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Neurogenic BladderNCT07505940

Bilateral Comparison of Unilateral Sacral Neuromodulation Test Stimulation in the Treatment of Neurogenic Bladder

A study testing bilateral sacral nerve stimulation (BNS) in people with Neurogenic Bladder, run by Qilu Hospital of Shandong University at 1 site in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

Neurogenic bladder (NB) is a general term for a series of lower urinary tract symptoms and complications caused by bladder and/or urethral dysfunction caused by nervous system lesions. Read more about this study

Who is it for?
Ages 16 years and older
Conditions the study is for
Neurogenic Bladder
What is being tested?
bilateral sacral nerve stimulation (BNS)
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
29 participants
Where
1 siteChina
Study dates
31 Mar 2026to 1 Mar 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 16 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • age ≥16 years old;
  • The nerve injury was incomplete injury below grade B, which was diagnosed as neurogenic bladder;
  • Overactive bladder with and/or low compliance bladder (overactive bladder was defined as detrusor contraction during filling, increased intravesical pressure, and early emptying before maximum bladder capacity was reached; Low compliance bladder was defined as loss of the ability to relax during bladder filling, progressive increase of bladder pressure, early emptying of bladder pressure increased, ≤20ml/cmH20).
  • Intermittent catheterization (CIC) can be performed by themselves or CIC can be performed by nursing staff;
  • the patient's physical condition is stable and can be discharged for treatment;
  • Participants voluntarily participated in the clinical study, and they provided written informed consent before the study began

Who cannot join

  • Patients can not perform intermittent catheterization (CIC) by themselves and there is no nursing staff to perform CIC;
  • a history of progressive neurological disorders;
  • abnormal autonomic reflexes;
  • pregnant, lactating women, women of childbearing age who plan to become pregnant during the study period, or who do not use safe contraception;
  • patients with mental and cognitive impairment who are unable to cooperate with surgery and programming;
  • patients have coagulopathy or need anticoagulant therapy and cannot stop the treatment;
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  • any serious complications or illnesses that may prevent the patient from participating in or increase the patient's risk of undergoing a surgical procedure;
  • Participants who participated in other clinical trials within 3 months before screening, which may have affected the study results;
  • other conditions considered by the investigator to be inappropriate for study participation.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Yan Li, Doctor contact

18560089113

yanli@sdu.edu.cn

China1 site
  • Qilu Hospital of Shandong University

    Jinan, Shandong

    Yan Li, Doctor, 18560089113, yanli@sdu.edu.cn

Other trials in China

About this study

Official title: Bilateral Comparison of Unilateral Sacral Neuromodulation Test Stimulation in the Treatment of Neurogenic Bladder: A Prospective, Randomized Controlled Study

Neurogenic bladder (NB) is a general term for a series of lower urinary tract symptoms and complications caused by bladder and/or urethral dysfunction caused by nervous system lesions. Neurogenic bladder brings physical and psychological pain to patients, affects interpersonal relationships, and seriously reduces the quality of life of patients.

Sacral neuromodulation (SNM) is an effective method for the treatment of refractory lower urinary tract dysfunction. A previous study analyzed bilateral peripheral nerve evaluation (PNE) in 62 patients with idiopathic and neurogenic bladder. The results of this clinical study showed that 51.6% of the patients (32 cases) achieved symptomatic improvement. Although a prospective controlled study was not performed, the authors suggest that bilateral treatment may improve symptoms in patients with idiopathic and neurogenic bladder compared with unilateral treatment, compared with remission rates in other previous clinical studies.

At present, there are few reports on the application of bilateral sacral neuromodulation stimulation in the treatment of voiding dysfunction, and it is still controversial whether the efficacy of bilateral stimulation is better than unilateral stimulation. Therefore, we intend to conduct a prospective, randomized controlled trial to evaluate the efficacy and safety of bilateral sacral neuromodulation test stimulation in the treatment of neurogenic lower urinary tract dysfunction.

Read the detailed description

A preoperative voiding diary (including daily voiding frequency, secondary voiding volume, urgency score, and daily urinary incontinence episodes) and urodynamic findings were recorded as baseline reference. Participants underwent bilateral sacral nerve stimulation (BNS) and were randomly assigned to either group A or group B (1:1). In group A, unilateral stimulation was performed followed by bilateral stimulation, and in group B, bilateral stimulation was performed followed by unilateral stimulation. Voiding diary and urodynamic examination results were recorded during the whole test treatment period, and the improvement of voiding symptoms (frequency, urgency, urge urinary incontinence, etc.) was analyzed during each stimulation period.

Baseline data of all study participants were collected at the time of enrollment:

  1. basic information of patients, including age, gender, history of smoking and alcohol, spinal cord lesions, lower urinary tract dysfunction symptoms, and medication history;
  2. Standardized 72-hour voiding diary, including catheterization time, fluid intake and time, incontinence time and 24-hour pad weight test;
  3. Standardized 72-hour defecation diary, indicating stool characteristics and incontinence time;
  4. list of currently used drugs;
  5. Neurogenic bladder symptom score (NBSS);
  6. The 12-item short form Health Survey (SF-12);
  7. neurogenic bowel dysfunction score (NBDS);
  8. Visual Analogue Scale (VAS score);
  9. urinary ultrasound;
  10. baseline urodynamic examination;
  11. Renal function test. Follow-up or repeat visits occurred 7, 16, and 25 days after enrollment. (1) A standardized 72-hour voiding diary was collected at each visit, indicating the time of catheter insertion, fluid intake and timing, incontinence duration, and 24-hour pad weight test; (2) Standardized 72-hour defecation diary, indicating stool characteristics and incontinence time; (3) list of currently used drugs; (4) Neurogenic bladder symptom score (NBSS); (5) The 12-item short form health Survey (SF-12); (6) Neurogenic bowel dysfunction score (NBDS); (7) Visual Analogue Scale (VAS score); (8) Urinary tract infection and adverse events. Participants were followed up at 12 months for ultrasound, urodynamic studies, and/or renal function tests.
Being tested
bilateral sacral nerve stimulation (BNS)
Keywords
neurogenic bladder, sacral neuromodulation
Medical subject headings
Urinary Bladder, Neurogenic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • bilateral sacral nerve stimulation (BNS)Device

    Participants underwent bilateral sacral nerve stimulation (BNS) and were randomly assigned to either group A or group B (1:1). In group A, unilateral stimulation was performed followed by bilateral stimulation, and in group B, bilateral stimulation was performed followed by unilateral stimulation.

Study groups in NCT07505940
Study groupRoleWhat they receive
Unilateral-Bilateral (A)ExperimentalParticipants underwent bilateral sacral nerve stimulation (BNS) and were randomly assigned to either group A or group B (1:1). In group A, unilateral stimulation was performed followed by bilateral stimulation.
Receives: Device: bilateral sacral nerve stimulation (BNS)
Bilateral-Unilateral (B)ExperimentalParticipants underwent bilateral sacral nerve stimulation (BNS) and were randomly assigned to either group A or group B (1:1). In group B, bilateral stimulation was performed followed by unilateral stimulation.
Receives: Device: bilateral sacral nerve stimulation (BNS)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Standardized 72-hour voiding diary

    Standardized 72-hour voiding diary, record the frequency of daily urination and incontinence over a period of three days

    Measured: From enrollment to the end of treatment at 4 weeks

  2. Standardized 72-hour voiding diary

    Standardized 72-hour voiding diary, record the volume of each urination and catheterization (ml) within three days

    Measured: From enrollment to the end of treatment at 4 weeks

Secondary outcomes (6)
  1. Standardized 72-hour defecation diary

    Standardized 72-hour defecation diary, indicating stool characteristics and incontinence time

    Measured: From enrollment to the end of treatment at 4 weeks

  2. Neurogenic bladder symptom score (NBSS)

    Neurogenic bladder symptom score (NBSS):The NBSS included 3 dimensions: urinary incontinence (8 items), urine storage and voiding (7 items), and outcome (7 items), with a total of 24 items. There were two unscored items, the first item was classified according to the patient's bladder management method, and the last item was the patient's overall quality of life evaluation. To assess patient voiding patterns and quality of life. Each item was scored 0-3 points or 0-4 points. The total score on the scale is 74, with higher scores indicating more pronounced neurogenic bladder symptoms.

    Measured: From enrollment to the end of treatment at 4 weeks

  3. The 12-item short form health Survey (SF-12)

    SF-12 is a simplified health-related quality of life assessment tool derived from SF-36. It contains 12 items and assesses the quality of life in 8 dimensions from two aspects: physical health (PCS) and mental health (MCS).

    Dimension score calculation: A specific algorithm was used to convert the original scores of 12 items into scores of 8 domains, including general health, physical functioning, role physical, bodily pain, vitality, social functioning, role emotional and mental health. Scores for each domain typically range from 0 to 100, with higher scores indicating better health status in that domain.

    Measured: From enrollment to the end of treatment at 4 weeks

  4. Neurogenic bowel dysfunction score (NBDS)

    Neurogenic bowel dysfunction score (NBDS):

    The NBDS, which assesses both constipation and fecal incontinence symptoms, was used to assess the severity of clinical colorectal dysfunction in patients with spinal cord injury, with total scores ranging from 0 to 47, with higher scores indicating more severe bowel symptoms. The severity of NBD was classified into four grades based on the NBD score: very mild (0-6), mild (7-9), moderate (10-13), and severe (14 and above).

    Measured: From enrollment to the end of treatment at 4 weeks

  5. VAS score

    VAS score:The visual analogue scale (VAS) is a clinical assessment tool that quantizes pain intensity using a linear scale about 10 cm long, with two ends of the scale marked "0" (no pain) and "10" (severe pain).

    Measured: From enrollment to the end of treatment at 4 weeks

  6. Urinary tract infection and adverse events

    Urinary tract infection and adverse events:Participants were followed up at 12 months for ultrasound, urodynamic studies, and/or renal function tests.

    Measured: From enrollment to the end of treatment at 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Apr 2026
  2. Study start31 Mar 2026 (estimated)
  3. Primary completion1 Mar 2027 (estimated)
  4. Study completion1 Mar 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
29 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07505940
Sponsor's protocol ID
KYLL-202504-002
Status last verified
Mar 2026
First submitted
27 Nov 2025
Last updated
1 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Kessler TM, La Framboise D, Trelle S, Fowler CJ, Kiss G, Pannek J, Schurch B, Sievert KD, Engeler DS. Sacral neuromodulation for neurogenic lower urinary tract dysfunction: systematic review and meta-analysis. Eur Urol. 2010 Dec;58(6):865-74. doi: 10.1016/j.eururo.2010.09.024. Epub 2010 Oct 1.

    PubMed 20934242
  • Kim JH, Ahn SH, Cho YW, Kwak SG, Kim HS. Short-Term Effect of Percutaneous Bipolar Continuous Radiofrequency on Sacral Nerves in Patients Treated for Neurogenic Detrusor Overactivity After Spinal Cord Injury: A Randomized Controlled Feasibility Study. Ann Rehabil Med. 2015 Oct;39(5):718-25. doi: 10.5535/arm.2015.39.5.718. Epub 2015 Oct 26.

    PubMed 26605169
  • Chen G, Liao L, Wang Y, Ying X. Urodynamic findings during the filling phase in neurogenic bladder patients with or without vesicoureteral reflux who have undergone sacral neuromodulation. Neurourol Urodyn. 2020 Jun;39(5):1410-1416. doi: 10.1002/nau.24354. Epub 2020 Apr 13.

    PubMed 32282088
  • Wollner J, Krebs J, Pannek J. Sacral neuromodulation in patients with neurogenic lower urinary tract dysfunction. Spinal Cord. 2016 Feb;54(2):137-40. doi: 10.1038/sc.2015.124. Epub 2015 Jul 28.

    PubMed 26215913
  • Agnello M, Vottero M, Bertapelle P. Sacral neuromodulation to treat voiding dysfunction in patients with previous pelvic surgery for deep infiltrating endometriosis: our centre's experience. Int Urogynecol J. 2021 Jun;32(6):1499-1504. doi: 10.1007/s00192-020-04478-z. Epub 2020 Aug 15.

    PubMed 32803341

Questions about this trial

What is this clinical trial studying?

A study testing bilateral sacral nerve stimulation (BNS) in people with Neurogenic Bladder, run by Qilu Hospital of Shandong University at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 1 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Yan Li, Doctor (18560089113, yanli@sdu.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Standardized 72-hour voiding diary (time frame: From enrollment to the end of treatment at 4 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07505940, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Apr 2026.

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