A Single Case Report of Sacral Nerve Stimulation in Neurogenic Bladder Dysfunction: A Physiotherapeutic Perspective

Year : 2025 | Volume : 03 | Issue : 01 | Page : 1 9
    By

    Dimpi Phukan,

  • Deepjyoti Barman,

  • Kangkan Talukdar,

  • Ankur Jyoti Bora,

  1. Master of Physiotherapy Scholar, Department of Physiotherapy, Jorhat Medical College & Hospital, Assam, India
  2. Master of Physiotherapy Scholar, Department of Physiotherapy, Jorhat Medical College & Hospital, Assam, India
  3. Lecturer, Department of Physiotherapy, Jorhat Medical College & Hospital, Assam, India
  4. Senior Physiotherapist Cum Course Coordinator, Department of Physiotherapy, Jorhat Medical College & Hospital, Assam, India

Abstract

Background: This case study evaluates the effectiveness of sacral nerve stimulation (SNS) for improving neurological bladder function in a 34-year-old male patient, who underwent surgical intervention at the level of L4 for Conus Medullaris Syndrome. The patient presented with severe neurological deficits including bladder dysfunction. Method: Post-surgery, a targeted physiotherapy regimen, including faradic current stimulation to the sacral nerves (S2-S4) and conventional exercises was implemented to address bladder function. Pre- and post-intervention evaluations were carried out using Manual Muscle Testing (MMT) and the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF). Result: Notable improvements were seen: MMT scores rose from 0 to 3, and ICIQ-UI SF scores decreased from 20 to 9, indicating the potential effectiveness of SNS in treating neurogenic bladder dysfunction. The p-value was 0.046, which is below 0.05, confirming that the differences in MMT and ICIQ-UI SF scores are statistically significant. Conclusion: SNS demonstrated effectiveness in improving bladder function and quality of life for the patient. These results emphasize the value of incorporating SNS into clinical practice for individuals with neurogenic bladder dysfunction.

Keywords: Sacral nerve stimulation (SNS), electrical muscle stimulator, neurogenic bladder dysfunction, pelvic floor exercises, urinary incontinence, manual muscle testing (MMT), the international consultation on incontinence questionnaire-urinary incontinence short form (ICIQ-UI SF)

[This article belongs to International Journal of Emergency and Trauma Nursing and Practices ]

How to cite this article:
Dimpi Phukan, Deepjyoti Barman, Kangkan Talukdar, Ankur Jyoti Bora. A Single Case Report of Sacral Nerve Stimulation in Neurogenic Bladder Dysfunction: A Physiotherapeutic Perspective. International Journal of Emergency and Trauma Nursing and Practices. 2025; 03(01):1-9.
How to cite this URL:
Dimpi Phukan, Deepjyoti Barman, Kangkan Talukdar, Ankur Jyoti Bora. A Single Case Report of Sacral Nerve Stimulation in Neurogenic Bladder Dysfunction: A Physiotherapeutic Perspective. International Journal of Emergency and Trauma Nursing and Practices. 2025; 03(01):1-9. Available from: https://journals.stmjournals.com/ijetnp/article=2025/view=222139


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Regular Issue Subscription Original Research
Volume 03
Issue 01
Received 05/12/2024
Accepted 10/12/2024
Published 05/08/2025
Publication Time 243 Days
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