Urological Clinical Solutions

Sierra Summit EDX Applications in Urology

Surface EMG and NCS

EMG and NCS with surface electrodes are helpful in the diagnoses of urological syndromes and in biofeedback studies. They don’t require needle precision and are available as skin surface and disposable or reusable ring electrodes.

Needle EMG

Needle EMG can help diagnose neuropathy or myopathy with motor unit action potentials (MUAPs). Concentric needles and single-fiber EMG needles are used in pelvic floor neuropathy electrodiagnosis.

NCS

Sensory or motor NCS may be recorded directly from a nerve or from an innervated muscle. Injury to the pudendal nerve is a significant factor in urinary incontinence, and can be assessed with NCS.

EPs

Evoked Potentials from the spine can also help evaluate peripheral and central nervous system transmission. Absent responses may be indicative of injury or lipoma.

NMUS

Neuromuscular ultrasound shows the structure and vascularity of internal organs and soft tissues, allows targeted needle guidance, and can be used to identify focal and systemic diseases. Ultrasound guidance during urological needle procedures helps ensure the path of the needle is clear. Needle guidance is beneficial during pudendal nerve blocks to alleviate the pain of pudendal neuralgia, and during injections of botulinum toxin into the bladder muscle as a treatment option for neurogenic bladder.

IONM

Patients undergoing surgery may have electrodiagnostic studies as a precursor to surgery. Surgical monitoring with needle EMG may help identify vital musculature during pelvic floor surgery (See Cascade IONM for surgical monitoring solutions).