The role of the carbachol test and concomitant diseases in patients with nonobstructive urinary retention undergoing sacral neuromodulation

The aim of this study was to evaluate the percutaneous nerve evaluation (PNE) test success in patients with nonobstructive urinary retention. A total of 24 PNE tests were performed in patients with nonobstructive urinary retention and in 18 patients, a carbachol test was performed during urodynamics...

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Bibliographic Details
Published in:World journal of urology 2003-05, Vol.20 (6), p.346-349
Main Authors: BROSS, Stephan, BRAUN, Peter M, WEISS, Joachim, MARTINEZ PORTILLO, Francisco J, KNOLL, Thomas, SEIF, Christoph, JUENEMANN, Klaus P, ALKEN, Peter
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Carbachol
Cholinergic Agonists
Diseases of the urinary system
Electric Stimulation
Female
Humans
Lumbosacral Plexus - physiopathology
Male
Medical sciences
Middle Aged
Muscle, Smooth - innervation
Muscle, Smooth - physiopathology
Nervous System Diseases - complications
Nervous System Diseases - diagnosis
Nervous System Diseases - physiopathology
Predictive Value of Tests
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Urinary Bladder - innervation
Urinary Bladder - physiopathology
Urinary Retention - complications
Urinary Retention - diagnosis
Urinary Retention - physiopathology
Urodynamics - physiology
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Description
Summary:The aim of this study was to evaluate the percutaneous nerve evaluation (PNE) test success in patients with nonobstructive urinary retention. A total of 24 PNE tests were performed in patients with nonobstructive urinary retention and in 18 patients, a carbachol test was performed during urodynamics. The diagnosis relating to the acontractile detrusor was also assessed and compared to the outcome of the PNE test. The PNE test was successful in eight of 24 patients (33.3%) with the the highest success rate being observed in patients after hysterectomy (80%). It was successful in five of 12 patients with negative carbachol tests and in three of six patients with positive carbachol tests. We conclude that sacral neuromodulation is an effective treatment option in patients with nonobstructive urinary retention. PNE tests should be performed in all patients with therapy resistant nonobstructive urinary retention, because predictive factors do not exist.
ISSN:0724-4983
1433-8726
DOI:10.1007/s00345-002-0305-0