Background: The curative effect of sacral nerve magnetic stimulation on the neurogenic bladder (NB) after spinal cord injury (SCI) is unclear. This study made a meta-analysis of the curative effect of sacral nerve magnetic stimulation on the NB after SCI and put forward a theoretical basis for the clinical treatment of this disease.
Methods: The databases of PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure, WanFang Data, VIP, and CBM were searched by computer, and the randomized controlled trials of sacral nerve magnetic stimulation in the treatment of NB after SCI were collected. The retrieval time was from the establishment of the database to September 25, 2023. Meta-analysis was performed with Stata 15.0 software.
Results: This study finally included 10 articles, including 537 patients. Meta-analysis shows that the sacral nerve magnetic stimulation treatment group can effectively improve urodynamics: the maximum bladder capacity increases (mean difference [MD], 40.76 [95% confidence interval (CI), 33.24-48.28]; P ˂ .05), the bladder capacity increases at the beginning of urination (MD, 12.82 [95% CI, 11.02-14.62]; P ˂ .05), and the residual urine volume decreases (MD, -38.08 [95% CI, -51.36 to -24.79]; P˂.05). In the aspect of urination diary, the sacral nerve magnetic stimulation treatment group also has advantages compared with the conventional treatment group: the increase in single urine volume (MD, 22.49 [95% CI, 18.68-26.30]; P˂.05), the maximum urine volume (MD, 32.84 [95% CI, 22.37-43.30]; P˂.05), and the decrease in urination times (MD, -2.23 [95% CI, -3.13 to -1.33]; P˂.05). After the treatment of sacral nerve magnetic stimulation, the quality of life of patients can be improved: quality-of-life score (MD, -0.62 [95% CI, -0.91 to -0.34]; P˂.05).
Conclusion: Combined with functional magnetic stimulation of the sacral nerve, routine treatment is superior to routine treatment in improving the clinical symptoms of patients with NB after SCI.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11495701 | PMC |
| http://dx.doi.org/10.1097/MD.0000000000040150 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Case report: Chronic inflammatory demyelinating polyradiculoneuropathy with severe central nervous system demyelination: a clinicopathological study.
Front Immunol
December 2024
Department of Neurology, Osaka University Graduate School of Medicine, Suita, Japan.
Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is an immune-mediated disease that mainly affects the peripheral nerves and nerve roots and typically presents with distal dominant motor and sensory disturbances as clinical symptoms. Central nervous system (CNS) demyelination with inflammation occurs infrequently in patients with CIDP. Here, we present a unique autopsy report of CIDP causing severe demyelination along the entire spinal cord.
View Article and Find Full Text PDFUrge fecal incontinence: are intramural rectal injections of botulinum toxin a long-term treatment option?
Tech Coloproctol
December 2024
Service de Gastroentérologie, Hôpital NORD, Assistance Publique Hôpitaux de Marseille; Aix-Marseille Université, Marseille, France.
Background And Aims: Unsuccessful first-line conservative treatments for managing fecal incontinence (FI) lead to considering predominantly invasive options, posing challenges in terms of cost and patient acceptance of benefit/risk ratio. Recent data from a prospective randomized study have highlighted intramural rectal botulinum toxin (BoNT/A) injection as a promising minimally invasive alternative for urge FI, demonstrating efficacy at 3 months but lacking long-term evidence. This study aimed to evaluate the sustained efficacy and injection frequency of intramural rectal BoNT/A injection in the treatment of urge FI.
View Article and Find Full Text PDFFemale Pelvic Conditions: Urinary Incontinence.
FP Essent
December 2024
Menominee Tribal Clinic, Keshena, WI.
Urinary incontinence is the involuntary loss of urine. It is a prevalent and bothersome condition in females, with subtypes including stress, urge, mixed stress/urge, and overflow. Evaluation begins with a history to identify symptoms of the different subtypes and information about comorbid conditions, incontinence frequency and severity, and effect on quality of life.
View Article and Find Full Text PDFA case of lead migration after sacral neuromodulation with erosion into the rectum.
Urol Case Rep
January 2025
Division of Urology, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.
We present a case of a 73-year-old female with medication refractory overactive bladder treated with the InterStim® sacral neuromodulation device. Five months post implantation she developed drainage over the lead site and rectal bleeding. Evaluation identified lead migration with rectal perforation requiring surgical removal of the battery and lead.
View Article and Find Full Text PDFApplication of CT images for reconstruction of adigital model of the sacral nerve canal.
Am J Transl Res
November 2024
Department of Orthopaedic Surgery, The Third Hospital of Hebei Medical University Shijiazhuang, Hebei, China.
Objectives: To construct a three-dimensional visualized model of the sacral nerve canal, and understand its structure and angles.
Methods: This was a retrospective study including 20 patients undergoing computerized tomography (CT) scanning of the sacrum. Consecutive CT images in Dicom format were directly imported into Mimics software.
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!