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Percutaneous Screening Test for Evaluation of Potential Efficacy of Chronic Neurostimulation as a Therapy for Pelvic Floor Dysfunction

IP.com Disclosure Number: IPCOM000006784D
Publication Date: 2002-Jan-31
Document File: 5 page(s) / 28K

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A method for evaluating whether a patient is suited to chronic nerve stimulation as a therapy for pelvic floor disfunction includes acutely stimulating, for instance, the pudendal nerve, while measuring the response to such stimulation. Measurements may include pudendal nerve terminal motor latency, perineal nerve terminal motor latency, other sensory and motor nerve conduction velocity, first sensation of bladder filling, first urge to void, maximum cystometric capacity, and sacral reflexes, such as bulbocavernosus reflex, the urethral-anal reflex, the bladder-anal reflex, and the clitoral-anal reflex. Based on the results of these measurements, patients may be accepted or rejected for chronic pudendal nerve stimulation to treat pelvic floor dysfunction, such as urinary urgency, frequency, urge incontinence, stress incontinence, fecal incontinence, and pelvic pain.