Featured Research

from universities, journals, and other organizations

Stimulator device offers treatment option for children with incontinence

Date:
January 23, 2013
Source:
Nationwide Children's Hospital
Summary:
Incontinence is typically a condition associated with adults; however, many children also struggle with incontinence – bladder, bowel or both. In order to help these children, doctors have turned to a device, typically used in adult patients, to help manage children with chronic incontinence.

Incontinence is typically a condition associated with adults; however, many children also struggle with incontinence -- bladder, bowel or both. In order to help these children, doctors at Nationwide Children's Hospital have turned to a device, typically used in adult patients, to help manage children with chronic incontinence.

The sacral nerve stimulator is a surgically implanted device that helps regulate the bowel muscles and/or urethral (bladder) sphincter to control fecal and urine flow. The implantation of the device and ongoing medical management address the communication problem between the brain and the nerves that control bowel and bladder function; if the nerves are not communicating properly, the muscles may not function properly which leads to control problems. The technique of sacral neuromodulation is based on mild electrical pulses sent through a small wire (attached to an electrical device) to the pelvic nerves which should stimulate the muscles that are not functioning properly.

Sacral nerve stimulation is a promising new therapeutic modality for children with incontinence. The two-stage procedure involves a test phase followed by permanent implantation of the electrical stimulator if the patient shows significant improvement in fecal and/or urinary incontinence during test simulation. The device is used as a last resort if the patient has tried other treatments such as medications and behavioral therapy. In addition to the surgical implantation, Nationwide Children's provides medical management from an integrated team of specialists, including pediatric urologists, pediatric gastroenterologists and pediatric surgeons with unique expertise with complex motility disorders. While a few other children's hospitals in the United States offer sacral neuromodulation based on subjective criteria and clinical symptoms, Nationwide Children's is one of the first institutions to structure this therapy by evaluating objective bladder and bowel function studies before and after the procedure to assess treatment response.

Steven Teich, MD, surgeon at Nationwide Children's Hospital, is leading the surgical efforts for the sacral nerve stimulator at Nationwide Children's and is also an expert in the field of surgical neurostimulator therapies. "The stimulator is surgically implanted under the skin and is connected to two electrodes placed near the tailbone," said Teich, also an associate professor of Clinical Surgery at The Ohio State University College of Medicine. "This device tells the muscles when to contract, ultimately helping control the ability to urinate or have a bowel movement."

Dr. Teich is working closely on this endeavor with his colleagues in the Division of Pediatric Urology at Nationwide Children's, including Seth Alpert, MD, attending pediatric urologist and clinical assistant professor of Urology at The Ohio State University College of Medicine. "We see and treat many children with urinary incontinence, but most will respond to medication and/or behavioral modification," said Dr. Alpert. "However, a small number of children with incontinence who are refractory to these standard modalities may benefit from sacral neuromodulation and we are pleased to be able to offer help with these challenging and difficult cases."

Pacemakers, or stimulators, have been used for years in adults with incontinence problems. While this is a new procedure in children and adolescents, doctors at Nationwide Children's say the early results are promising having implanted four devices to date.

"We are excited to offer this technology and advanced therapy option to children who are suffering from chronic incontinence," said Carlo Di Lorenzo, MD, chief of Gastroenterology, Hepatology and Nutrition at Nationwide Children's Hospital and professor of Clinical Pediatrics at The Ohio State University College of Medicine. "This therapy is a promising treatment option for children who have not had success with medications and behavioral therapy."


Story Source:

The above story is based on materials provided by Nationwide Children's Hospital. Note: Materials may be edited for content and length.


Cite This Page:

Nationwide Children's Hospital. "Stimulator device offers treatment option for children with incontinence." ScienceDaily. ScienceDaily, 23 January 2013. <www.sciencedaily.com/releases/2013/01/130123093727.htm>.
Nationwide Children's Hospital. (2013, January 23). Stimulator device offers treatment option for children with incontinence. ScienceDaily. Retrieved April 18, 2014 from www.sciencedaily.com/releases/2013/01/130123093727.htm
Nationwide Children's Hospital. "Stimulator device offers treatment option for children with incontinence." ScienceDaily. www.sciencedaily.com/releases/2013/01/130123093727.htm (accessed April 18, 2014).

Share This



More Health & Medicine News

Friday, April 18, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

'Holy Grail' Of Weight Loss? New Find Could Be It

'Holy Grail' Of Weight Loss? New Find Could Be It

Newsy (Apr. 18, 2014) In a potential breakthrough for future obesity treatments, scientists have used MRI scans to pinpoint brown fat in a living adult for the first time. Video provided by Newsy
Powered by NewsLook.com
Little Progress Made In Fighting Food Poisoning, CDC Says

Little Progress Made In Fighting Food Poisoning, CDC Says

Newsy (Apr. 18, 2014) A new report shows rates of two foodborne infections increased in the U.S. in recent years, while salmonella actually dropped 9 percent. Video provided by Newsy
Powered by NewsLook.com
Scientists Create Stem Cells From Adult Skin Cells

Scientists Create Stem Cells From Adult Skin Cells

Newsy (Apr. 17, 2014) The breakthrough could mean a cure for some serious diseases and even the possibility of human cloning, but it's all still a way off. Video provided by Newsy
Powered by NewsLook.com
Obama: 8 Million Healthcare Signups

Obama: 8 Million Healthcare Signups

AP (Apr. 17, 2014) President Barack Obama gave a briefing Thursday announcing 8 million people have signed up under the Affordable Care Act. He blasted continued Republican efforts to repeal the law. (April 17) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins