The role of neuromodulation in the management of urinary urge incontinence

被引:38
作者
Abrams, P [1 ]
Blaivas, JG
Fowler, CJ
Fourcroy, JL
Macdiarmid, SA
Siegel, SW
Van Kerrebroeck, P
机构
[1] Southmead Gen Hosp, Bristol Urol Inst, Bristol, Avon, England
[2] Uroctr New York, New York, NY USA
[3] UCL Natl Hosp Neurol & Neurosurg, Dept Uroneurol, London WC1N 3BG, England
[4] US FDA, Off Hlth Affairs, Bethesda, MD 20014 USA
[5] Univ Tennessee, Dept Urol, Memphis, TN USA
[6] Metropolitan Urol Specialists, Ctr Continence Care, St Paul, MN USA
[7] Univ Hosp Maastricht, Dept Urol, Maastricht, Netherlands
关键词
urinary urge incontinence; neuromodulation; neurourology; outcome;
D O I
10.1046/j.1464-410X.2003.04105.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE To examine the benefit-risk profile of neuromodulation in treating refractory urinary urge incontinence and other voiding disorders. PATIENTS AND METHODS The outcome measures from all patients in pivotal clinical trials who had undergone sacral nerve stimulation were analysed retrospectively. RESULTS Neuromodulation was effective in several clinical studies; the response is durable and the benefit-risk profile good. CONCLUSION Sacral nerve stimulation is becoming the standard of care for refractory overactive bladder and retention problems. The potential benefit of neuromodulation should be included in female urology and gynaecology training programmes.
引用
收藏
页码:355 / 359
页数:5
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