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Sacral Neuromodulation and Pudendal Somatic Afferents

Conditions
Overactive Bladder, Non Obstructive Urinary Retention
Interventions
Diagnostic Test: Somatosensory evoked potentials
Registration Number
NCT03614754
Lead Sponsor
Universiteit Antwerpen
Brief Summary

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.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Overactive bladder
  • Non-obstructive urinary retention
Exclusion Criteria
  • Neurogenic disorders (e.g. cerebrovascular accident, spinal cord injury,...)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
FailuresSomatosensory evoked potentialsPatients with reduction of symptoms \<50% during the test procedure for sacral neuromodulation.
SuccessesSomatosensory evoked potentialsPatients with reduction of symptoms \>50% during the test procedure for sacral neuromodulation.
Primary Outcome Measures
NameTimeMethod
Latency change3 weeks

Latency of somatosensory evoked potential are recorded before and after test procedure sacral neuromodulation expressed in milliseconds.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Antwerp University Hospital

🇧🇪

Edegem, Antwerp, Belgium

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