Sacral neuromodulation for refractory overactive bladder, interstitial cystitis, and painful bladder syndrome

Various pelvic floor conditions, including overactive bladder syndrome and chronic pelvic pain, have been successfully managed with the neuromodulation of sacral nerves. Sacral neuromodulation is a minimally invasive procedure involving the implantation of a programmable pulse generator that deliver...

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Bibliographic Details
Published inNeurosurgery clinics of North America Vol. 25; no. 1; p. 33
Main Authors Laviana, Aaron, Jellison, Forrest, Kim, Ja-Hong
Format Journal Article
LanguageEnglish
Published United States 01.01.2014
Subjects
Cystitis, Interstitial - physiopathology
Cystitis, Interstitial - therapy
Electric Stimulation Therapy - methods
Humans
Sacrococcygeal Region - physiology
Urinary Bladder, Overactive - physiopathology
Urinary Bladder, Overactive - therapy
Urinary urge incontinence
Chronic pelvic pain
Sacral neuromodulation
Painful bladder syndrome
Overactive bladder
Pelvic floor disorders
Interstitial cystitis
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Summary:Various pelvic floor conditions, including overactive bladder syndrome and chronic pelvic pain, have been successfully managed with the neuromodulation of sacral nerves. Sacral neuromodulation is a minimally invasive procedure involving the implantation of a programmable pulse generator that delivers low-amplitude electrical current via quadripolar tined leads through the S3 foramen. Durable efficacy has been demonstrated in retrospective studies, but questions regarding ideal patient candidacy and optimal technical considerations remain unanswered.
ISSN:1558-1349
DOI:10.1016/j.nec.2013.08.001