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Neuromodulation and Surgical Approaches

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Overactive Bladder in Clinical Practice

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Abstract

Surgery remains the last resort in the management of overactive bladder (OAB) resulting from detrusor overactivity because of its associated risks and complications, including retention and the consequences of incorporating bowel segments into the urinary tract (ie, production of mucus, electrolyte imbalance, and potential for malignant change). Careful evaluation and specialist assessment, including urodynamic evaluation, is required before surgical intervention. Surgical management is reserved for severe cases of urgency incontinence that are refractory to conservative treatment.

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Authors and Affiliations

  1. Division of Urology, University of Pennsylvania Health System, Philadelphia, USA

    Alan J. Wein

  2. Department of Urology, Royal Hallamshire Hospital, Sheffield, UK

    Christopher Chapple

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  1. Alan J. Wein
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  2. Christopher Chapple
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© 2012 Springer-Verlag London Limited

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Wein, A.J., Chapple, C. (2012). Neuromodulation and Surgical Approaches. In: Overactive Bladder in Clinical Practice. Springer, London. https://doi.org/10.1007/978-1-84628-831-9_7

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  • DOI: https://doi.org/10.1007/978-1-84628-831-9_7

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84628-830-2

  • Online ISBN: 978-1-84628-831-9

  • eBook Packages: MedicineMedicine (R0)

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