SACRAL (S3) SEGMENTAL NERVE-STIMULATION AS A TREATMENT FOR URGE INCONTINENCE IN PATIENTS WITH DETRUSOR INSTABILITY - RESULTS OF CHRONIC ELECTRICAL-STIMULATION USING AN IMPLANTABLE NEURAL PROSTHESIS

被引:156
作者
BOSCH, JLHR [1 ]
GROEN, J [1 ]
机构
[1] ACAD HOSP,ROTTERDAM,NETHERLANDS
关键词
URINARY INCONTINENCE; URINATION DISORDERS; NERVES; BLADDER; NEUROGENIC; SACROCOCCYGEAL REGION;
D O I
10.1016/S0022-5347(01)67086-1
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
Purpose: We studied the effects of sacral (S3) nerve stimulation in patients with urge incontinence due to detrusor instability. Materials and Methods: A permanent S3 foramen electrode was implanted in 18 patients (average age 46 years) who had shown a good response during temporary stimulation via a percutaneously placed wire electrode. Average followup was 29 months. Results: The average voiding frequency and pad use per 24 hours decreased significantly. Improvement in several urodynamic parameters was noted. The correlation between symptomatic and urodynamic improvement was incomplete. Conclusions: Neuromodulation appears to be a valuable treatment option in these patients.
引用
收藏
页码:504 / 507
页数:4
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