Original Article

International Urogynecology Journal

, Volume 14, Issue 4, pp 223-228

First online:

Sacral neuromodulation for the treatment of refractory interstitial cystitis: outcomes based on technique

  • Kenneth M. PetersAffiliated withDepartment of Urology, William Beaumont Hospital Email author 
  • , Jeffrey M. CareyAffiliated withDepartment of Urology, William Beaumont Hospital
  • , David B. KonstandtAffiliated withDepartment of Urology, William Beaumont Hospital

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Abstract

Patients with refractory interstitial cystitis (IC) underwent testing with sacral nerve modulation via either a traditional percutaneous approach or a staged procedure. Implanted patients were followed with scaled questionnaires and voiding diaries. Twenty-six patients who had a permanent InterStim placed had a reduction in 24-h voids of 51%. More than two-thirds of patients reported a moderate or marked improvement in urinary frequency, urgency, pelvic pain, pelvic pressure, incontinence and overall quality of life. The test to implant rate of a traditional percutaneous procedure was 52%, compared to a staged procedure of 94%. Assessing sensory response at the time of implant reduced the reoperation rate from 43% to 0%. Ninety-six per cent stated they would undergo an implant again and recommend the therapy to a friend. We concluded that sacral nerve modulation can treat refractory IC symptoms. The response to therapy and the reoperation rate are dependent on the technique used to test and implant the device.

Keywords

Electric stimulation Implant Interstitial cystitis Sacrum Urination disorders