Malladi, P;
Simeoni, S;
Panicker, JN;
(2020)
The Role of Pelvic Neurophysiology Testing in the Assessment of Patients with Voiding Dysfunction.
Current Bladder Dysfunction Reports
, 15
(4)
pp. 229-239.
10.1007/s11884-020-00613-0.
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Abstract
PURPOSE OF REVIEW: The role of pelvic neurophysiology testing in the evaluation of patients with lower urinary tract (LUT) symptoms is explored in this review. RECENT FINDINGS: Different neurophysiology tests such as sphincter EMG and pudendal somatosensory evoked potentials are useful in evaluating the sacral somatic afferent and efferent innervation. S2 and S3 dermatomal evoked potentials assess individual sacral roots and are feasible to perform using standard neurophysiology machines. SUMMARY: The innervation of the LUT has a substantial contribution from splanchnic and somatic nerves arising from the sacral segments. Pelvic neurophysiology tests, which assess somatic nerve functions, are therefore a useful tool in assessing sacral nerve functions in patients presenting with unexplained voiding dysfunction. In this review, the commonly performed neurophysiology studies that assess the S2, S3 and S4 sacral afferent and efferent pathways are outlined, and their clinical applications reviewed.
| Type: | Article |
|---|---|
| Title: | The Role of Pelvic Neurophysiology Testing in the Assessment of Patients with Voiding Dysfunction |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1007/s11884-020-00613-0 |
| Publisher version: | https://doi.org/10.1007/s11884-020-00613-0 |
| Language: | English |
| Additional information: | This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
| Keywords: | Pelvic neurophysiology, Dermatomal evoked potentials, Sacral reflex, Pudendal, Sphincter EMG, Lower urinary tract (LUT) |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10127139 |
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