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Sacral neuromodulation for multiple sclerosis patients with urinary retention and clean intermittent catheterization
Serge P Marinkovic1, Lisa M Gillen
1Women's and Children's Hospital, Lafayette, LA 70508, USA. urourogyn@yahoo.com
International Urogynecology Journal
|October 31, 2009
Summary
Sacral neuromodulation effectively treats urinary retention in women with multiple sclerosis. This safe and successful management approach offers long-term benefits for patients experiencing this common neurological complication.
Area of Science:
- Neurology
- Urology
- Biomedical Engineering
Background:
- Multiple sclerosis (MS) is a chronic neurological disease causing significant urological issues.
- Urinary retention is a debilitating manifestation in ambulatory women with MS.
Purpose of the Study:
- To evaluate the efficacy and safety of sacral neuromodulation (SNM) for treating urinary retention in ambulatory women with MS.
Main Methods:
- An observational retrospective case-control study was conducted.
- 14 ambulatory women with MS and urinary retention underwent Stage 1/2 sacral neuromodulation.
- Data collected included implantation success, post-void residual, and uroflow rates.
Main Results:
- 12 out of 14 patients (86%) achieved successful implantation.
- Mean follow-up was 4.32 years with a mean post-void residual of 50.5 ml.
- 17% required revision for lead migration; 40% needed battery replacement.
Conclusions:
- Sacral neuromodulation is a safe and effective treatment for urinary retention in women with multiple sclerosis.
- The procedure demonstrates successful long-term management with manageable complications.
- SNM offers a viable solution for improving urological function in MS patients.
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