Sacral nerve root neuromodulation: an effective treatment for refractory urge incontinence

The Journal of Urology
H S Shaker, M Hassouna

Abstract

Sacral foramina implants have been recognized recently as a method for treatment of refractory urinary urge incontinence. We study the outcome of the procedure with in-depth analysis of the results of 18 implanted cases. Patients with urinary urge incontinence were subjected to percutaneous nerve evaluation of the S3 roots as a temporary screening test to determine response to neuromodulation. Satisfactory responders were implanted with permanent sacral root neuroprosthesis. The study design included comprehensive voiding diaries for 4 consecutive days twice as a baseline, 1 with percutaneous nerve evaluation screening, 1 after the percutaneous nerve evaluation, 1 at the 1, 3 and 6 post-implantation visits, and every 6 months thereafter. Uroflowmetry and quality of life questionnaires were performed at the same intervals. Urodynamic study was done as a baseline and 6 months after implantation of the neuroprosthesis. All 18 patients (16 women and 2 men) with refractory urge incontinence received a sacral foramina neuroprosthesis after demonstrating a good response to the percutaneous nerve evaluation. Average patient age at presentation was 42.3+/-3.3 years (range 22 to 67) and duration of urinary symptoms was 6.6+/-1.3 years (r...Continue Reading

References

Sep 1, 1992·The Clinical Journal of Pain·P R Wilson
May 1, 1992·The Journal of Urology·E S van Waalwijk van DoornR A Janknegt
Jan 1, 1992·Urology·M E Mayo, M P Chetner
Jan 11, 1992·The Journal of Urology·J S WheelerP J Zaszczurynski
Aug 1, 1990·British Journal of Pharmacology·J NichollsI Kitchen
Jan 1, 1989·Scandinavian Journal of Urology and Nephrology·J Miskowiak, M Honnens de Lichtenberg
Nov 19, 1965·Science·R Melzack, P D Wall
Dec 1, 1994·The Journal of Urology·A A ElabbadyM M Elhilali

❮ Previous
Next ❯

Citations

Jul 21, 2010·International Urogynecology Journal·Tilemachos KavvadiasBernhard Schuessler
Sep 10, 2011·International Urogynecology Journal·Bradley C GillSandip P Vasavada
Jan 25, 2012·International Urogynecology Journal·Tilemachos KavvadiasBernhard Schuessler
Mar 20, 2012·International Urogynecology Journal·Ash K MongaJeyakumar Subbaroyan
Jun 27, 2002·Current Urology Reports·E S Rovner
Nov 29, 2007·Current Urology Reports·Sandip P VasavadaRaymond R Rackley
Feb 5, 2003·European Urology·Michael R van BalkenBart L H Bemelmans
Oct 27, 2001·BJU International·T J GreenwellA R Mundy
Jan 1, 2000·Neuromodulation : Journal of the International Neuromodulation Society·M B Chancellor, E J Chartier-Kastler
Oct 20, 1999·Current Opinion in Obstetrics & Gynecology·J Sullivan, P Abrams
Oct 20, 1999·Current Opinion in Obstetrics & Gynecology·K Yasuda, T Yamanishi
Oct 29, 2002·Current Opinion in Obstetrics & Gynecology·Paul D M PettitAnita H Chen
Aug 19, 2000·Clinical Obstetrics and Gynecology·J A Costa, K J Kreder
Feb 28, 2002·Clinical Obstetrics and Gynecology·Robert M Moldwin, Grannum R Sant
Jul 1, 2005·Neuromodulation : Journal of the International Neuromodulation Society·A C van VoskuilenE V A van Kerrebroeck
Apr 1, 2006·Neuromodulation : Journal of the International Neuromodulation Society·Floor van der PalBart L H Bemelmans
Oct 1, 2007·Neuromodulation : Journal of the International Neuromodulation Society·Pieter M GroenendijkUbi van den Hombergh
Aug 23, 2011·Neuromodulation : Journal of the International Neuromodulation Society·Bradley C GillSandip P Vasavada
May 18, 2005·Urologia Internationalis·Kadir BaykalDogan Erden
Dec 10, 2013·BMC Urology·Xin SuDwight E Nelson
Mar 8, 2007·Neurosurgical Focus·Raqeeb Haque, Christopher J Winfree
Apr 17, 2002·BJU International·M HohenfellnerJ W Thüroff
Mar 2, 2010·Women's Health·Monika VijLinda Cardozo
Oct 31, 2015·Neuromodulation : Journal of the International Neuromodulation Society·Xin SuDwight E Nelson
Apr 21, 2004·Neurourology and Urodynamics·Vera VandoninckBart L H Bemelmans
Mar 11, 2011·Revista da Associação Médica Brasileira·Gisela Rosa FrancoRodrigo Aquino Castro
Jan 21, 2011·The Journal of Urology·Tom A T MarcelissenStefan G G De Wachter
Sep 18, 2007·The Journal of Urology·Philip E V van KerrebroeckUbi van den Hombergh
Oct 3, 2006·The Urologic Clinics of North America·Wendy W Leng, Shelby N Morrisroe
Jun 26, 2004·BJU International·Jimao Zhao, Jørgen Nordling
May 17, 2005·BJU International·Jae Wook KimSang Won Han
Apr 1, 2004·Neuromodulation : Journal of the International Neuromodulation Society·Christoph SeifPeter-Martin Braun
Sep 12, 2008·Neurourology and Urodynamics·Jean-Rodolphe VignesKlaus Petry

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