[Initial results of Stoller peripheral neuromodulation in disorders of bladder function].
OBJECTIVE
The Stoller peripheral neurostimulation (SANS) is a new therapeutic procedure for bladder dysfunction.


METHODS
Each of 11 patients (8 women, 3 men) underwent 12 SANS treatment sessions.


METHODS
overactive bladder (5 patients), chronic nonobstructive urinary retention (3 patients) and pelvic pain (3 patients). Median follow-up was 3 months.


RESULTS
In 2 overactive bladder patients, the number of voids was reduced by at least 50%. In one patient with chronic retention, residual urine was temporarily decreased to <100 cc. 2 pelvic pain patients reported a slight improvement. In summary, 50% of the patients demonstrated a temporary response. Only 2 overactive bladder patients reported a permanent objective and subjective improvement. No complications were observed.


CONCLUSIONS
As the success rate was low and the procedure is time-consuming, we recommend the SANS procedure only in selected cases. We perform SANS treatment only in patients with overactive bladder refractory to conservative treatment. Prerequisites for a successful treatment is a high patient motivation.
Pannek
J
J
Urologische und Neurourologische Klinik der Ruhr-Universität Bochum, Marienhospital Herne. juergen.pannek@cityweb.de
Nehiba
M
M
D000328:Adult; D000368:Aged; D000842:Ankle / Q000294:innervation; D015671:Electroacupuncture / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009122:Muscle Hypertonia / Q000503:physiopathology / Q000628:therapy*; D010147:Pain Measurement; D017773:Pelvic Floor / Q000294:innervation*; D017699:Pelvic Pain / Q000503:physiopathology / Q000628:therapy*; D010525:Peripheral Nerves / Q000503:physiopathology*; D010865:Pilot Projects; D011141:Polyuria / Q000503:physiopathology / Q000628:therapy*; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000294:innervation*; D014549:Urinary Incontinence / Q000503:physiopathology / Q000628:therapy*; D016055:Urinary Retention / Q000503:physiopathology / Q000628:therapy*; D014563:Urodynamics