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Updated: Jul 5, 2026
03:25
Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
Published on: June 16, 2022
Surgical management of non-obstructive urinary retention
W H White1, R Doggweiler, F A Klein
1Division of Urologic Surgery, Section of Neuro-Urology and Voiding Dysfunction, University of Tennessee Medical Center, 1924 Alcoa Highway, Knoxville, TN 37920, USA. wwhite@mc.utmck.edu
Summary
Non-obstructive urinary retention presents diagnostic and treatment challenges. Sacral nerve stimulation offers significant improvement for refractory cases, with high success and catheterization-free rates.
Area of Science:
- Urology
- Nephrology
Background:
- Non-obstructive urinary retention is a complex condition with limited therapeutic success.
- Accurate diagnosis relies on history, physical examination, and urodynamic testing.
Purpose of the Study:
- To review the diagnostic and therapeutic challenges of non-obstructive urinary retention.
- To evaluate the efficacy of sacral nerve stimulation for refractory cases.
Main Methods:
- Literature review of diagnostic modalities and treatment options.
- Analysis of published data on sacral nerve stimulation outcomes.
Main Results:
- Pharmacologic and conservative therapies show limited success.
- Sacral nerve stimulation demonstrates an 80% success rate and a nearly 50% catheterization-free rate.
- Clean intermittent catheterization is a primary long-term management strategy.
Conclusions:
- Sacral nerve stimulation is the treatment of choice for refractory non-obstructive urinary retention.
- Further research is needed to optimize patient selection for sacral nerve stimulation.
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