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Physicians can
recommend DGNS to improve urodynamic outcomes (bladder capacity, storage
pressure, etc.) in patients with spinal cord injury (SCI) and neurogenic
detrusor over activity (NDO).
According to a novel study issued in ‘Spinal Cord Series and Cases’, the dorsal genital nerve stimulation (DGNS) may be used if needed, occasionally or continuously, which helps to augment the bladder capacity, reduce storage pressures and offers spare time.
Sean P. Doherty et al. examined the the influence of DGNS on urine-storage parameters in patients with SCI and NDO all through natural bladder filling.
This prospective interventional pilot study was performed in Royal National Orthopaedic Hospital, Stanmore, UK.
Prior to and after 7 days of using DGNS at home, the ambulatory urodynamic monitoring (AUM) was performed with and without DGNS. DGNS was used on-demand by 4 individuals with bladder sensation and; both continuously and occasionally by 1 individual with missing sensation. Test paired outcomes of changes within an AUM session was calculated using the Wilcoxon sign-rank test.
Overall, there was an improvement in the urodynamic outcomes using DGNS. Bladder capacity was increased and maximum detrusor pressure was decreased. Increased detrusor contractions were observed from the initial involuntary detrusor contraction to a strong desire, urgency/incontinence. Improvements were made along with the prevailing anti-muscarinic medication routines.
Spinal Cord Series and Cases
Ambulatory urodynamic monitoring assessment of dorsal genital nerve stimulation for suppression of involuntary detrusor contractions following spinal cord injury: a pilot study
Sean P. Doherty et al.
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