[Interest of transcranial stimulation in pelvic and perineal disorders].

Affiliation

GREEN GRC-01 UPMC (group of clinical research in neuro-urology), Sorbonne university, 75005 Paris, France; Department of neuro-urology, Tenon hospital, AP-HP, 4, rue de la Chine, 75020 Paris, France. Electronic address: [Email]

Abstract

OBJECTIVE : The aim of this article was to describe the diagnostic and therapeutic value of transcranial stimulation in pelvic and perineal disorders.
METHODS : A literature review (Medline database and Google scholar) with no time limit was performed using keywords: "transcranial direct stimulation", "transcranial magnetic stimulation", "neurogenic bladder", "urinary incontinence", "Parkinson disease", "multiple sclerosis", "stroke", "muscle spasticity", "pelvic pain", "visceral pain".
RESULTS : Twelve articles have been selected. Transcranial magnetic or electrical stimulation is a noninvasive neuromodulation technique widely used to establish brain maps to highlight causal relationships between brain and function. Regarding pelvic-perineal disorders, repeated transcranial stimulation has shown significant effects for the treatment of overactive bladder in Parkinson's disease (P<0.05) and multiple sclerosis, but also for the treatment of refractory chronic pelvic pain (P=0.026). Finally, therapeutic effects have also been demonstrated in irritable bowel syndrome. No evidence of efficacy was found on genito-sexual disorders.
CONCLUSIONS : Data from the literature suggest that transcranial stimulation is a noninvasive treatment that may have a role in the management of pelvic and perineal disorders. Its promising field of action would require prospective and randomized studies on a larger scale.

Keywords

Accident vasculaire cérébral,Douleur pelvienne,Douleur viscérale,Incontinence urinaire,Maladie de Parkinson,Multiple sclerosis,Muscle spasticity,Neurogenic bladder,Parkinson disease,Pelvic pain,Sclérose en plaques,Spasticité,Stimulation magnétique transcranienne,Stimulation électrique transcranienne directe,Stroke,Transcranial direct stimulation,Transcranial magnetic stimulation,Urinary incontinence,Vessie neurologique,Visceral pain,