Neuromodulation for the treatment of urinary incontinence.
The prevalence of overactive bladder (OAB) in the United States ranges from 10% - 30%. The mainstay of treatment is anticholinergic medication. All agents have significant side effects and at least 30% of patients fail to respond. This paper reviews neuromodulation which involves the use of electrical stimulation of either the sacral or peripheral nerves to modify the behavior of the bladder. It is an option for patients who either cannot tolerate medications or fail therapy.
Leong
Fah Che
FC
Department of Obstetrics, Gynecology and Women's Health, Division of Urogynecology and Reconstructive Pelvic Surgery, Saint Louis University School of Medicine, USA. leongfc@slucare1.sluh.edu
McLennan
Mary T
MT
D004599:Electric Stimulation Therapy / Q000379:methods*; D006801:Humans; D014549:Urinary Incontinence / Q000503:physiopathology / Q000628:therapy*