Selection of ideal candidates for neuromodulation in refractory overactive bladder.
Sacral neuromodulation is a minimally invasive, reversible treatment option that has been approved by the US Food and Drug Administration for patients with urgency/frequency and urge incontinence. While long-term success rates are high, the high treatment cost and the need for operative revision or explantation in cases of failure make the selection of ideal candidates particularly important. Because predictive factors for success and the exact mechanism of action are not known, physicians must rely on a preimplantation test procedure, either in the office or in the operating room, to select patients for implantation of a pulse generator. In this paper, we review the recent literature on performing a test procedure with both temporary and permanent leads and the selection of optimal candidates for sacral neuromodulation therapy.
Kacker
Ravi
R
Department of Urology, Beth Israel Deaconess Medical Center, Boston, MA 02115, USA.
Das
Anurag K
AK
D000328:Adult; D004599:Electric Stimulation Therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D018579:Patient Selection; D053201:Urinary Bladder, Overactive / Q000628:therapy*
World J Urol. 1998;16(5):313-21
9833310
J Urol. 2000 Mar;163(3):881-3
10687999
J Urol. 2006 Mar;175(3 Pt 1):835-41
16469561
Urology. 2002 May;59(5 Suppl 1):61-7
12007524
BJU Int. 2008 Sep;102(7):774-9
18616691
Urology. 2004 Jul;64(1):62-8
15245937
Urol Clin North Am. 2005 Feb;32(1):65-9
15698878
J Urol. 1999 Aug;162(2):352-7
10411037
J Urol. 2006 Jun;175(6):2178-80; discussion 2180-1
16697833
BJU Int. 2007 Jan;99(1):107-10
16956350
Neurourol Urodyn. 2008;27(1):28-33
17563110
J Urol. 2007 Nov;178(5):2029-34
17869298
J Urol. 1994 Dec;152(6 Pt 1):2071-5
7966677
Eur Urol. 2005 May;47(5):660-5
15826759
Ann Neurol. 2010 Jan;67(1):74-84
20186953
Eur Urol. 2004 May;45(5):649-54
15082209
J Urol. 2010 Jan;183(1):173-6
19913835
J Urol. 2003 Apr;169(4):1369-73
12629364
Neurourol Urodyn. 2002;21(2):167-78
11857671
Urol Int. 2010;84(3):245-53
20389150
Urology. 2000 Dec 4;56(6 Suppl 1):87-91
11114569
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Apr;19(4):553-7
17925994