[Treatment of urge incontinence by sacral neuromodulation in two patients with artificial sphincters].
Patients with stress urinary incontinence due to major sphincter incompetence are sometimes treated by artificial urinary sphincter (AUS). Some patients with AUS subsequently develop urge incontinence that is refractory, to pharmacological treatments. Sacral neuromodulation could constitute an alternative treatment in these cases. The authors report two patients treated by the combined use of these two implants with a follow-up of 24 months. The efficacy of sacral neuromodulation in this indication appears to be satisfactory. The presence of the AUS does not appear to modify the action of the neuromodulator.
Service d'Urologie et de Transplantation rénale et pancréatique, Groupe Hospitalier Pitié-Salpêtrière, Paris, France. mroupret@club-internet.fr
Morgan
M
Rouprêt
Emmanuel
E
Chartier-Kastler
François
F
Richard
D000368:Aged; D004599:Electric Stimulation Therapy; D005260:Female; D006801:Humans; D008160:Lumbosacral Plexus; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy*; D014549:Urinary Incontinence / Q000628:therapy*; D016741:Urinary Sphincter, Artificial