Sacral Neuromodulation in Children with Neurogenic Bladder Dysfunction by Edgard Morya in crimson Publishers: Surgical Medicine Open Access Journal
Sacral Neuromodulation (SN) is a therapy consisting of electrical
stimulation of sacral nerves at S3 level delivered by a cylindrical
electrode connected to a full-implantable neurostimulation device.
SN in adult patients for urinary tract dysfunctions other than
neurogenic modulates cortical and subcortical structures involved
in urination, beside modulating structures with an important role
in awareness of the rate of urination and filling of the bladder.
A possible explanation for SN’s therapeutic effect is due to the
activation and inhibition of supraspinal brain areas by the spinal
cord, which normalizes urinating functions. An important benefit of
SN is that it is a minimally invasive and reversible treatment option,
which includes a test phase before permanent implantation.
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