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[Sacral root neuromodulation for the treatment of urinary incontinence reported to detrusor hyperactivity]
A Ruffion1, D Dembele, C N'Goi
1Service d'Urologie, Hôpital Henry-Gabrielle, Saint-Genis-Laval. alain.ruffion@wanadoo.fr
Background And Purpose:
This paper reviews therapeutic sacral neuromodulation for treating urinary urge incontinence related to detrusor hyperactivity.
Methods:
We reported data from our department and from the international literature on topics such as the physiological basis of neuromodulation, techniques of testing, chronic implantation and clinical results.
Results:
In an intention to treat analysis , neuromodulation results varied from 21.5 to 25% globally. On implanted patients, the response rate varied from 40 to 88% and was stable. Sub-chronic test morbidity was very rare. Surgical revision rate was reported from 6.25 to 37.7%.
Conclusions:
Neuromodulation strongly ameliorates approximately a third of all the patients with urge urinary incontinence due to detrusor hyperactivity. New technical improvements should lead to better results in the future.