Sacral Neuromodulation for Neurogenic Lower Urinary Tract, Bowel and Sexual Dysfunction

This study is testing whether a treatment called sacral neuromodulation (SNM) — a small implanted device that sends gentle electrical signals to nerves in the lower spine — can improve bladder, bowel, and sexual function in people with neurological conditions (such as multiple sclerosis or spinal cord injury). **You may be eligible if...** - You have neurogenic bladder dysfunction (bladder problems caused by a neurological condition) that has not responded to medications - Your condition is relatively stable (disability score below 5 on the EDSS scale, no progression in the past 6 months) - You are unhappy with your current treatment (satisfaction score below 50 out of 100) - You are willing to try neuromodulation therapy **You may NOT be eligible if...** - Your neurological disability is severe (EDSS above 5) - Your neurological condition is currently worsening or progressing - You have already tried and benefited from current drug treatments Talk to your doctor to see if this trial is right for you.