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Time of Effect Onset in Treating Overactive Bladder or Non Obstructive Urinary Retention by Sacral Neuromodulation

Time of Onset and Time of Offset of Sacral Neuromodulation Effect - Wash in - Wash Out

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02040519
Enrollment
45
Registered
2014-01-20
Start date
2014-01-31
Completion date
2017-02-06
Last updated
2017-04-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Non Obstructive Urinary Retention, Overactive Bladder

Keywords

Overactive bladder, Non obstructive urinary retention, Sacral neuromodulation

Brief summary

Sacral neuromodulation (SNM) is a minimally invasive secondary treatment for overactive bladder syndrome (OAB) or for non-obstructive urinary retention (NOR), when refractory to conservative treatment. Success rates range from 70 to 80%, and good long-term results are reported. The working mechanism of SNM is not completely understood, and the only prognostic factor for good response to this treatment is a successful test stimulation period. There is no consensus on the duration of this test stimulation period. The experience in our clinic during test stimulation period is that for responders it takes up to one week to achieve maximal effect, after the system is turned 'on'. On the other hand the investigators notice that after turning the neuromodulation system 'off', it will take a few hours for symptoms to return to the baseline situation. The fact is: no information concerning the so called time of onset and time of offset (or popular called: wash-in / wash-out) of sacral neuromodulation is available in current literature.

Interventions

BEHAVIORALFilling out voiding diaries.

Sponsors

Maastricht University Medical Center
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No

Inclusion criteria

* In order to be eligible to participate in this study, a subject must meet all of the following criteria: Patients should have been diagnosed with overactive bladder syndrome and should be put on the waiting list for scheduling treatment with sacral neuromodulation.

Exclusion criteria

A potential subject who meets any of the following criteria will be excluded from participation in this study: * patients receiving neurological or psychiatric medication without being diagnosed with a neurological or psychiatric disease * patients who have been treated by means of bladder wall botulin toxin injections in the previous year * patients with evident subsequent complaints of bladder pain syndrome or other pelvic pain

Design outcomes

Primary

MeasureTime frame
Time of onset of effect of treatment with sacral neuromodulation28 days

Countries

Netherlands

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026