Purpose: Purpose of this study was to evaluate the long term efficacy of repetitive sacral root magnetic stimulation (rSMS) in patients with monosymptomatic nocturnal enuresis (MNE).
Methods: Forty four patients were randomized to receive either sham or real repetitive sacral root magnetic stimulation (rSMS; 15 Hz with a total of 1500 pulses/session) for 10 sessions. Evaluation was performed before starting treatment, immediately after the 5th and 10th treatment session, and 1 month later, using frequency of enuresis/week, visual analogue scale (VAS) and quality of life as outcome measures. Resting and active motor thresholds of gastrocnemius muscles were measured before and after the end of sessions.
Results: Both treatment and control groups were comparable for baseline measures of frequency of enuresis, and VAS. The mean number of wet nights/week was significantly reduced in patients who received real rSMS. This improvement was maintained 1 month after the end of treatment. Patients receiving real-rSMS also reported an improvement in VAS ratings and quality of life. A significant reduction of resting motor threshold was recorded after rSMS in the real group while no such changes were observed in the sham group.
Conclusion: These findings suggest that rSMS has potential as an adjuvant treatment for MNE and deserves further study.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4923722 | PMC |
| http://dx.doi.org/10.3233/RNN-150507 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
How i do it: full-endoscopic transsacral approach for the treatment of extraforaminal L5/S1 disc herniation.
Acta Neurochir (Wien)
December 2024
Neck-shoulder and Lumbocrural Pain Devision 1, Sichuan Province Orthopedic Hospital, Chengdu, 610041, China.
Background: For L5/S1 extraforaminal disc herniation, how to efficiently expose the herniated nucleus pulposus and reduce facet joint damage remain to be explored.
Methods: Lumbar discectomy was performed using a full-endoscopic transsacral approach, in which sacral ala and extraforaminal ligament were partially resected to expose the L5/S1 intervertebral disc. Methylene blue was used for disc staining, and the herniated nucleus pulposus was excised through the annular tear.
Freehand Placement of a Transiliac-Transsacral Screw for Fixation of Posterior Pelvic Ring Injuries.
Orthop Surg
December 2024
Department of Orthopaedics, The Fourth Medical Center, Chinese PLA General Hospital, Beijing, China.
Objective: There are many advantages to stabilize the posterior pelvic ring injuries with a transiliac-transsacral (TITS) screw percutaneously. To identify the correct entry point and insert a guidewire accurately for a TITS screw, we propose a method of specifying the optimal entry point, and introduce a technique of enabling freehand placement of a guidewire with fluoroscopic guidance.
Methods: In this retrospective study, 116 patients who underwent pelvic CT scans and pelvic lateral radiographs at our institution from January 2020 to April 2022 were enrolled.
Surgical outcomes of women undergoing radical resection of deep endometriosis of the sacral plexus: A prospective cohort study.
Acta Obstet Gynecol Scand
January 2025
Department of Obstetrics and Gynecology, Center for Endometriosis, Semmelweis University, Budapest, Hungary.
Introduction: Surgical resection of sacral plexus endometriosis (SPE) is contemplated in severely symptomatic patients not responding to medical or hormonal therapy. However, there is only limited data on the effects of surgery on pain and neurological symptoms. This study aims to report on the surgical outcomes in terms of pain and neurological symptom reduction in women undergoing surgical resection of SPE.
View Article and Find Full Text PDFImage characteristics of retained medullary cord in secondary neurulation arrest: an observational study.
Sci Rep
November 2024
Division of Pediatric Neurosurgery, Seoul National University Children's Hospital, 101 Daehak- ro, Jongno-gu, Seoul, 03080, Republic of Korea.
Retained medullary cord (RMC) is a recently defined term denoting closed spinal dysraphism arising from the failure of regression in secondary neurulation. Despite the acknowledgment of this condition, there needs to be more literature elucidating the radiologic manifestations of RMC. This study aimed to describe the MR imaging findings of RMC.
View Article and Find Full Text PDFNew ultrasound-guided L5 selective nerve root block puncture approach for the treatment of pain due to high-iliac-crest lumbar disc herniation: A case report.
Medicine (Baltimore)
November 2024
Department of Pain Treatment, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, China.
Article Synopsis
- L5 selective nerve root block is a common technique for treating lumbar 4/5 disc herniation, but it can be challenging due to the deep anatomy around the L5/S1 area.
- A 43-year-old male presented with pain and numbness in the left lower limb, consistent with lumbar disc issues, which worsened with certain movements but improved with rest.
- The patient underwent a successful ultrasound-guided L5 nerve root block using a new technique, leading to significant pain reduction and suggesting its potential as a treatment option for chronic pain.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!