Sacral Nerve Modulation in Overactive Bladder

Occhino, John A.; Siegel, Steven

doi:10.1007/s11934-010-0132-6

Cited by 9 publications

(6 citation statements)

References 30 publications

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“…41,42 New evidence suggests that PTNS lacks side effects and that a 12-week treatment offers a durable response even at 12 month of follow-up; however, maintenance treatment appears to be necessary for sustained efficacy (level of evidence 1, grade B). 35,42,43 Unfortunately, this treatment is labour intensive, the cost is higher than anticholinergic therapy and the long-term outcome is unavailable.…”

Section: Treatment Of Uuimentioning

confidence: 99%

2012 Update: Guidelines for Adult Urinary Incontinence Collaborative Consensus Document for the Canadian Urological Association

Bettez

Carlson

et al. 2012

CUAJ

104

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A dult urinary incontinence (UI) is a highly prevalent condition, and one which can have a major impact on patients' quality of life. It is also a major focus of a urologist's workload. As a result, the Canadian Urological Association (CUA), with the aid of its Guidelines Committee, commissioned the development of a practice guideline document in 2005 first authored by Dr. Jacques Corcos. As per the CUA Guidelines Committee's mandate, all guidelines are subject to revision after 5 years. Methodology A comprehensive review of the studies published from January 2005 and November 2011 was performed using PubMed, MEDLINE and The Cochrane Library databases. In addition, the bibliographies of all relevant articles were searched to avoid exclusion of significant articles. Focus was on systematic reviews, meta-analyses and evidencebased recommendations, when available. Data from the latest consensus of the International Continence Society (ICS), the International Consultation on Incontinence (ICI), the International Urogynecological Association (IUGA), the American Urological Association (AUA), the European Association of Urology (EAU), the Urinary Incontinence Treatment Network (UITN), the Society of Obstetricians and Gynecologists of Canada (SOGC) and the American Congress of Obstetricians and Gynecologists (ACOG) were also incorporated. This review does not address U I in children or patients with neurogenic bladder. All articles were reviewed using the Evidence-Based Medicine (EBM) levels, with a Modified Oxford grading System (Appendix A).

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Section: Treatment Of Uuimentioning

confidence: 99%

2012 Update: Guidelines for Adult Urinary Incontinence Collaborative Consensus Document for the Canadian Urological Association

Bettez

Carlson

et al. 2012

CUAJ

104

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“…This allows modification of settings in the case of absence of symptom improvement with initial parameter settings. With an extended test period of up to four weeks (42,43), the staged procedure allows one to two programming adjustments if clinical outcome is not satisfactory. Potential programming adjustments can include changes to electrode configuration and/or pulse frequency (8,40,44).…”

Section: Staged Tined Lead Procedures (First Snm Stage)mentioning

confidence: 99%

Programming Algorithms for Sacral Neuromodulation: Clinical Practice and Evidence—Recommendations for Day-to-Day Practice

Lehur

Sörensen

Dudding

et al. 2020

Neuromodulation: Technology at the Neural Interface

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On behalf of the European SNM Expert Group Background: In sacral neuromodulation (SNM), stimulation programming plays a key role to achieve success of the therapy. However to date, little attention has been given to the best ways to set and optimize SNM programming during the test and chronic stimulation phases of the procedure. Objective: Standardize and make SNM programming easier and more efficient for the several conditions for which SNM is proposed. Methods: Systematic literature review and collective clinical experience report. Results: The basic principles of SNM programming are described. It covers choice of electrode configuration, stimulation amplitude, pulse frequency and pulse widths, while use of cycling is also briefly discussed. Step-by-step practical flow charts developed by a group of 13 European experts are presented. Conclusions: Programming of SNM therapy is not complex. There are few programming settings that seem beneficial or significantly impact patient outcomes. Only four basic electrode configurations could be identified according to four different options to define the cathode. In a majority of patients, the proposed stimulation parameters will allow a satisfactory improvement for long periods of time. A regular follow-up is, however, necessary to assess and eventually optimize results, as well as to reassure patients.

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“…Chronic stimulation of the S3 sacral nerve root via sacral neuromodulation (SNM) affects the reflexes between the detrusor, urethral sphincter, and pelvic floor muscles [75]. Chronic neuromodulation therapy requires that an electrode is placed alongside a sacral nerve (usually S3) via the sacral foramen and is connected by cables under the skin to an implanted programmable pulse generator.…”

Section: Sacral Neuromodulationmentioning

confidence: 99%

Urinary Incontinence: Diagnosis and Treatment in the Elderly

Greer

Arya

Smith

2013

Curr Transl Geriatr Exp Gerontol Rep

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Urinary incontinence is a prevalent condition among the elderly. History and physical exam are helpful in delineating the specific type or types of urinary incontinence present. When beginning treatment, clinicians should consider functional status, comorbidity, and goals of therapy. Therapeutic options include behavioral therapy, physical therapy, pharmacologic management, neuromodulation, mechanical devices, and surgery. The treatment options with the most data in the elderly are behavioral therapy and antimuscarinic medications, both showing effectiveness. Limited data are available for the other modalities, but generally show that they are effective in older patients. In this update, data from many recent meta-analyses and systematic reviews are synthesized to help guide treatment decisions for elderly patients suffering from urinary incontinence.

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Sacral Nerve Modulation in Overactive Bladder

Cited by 9 publications

References 30 publications

2012 Update: Guidelines for Adult Urinary Incontinence Collaborative Consensus Document for the Canadian Urological Association

2012 Update: Guidelines for Adult Urinary Incontinence Collaborative Consensus Document for the Canadian Urological Association

Programming Algorithms for Sacral Neuromodulation: Clinical Practice and Evidence—Recommendations for Day-to-Day Practice

Urinary Incontinence: Diagnosis and Treatment in the Elderly

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