sacral root stimulation for neurogenic bladder

Cited by 15 publications

References 21 publications

Electroacupuncture Improves Bladder and Bowel Function in Patients with Traumatic Spinal Cord Injury: Results from a Prospective Observational Study

Electroacupuncture Improves Bladder and Bowel Function in Patients with Traumatic Spinal Cord Injury: Results from a Prospective Observational Study

Chronic infection of a Brindley sacral nerve root stimulator

Extradural implantation of sacral anterior root stimulator in spinal cord injury patients

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