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Sacral neuromodulation is a well-excepted minimally invasive procedure for the treatment of overactive bladder and non-obstructive urinary retention.A tined lead with 4 stimulation electrodes is placed through the third or fourth sacral foramen and stimulates sacral roots in its vicinity. Since the sacral roots are mixed nerves, it is currently still unknown which nerve fibers are stimulated (autonomic vs somatic, afferent vs efferent) and what the mechanism of action is.
This study examines the involvement of pudendal somatic afferents by measuring somatosensory evoked potentials elicited by stimulation of the pudendal nerve.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Successes | Patients with reduction of symptoms >50% during the test procedure for sacral neuromodulation. |
| |
| Failures | Patients with reduction of symptoms <50% during the test procedure for sacral neuromodulation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Somatosensory evoked potentials | Diagnostic Test | Stimulation of the pudendal nerve while recording at the sensory cortex. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Latency change | Latency of somatosensory evoked potential are recorded before and after test procedure sacral neuromodulation expressed in milliseconds. | 3 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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Urological patients with overactive bladder or non-obstructive urinary retention.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Donald A Vaganee, MD PhD student | Contact | 8213047 | 323 | donald.vaganee@uantwerpen.be |
| Stefan De Wachter, MD PhD FEBU | Contact | 8215934 | 323 | stefan.dewachter@uantwerpen.be |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Antwerp University Hospital | Recruiting | Edegem | Antwerp | 2650 | Belgium |
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| ID | Term |
|---|---|
| D053201 | Urinary Bladder, Overactive |
| ID | Term |
|---|---|
| D001745 | Urinary Bladder Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| ID | Term |
|---|---|
| D005073 | Evoked Potentials, Somatosensory |
| ID | Term |
|---|---|
| D005071 | Evoked Potentials |
| D000071080 | Cortical Excitability |
| D055724 | Electrophysiological Phenomena |
| D010829 | Physiological Phenomena |
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| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D059411 | Lower Urinary Tract Symptoms |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009424 | Nervous System Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |