Female Pelvic Reconstructive Surgery pp 315-320 | Cite as
Neuromodulation for Idiopathic Detrusor Instability and Urge Incontinence
Chapter
Abstract
Most patients presenting with idiopathic bladder instability and urge incontinence are managed by conservative therapy with anticholinergic medication, biofeedback, bladder retraining, and pelvic floor exercises. Bladder instability has a significant impact on the patient’s quality of life, and the success rate of conservative therapy has been poor. It has been estimated that 62.5% of surveyed patients with urge incontinence were “not satisfied” with currently available treatments.1, 2
Keywords
Urge Incontinence Sacral Nerve Stimulation Detrusor Instability Lower Urinary Tract Dysfunction Sacral Neuromodulation
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
Preview
Unable to display preview. Download preview PDF.
Reference
- 1.Schmidt R, Jonas U, Oleson K et al. (1999) Sacral nerve stimulation for treatment of refractory urinary urge incontinence. J Urol 162(2): 352–7.PubMedCrossRefGoogle Scholar
- 2.National Association for Continence (NAFC) (1996) Consumer Focus ‘96: A survey of community dwelling incontinent people. National Association for Continence, Spartanburg, SC.Google Scholar
- 3.Schmidt R (1996) Clinical value of neurostimulation: a urologic viewpoint. In: Raz S (ed) Female Urology, 2nd edn. W.B. Saunders, Philadelphia, pp. 643–55.Google Scholar
- 4.Bosch R, Groen J (1999) Treatment of refractory urinary incontinence with sacral spinal nerve stimulation in mul tiple sclerosis patients. Lancet 348(9029): 717–19.CrossRefGoogle Scholar
- 5.Tanagho E, Barrett DM, Abol-Enein H et al. (1998) Surgery for neuropathic bladder. International Consultation on Incontinence, June 1998. World Health Organization, Geneva, Switzerland.Google Scholar
- 6.Mersdorf A, Schmidt R, Tanagho E (1993) Topographicanatomical basis of sacral neurostimulation: Neuro- anatomical variations. J Urol 149: 345–49.PubMedGoogle Scholar
- 7.Haleem AS, Boehm F, Legatt A, Kantrowitz A, Stone B (1993) Sacral root stimulation for controlled micturition: Pre vention of detrusor external sphincter dyssnergia by intra operative identification and selective section of sacral nerve branches. J Urol 149: 1607–12.PubMedGoogle Scholar
- 8.Rijkhoff N, Wijkstra H, Kerrebroeck P van, Debruyne F (1997) Selective detrusor activation by electrical sacral nerve root stimulation in spinal cord injury. J Urol 157: 1504–8.PubMedCrossRefGoogle Scholar
- 9.Tanagho E, Schmidt R (1988) Electrical stimulation in the clinical management of the neurogenic bladder. J Urol 140: 1331–9.PubMedGoogle Scholar
- 10.Bosch J, Groen J (1995) Sacral (S3) segmental nerve sti mulation as a treatment for urge incontinence in patients with detrusor instability: results of chronic electrical stimu lation using an implantable neural prosthesis. J Urol 154: 504–7.PubMedCrossRefGoogle Scholar
- 11.Hohenfellner M, Schultz-Lampel D, Dahms S, Matzel K, Thuroff J (1998) Bilateral chronic sacral neuromodulation for treatment for lower urinary tract dysfunction. J Urol 160(3): 821–4.PubMedCrossRefGoogle Scholar
- 12.Siegel S (1992) Management of voiding dysfunction with an implantable neuroprosthesis. Urol Clin N Am 19: 163.Google Scholar
- 13.Tanagho E (1992) Urinary incontinence: neurostimulation. In: Benson J (ed) Female Pelvic Floor Disorders, Investiga tion and Management. W.W. Norton, New York.Google Scholar
- 14.Schmidt R (1993) Neurostimulation of the bladder and urethra. In: Webster G, Kirby R, King L, Goldwasser B (ed) Reconstructive Urology. Blackwell Scientific Publishers, Boston.Google Scholar
- 15.Elabbady A, Magdy H, Mostafa E (1994) Neural stimu lation for chronic voiding dysfunctions. J Urol 12: 2076–80.Google Scholar
- 16.Karram M, Bhatia N (1989) Management of coexistint stress and urge urinary incontinence. Obstet Gynecol 73: 4.PubMedGoogle Scholar
- 17.Diokno A (1995) Epidemiology and psychosocial aspects of incontinence. Urol Clin N Am 22: 481.Google Scholar
- 18.Stoller M (1999) Afferent nerve stimulation for pelvic floor dysfunction (abstract). International Continence Society, Denver CO, 1999.Google Scholar
Copyright information
© Springer-Verlag London Limited 2003