Journal article
Sacral Neuromodulation in Diabetic Patients: Success and Complications in the Treatment of Voiding Dysfunction
Neurourology and urodynamics, Vol.29(4), pp.578-581
04/2010
DOI: 10.1002/nau.20791
PMID: 19760757
Abstract
Aims: We compared success rates, subsequent complications, and possible indications for success of sacral neuromodulation (SNM) for urinary voiding dysfunction in diabetic and non-diabetic patients. Methods: Thirty-two diabetic patients (mean age 61.8 years, range 27-83) with urge incontinence, urgency frequency syndrome, and/or urinary retention refractory to non-surgical treatment were retrospectively evaluated along with 211 non-diabetic patients (mean age 54.1 years, range 20-86) with similar symptoms. All patients who experienced >= 50% reduction in urinary symptoms following a 7- to 21-day test period went on to permanent SNM device implantation. Results: No significant difference was found with respect to successful conversion rates from the test period to permanent implantation between diabetic and non-diabetic patients. Long-term success rates at a mean followup of 29.3 months following permanent device implantation for diabetic patients were 69.2% of those with urge incontinence, 85.7% of those with urgency frequency, and 66.7% of those with urinary retention. The non-diabetic cohort had success rates of 67.0% for urge incontinence, 67.8% for urgency/frequency, and 58.2% for urinary retention (P = 0.823, 0.157, and 0.631, respectively). No patient experienced intraoperative complications. Nine of 24 (37.5%) devices were explanted postoperatively in diabetic patients compared with 36 of 141 (25.5%) in non-diabetic patients (P = 0.224). The number of explants due to infection was higher in diabetic patients (16.7%) versus nondiabetic patients (4.3%; P = 0.018). Conclusions: No difference in long-term success rates was seen in diabetic patients when compared with similar, non-diabetic patients. Diabetic patients did, however, have a higher incidence of device explantation due to infection. Neurourol. Urodynam. 29:578-581, 2010. (C) 2010 Wiley-Liss, Inc.
Details
- Title: Subtitle
- Sacral Neuromodulation in Diabetic Patients: Success and Complications in the Treatment of Voiding Dysfunction
- Creators
- David H. Daniels - Univ Iowa, Dept Urol, Iowa City, IA 52242 USACharles R. Powell - University of IowaMatthew R. Braasch - University of IowaKarl J. Kreder - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Neurourology and urodynamics, Vol.29(4), pp.578-581
- Publisher
- Wiley
- DOI
- 10.1002/nau.20791
- PMID
- 19760757
- ISSN
- 0733-2467
- eISSN
- 1520-6777
- Number of pages
- 4
- Language
- English
- Date published
- 04/2010
- Academic Unit
- Obstetrics and Gynecology; Urology
- Record Identifier
- 9984383306502771
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