Can Wireless Transcutaneous Nerve Stimulation Applied to the Genital Nerve Manage Urinary Incontinence Following Spinal Cord Injury and Multiple Sclerosis?
Individuals with spinal cord injury and multiple sclerosis usually use intermittent catheterization for urinary management; however, many patients will also encounter a condition of neurogenic detrusor overactivity, which causes urinary incontinence. The use of muscarinic receptor antagonists is the...
| 发表在: | Uro |
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| Main Authors: | , , |
| 格式: | 文件 |
| 语言: | 英语 |
| 出版: |
MDPI AG
2022-07-01
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| 主题: | |
| 在线阅读: | https://www.mdpi.com/2673-4397/2/3/21 |
| _version_ | 1850382270627577856 |
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| author | James Walter John Wheeler Aasma Khan |
| author_facet | James Walter John Wheeler Aasma Khan |
| author_sort | James Walter |
| collection | DOAJ |
| container_title | Uro |
| description | Individuals with spinal cord injury and multiple sclerosis usually use intermittent catheterization for urinary management; however, many patients will also encounter a condition of neurogenic detrusor overactivity, which causes urinary incontinence. The use of muscarinic receptor antagonists is the first-line treatment to manage this condition. These drugs, however, have significant side effects. Transcutaneous electrical nerve stimulation applied to the genital nerve (GEN) is an alternative noninvasive method that produces detrusor inhibition through neuromodulation. Despite studies demonstrating bladder inhibition with GEN, more outcomes are required regarding decreased use of bladder inhibitory medications and concerns with dangling wires. It is proposed that wireless-GEN can be used in home-use studies in order to address these limitations. If needed, wireless tibial nerve stimulation could be added to improve incontinence management. |
| format | Article |
| id | doaj-art-4cda3cfa3ed0419682da46012b8fd813 |
| institution | Directory of Open Access Journals |
| issn | 2673-4397 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| spelling | doaj-art-4cda3cfa3ed0419682da46012b8fd8132025-08-19T22:57:08ZengMDPI AGUro2673-43972022-07-012317317810.3390/uro2030021Can Wireless Transcutaneous Nerve Stimulation Applied to the Genital Nerve Manage Urinary Incontinence Following Spinal Cord Injury and Multiple Sclerosis?James Walter0John Wheeler1Aasma Khan2Department of Urology, Loyola Medical Center, Maywood, IL 60153, USADepartment of Urology, Loyola Medical Center, Maywood, IL 60153, USADepartment of Psychology, Chicago State University, 60628 IL, USAIndividuals with spinal cord injury and multiple sclerosis usually use intermittent catheterization for urinary management; however, many patients will also encounter a condition of neurogenic detrusor overactivity, which causes urinary incontinence. The use of muscarinic receptor antagonists is the first-line treatment to manage this condition. These drugs, however, have significant side effects. Transcutaneous electrical nerve stimulation applied to the genital nerve (GEN) is an alternative noninvasive method that produces detrusor inhibition through neuromodulation. Despite studies demonstrating bladder inhibition with GEN, more outcomes are required regarding decreased use of bladder inhibitory medications and concerns with dangling wires. It is proposed that wireless-GEN can be used in home-use studies in order to address these limitations. If needed, wireless tibial nerve stimulation could be added to improve incontinence management.https://www.mdpi.com/2673-4397/2/3/21lower urinary tracturinary incontinenceneurogenic detrusor overactivitycatheterspinal cord injurymultiple sclerosis |
| spellingShingle | James Walter John Wheeler Aasma Khan Can Wireless Transcutaneous Nerve Stimulation Applied to the Genital Nerve Manage Urinary Incontinence Following Spinal Cord Injury and Multiple Sclerosis? lower urinary tract urinary incontinence neurogenic detrusor overactivity catheter spinal cord injury multiple sclerosis |
| title | Can Wireless Transcutaneous Nerve Stimulation Applied to the Genital Nerve Manage Urinary Incontinence Following Spinal Cord Injury and Multiple Sclerosis? |
| title_full | Can Wireless Transcutaneous Nerve Stimulation Applied to the Genital Nerve Manage Urinary Incontinence Following Spinal Cord Injury and Multiple Sclerosis? |
| title_fullStr | Can Wireless Transcutaneous Nerve Stimulation Applied to the Genital Nerve Manage Urinary Incontinence Following Spinal Cord Injury and Multiple Sclerosis? |
| title_full_unstemmed | Can Wireless Transcutaneous Nerve Stimulation Applied to the Genital Nerve Manage Urinary Incontinence Following Spinal Cord Injury and Multiple Sclerosis? |
| title_short | Can Wireless Transcutaneous Nerve Stimulation Applied to the Genital Nerve Manage Urinary Incontinence Following Spinal Cord Injury and Multiple Sclerosis? |
| title_sort | can wireless transcutaneous nerve stimulation applied to the genital nerve manage urinary incontinence following spinal cord injury and multiple sclerosis |
| topic | lower urinary tract urinary incontinence neurogenic detrusor overactivity catheter spinal cord injury multiple sclerosis |
| url | https://www.mdpi.com/2673-4397/2/3/21 |
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