Worldwide Utilization Patterns of Sacral Neuromodulation for Neurogenic Lower Urinary Tract Dysfunction
详细信息 查看全文
- 作者：Marcio Augusto Averbeck ; Cristiano Mendes Gomes
- 关键词：Sacral neuromodulation ; Neurogenic bladder ; Implantable neurostimulator
- 刊名：Current Bladder Dysfunction Reports
- 出版年：2016
- 出版时间：December 2016
- 年：2016
- 卷：11
- 期：4
- 页码：356-364
- 全文大小：311 KB
- 刊物主题：Urology/Andrology;
- 出版者：Springer US
- ISSN：1931-7220
- 卷排序：11
文摘
This article reviews the current literature in regard to sacral neuromodulation (SNM) for neurogenic lower urinary tract dysfunction (NLUTD). Studies were identified by electronic search of PubMed database (last search in March 2016) and by screening of reference lists. Most case series have several limitations, including lack of standardized criteria for indications, definition of test phase success, criteria for successful clinical outcomes, and short-term follow-up. Of particular interest is the fact that few series used urodynamics to evaluate the effect of SNM in their patients and not all of them were able to demonstrate significant changes even for patients with clinical improvement. SNM seems to be a promising therapy for the treatment of refractory NLUTD in selected patients, with low reported rates of complications. Further prospective studies with larger sample sizes, appropriate disease classification, standardized definitions of success, and longer follow-up with special attention to failure and complication rates are needed to help define the indications for SNM in patients with NLUTD.