Journal article
Efficacy of sacral neuromodulation for symptomatic treatment of refractory urinary urge incontinence
Urology (Ridgewood, N.J.), Vol.67(3), pp.550-554
03/01/2006
DOI: 10.1016/j.urology.2005.09.066
PMID: 16527577
Abstract
Objectives. To determine the efficacy and complications of sacral neuromodulation as therapy for refractory urinary urge incontinence. Methods. Forty-one patients (mean age 54.3 ± 15.8 years) with urge incontinence refractory to conservative therapy (ie, pharmacologic, behavioral, biofeedback therapy) were retrospectively evaluated. The patients included those who received permanent one-staged or two-staged InterStim implants. Surgical implantation of the InterStim was performed in patients who experienced a greater than 50% reduction in urge incontinence symptoms, as documented by voiding diaries during a 3 to 7-day test stimulation period. Results. Ninety percent of patients had 50% or greater improvement in presenting symptoms and quality-of-life parameters after InterStim implantation, with a median follow-up of 12 months (interquartile range 12 to 26.5) for single-stage and 4.5 months (interquartile range 1.5 to 12) for staged implants (P = 0.0003 Wilcoxon rank-sum test). Patients with urge incontinence had a significant reduction in mean leaking episodes (from 8.8 to 2.3 per day, P = 0.0001), with a significant decrease in the mean number of pads used (from 4.7 to 0.82 per day, P [removed]
Details
- Title: Subtitle
- Efficacy of sacral neuromodulation for symptomatic treatment of refractory urinary urge incontinence
- Creators
- Jerilyn M Latini - University of IowaMohammad Alipour - Department of Urology, University of Iowa, Iowa City, Iowa, United StatesKarl J Kreder - University of IowaFirouz Daneshgari - Cleveland Clinic
- Resource Type
- Journal article
- Publication Details
- Urology (Ridgewood, N.J.), Vol.67(3), pp.550-554
- Publisher
- Elsevier Science
- DOI
- 10.1016/j.urology.2005.09.066
- PMID
- 16527577
- ISSN
- 0090-4295
- eISSN
- 1527-9995
- Language
- English
- Date published
- 03/01/2006
- Academic Unit
- Obstetrics and Gynecology; Urology
- Record Identifier
- 9984383289402771
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