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Efficacy of Electrical Pudendal Nerve Stimulation and Sacral in Treating Non-obstructive Neurogenic Urinary Retention

Recruiting
18 - 85 years of age
Both
Phase N/A

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Overview

To observe the clinical effects and make a comparative study between efficacy of electrical pudendal nerve stimulation (EPNS) and sacral neuromodulation (SNM) , evaluate the advantages of EPNS in the treatment of neurogenic non-obstructive urinary retention, and provide a new method for the treatment of the disease.

Eligibility

Inclusion Criteria:

  • Non-mechanical obstructive urinary retention occurs following relevant neurological system disorders (spinal cord injury, spina bifida,myelitis, cervical/thoracic disk disease, lesion following spinal anesthesia/spine surgery,lumbar/sacral spine intervertebral disc diseases, spinal stenosis, iatrogenic pelvic nerve lesions, sacral agenesis, peripheral neuropathy due to diabetes mellitus).
  • With normal upper urinary tract function.
  • Other therapies and medications potentially affecting the assessment of this therapy have been discontinued for at least two weeks before the interventional procedure.
  • Patient with good compliance who is capable of cooperating with the follow-up requirements

Exclusion Criteria:

  • Patients with any suprapontine and pontine lesions
  • Pregnant or lactating women
  • Individuals whose symptoms show significant improvement after pharmaceutical and adjunctive therapy
  • Individuals with concurrent acute or chronic prostatitis, prostate cancer, or conditions such as bladder neck stenosis, urethral stricture, or urethral injury
  • High pathological risk factors (e.g., lymph node metastasis, resection margin involvement, bulky tumors)
  • Individuals with concomitant obstructive urinary retention

Study details

Urinary Retention

NCT06158074

Shanghai Institute of Acupuncture, Moxibustion and Meridian

30 April 2024

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