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Patient selection for sacral nerve stimulation.

Charles W Butrick¹

¹The Urogynecology Center, Suite 130, Overland Park, KS 66215, USA. cwbutrick@gmail.com

International Urogynecology Journal

|October 26, 2010

Summary

Sacral neuromodulation effectively treats urinary incontinence and retention. A therapeutic trial is the best predictor of successful patient selection for this established treatment.

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Area of Science:

Urology
Neurology

Background:

Sacral neuromodulation is a recognized treatment for urinary dysfunction.
Conditions treated include urge incontinence, urinary retention, and urgency/frequency syndromes.

Purpose of the Study:

Review established and potential indications for sacral neuromodulation.
Highlight clinical predictors of treatment success.
Emphasize the role of therapeutic trials in patient selection.

Main Methods:

Review of clinical characteristics and urodynamic findings for patient selection.
Emphasis on the predictive value of therapeutic trials (peripheral nerve evaluation or staged implant).
Discussion of contraindications for sacral neuromodulation.

Main Results:

Therapeutic trials are the most accurate predictors of sacral neuromodulation success.
Initial patient selection relies on clinical indicators and urodynamic findings.
Careful patient selection is crucial for successful outcomes.

Conclusions:

Sacral neuromodulation is an effective treatment for specific urinary conditions.
Therapeutic trials are essential for identifying patients likely to benefit.
Optimizing patient selection enhances treatment efficacy.

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