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Dekopov A.V.

Burdenko Neurosurgicai Center

Tomsky A.A.

Burdenko Neurosurgicai Center

Isagulyan E.D.

Burdenko Neurosurgicai Center

Yurasov I.S.

Burdenko Neurosurgical Center

Salyukova Yu.R.

National Research Center of Radiology

Salyukov R.V.

Peoples’ Friendship University of Russia;
Rehabilitation Center for Disabled Persons «Preodolenie»

Chronic sacral neuromodulation for pelvic floor dysfunction in children with spina bifida

Authors:

Dekopov A.V., Tomsky A.A., Isagulyan E.D., Yurasov I.S., Salyukova Yu.R., Salyukov R.V.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2022;86(1): 48‑55

DOI: 10.17116/neiro20228601148

Read: 5384 times

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Table of contents

CHRONIC SACRAL NEUROMODULATION FOR PELVIC FLOOR DYSFUNCTION IN CHILDREN WITH SPINA BIFIDA
CHRONIC SACRAL NEUROMODULATION FOR PELVIC FLOOR DYSFUNCTION IN CHILDREN WITH SPINA BIFIDA

To cite this article:

Dekopov AV, Tomsky AA, Isagulyan ED, Yurasov IS, Salyukova YuR, Salyukov RV. Chronic sacral neuromodulation for pelvic floor dysfunction in children with spina bifida. Burdenko's Journal of Neurosurgery. 2022;86(1):48‑55. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20228601148

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Recommended articles:
Neurourology in neurorehabilitation: expe­rience in implementing and analyzing the effe­ctiveness of a new diagnosis-related group in patients with detrusor hype­ractivity and spinal cord injury. S.S. Korsakov Journal of Neurology and Psychiatry. 2026;(3):87-96
Abstract:

OBJECTIVE

To estimate the effectiveness of chronic sacral neurostimulation for neurogenic lower urinary tract dysfunction in children with spina bifida.

MATERIAL AND METHODS

Eight patients with spina bifida and neurogenic lower urinary tract dysfunction underwent surgical treatment. Three patients had detrusor-sphincter dyssynergia and urinary incontinence. Five patients had detrusor overactivity and urine retention. Conservative treatment was failed in all cases. We implanted quadripolar test electrode on the S3 root through Tuohy needle under fluoroscopic control. Test stimulation was ineffective in three children with detrusor overactivity. Five patients with positive response to stimulation underwent implantation of chronic neurostimulation system. We estimated the efficacy of neurostimulation considering symptoms of neurogenic lower urinary tract dysfunction, urinary diary, PAD test and complex urodynamic examination data.

RESULTS

Positive clinical effects were observed in 3 patients with detrusor-sphincter dyssynergia and 2 patients with detrusor overactivity. Clinical effect included improvement in urine leakage and higher bladder volume. In patients with urinary retention, we revealed voluntary urination and less number of daily catheterization procedures. In one patient, clinical effect of chronic stimulation regressed within 3 month after surgery.

CONCLUSION

Preliminary results of chronic sacral neuromodulation confirmed its advisability in children with neurogenic lower urinary tract dysfunction. Patients with detrusor-sphincter dyssynergia had better results compared to those with detrusor overactivity.

Keywords:

neurogenic lower urinary tract dysfunction
chronic sacral neuromodulation
spina bifida

Authors:

Dekopov A.V.

Burdenko Neurosurgicai Center

Tomsky A.A.

Burdenko Neurosurgicai Center

Isagulyan E.D.

Burdenko Neurosurgicai Center

Yurasov I.S.

Burdenko Neurosurgical Center

Salyukova Yu.R.

National Research Center of Radiology

Salyukov R.V.

Peoples’ Friendship University of Russia;
Rehabilitation Center for Disabled Persons «Preodolenie»

Received:

13.10.2020

Accepted:

29.11.2021

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References:

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