[Sacral root neuromodulation for the treatment of urinary incontinence reported to detrusor hyperactivity].
OBJECTIVE
This paper reviews therapeutic sacral neuromodulation for treating urinary urge incontinence related to detrusor hyperactivity.


METHODS
We reported data from our department and from the international literature on topics such as the physiological basis of neuromodulation, techniques of testing, chronic implantation and clinical results.


RESULTS
In an intention to treat analysis , neuromodulation results varied from 21.5 to 25% globally. On implanted patients, the response rate varied from 40 to 88% and was stable. Sub-chronic test morbidity was very rare. Surgical revision rate was reported from 6.25 to 37.7%.


CONCLUSIONS
Neuromodulation strongly ameliorates approximately a third of all the patients with urge urinary incontinence due to detrusor hyperactivity. New technical improvements should lead to better results in the future.
Service d'Urologie, Hôpital Henry-Gabrielle, Saint-Genis-Laval. alain.ruffion@wanadoo.fr
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Ruffion
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Dembele
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N'Goi
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Morel-Journel
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Leriche
D004599:Electric Stimulation Therapy; D006801:Humans; D009130:Muscle, Smooth / Q000503:physiopathology*; D013126:Spinal Nerve Roots / Q000503:physiopathology; D001743:Urinary Bladder / Q000503:physiopathology*; D014549:Urinary Incontinence / Q000503:physiopathology* / Q000601:surgery*; D014563:Urodynamics