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Sacral Nerve Stimulation as a Therapy for Patients With Refractory Voiding and Bowel Dysfunction
Karen L Noblett1, Kristen Buono
1Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of California Irvine, Orange, California.
Obstetrics and Gynecology
|November 7, 2018
Summary
Sacral nerve stimulation (SNS) uses electrical pulses to modulate nerves controlling bladder and bowel function. This therapy improves function for various pelvic floor disorders, including incontinence and retention.
Area of Science:
- Neurology
- Urology
- Gastroenterology
Background:
- Sacral nerve stimulation (SNS) is a neuromodulation technique targeting sacral nerves.
- It influences reflexes controlling bladder, bowel, and pelvic floor functions.
- SNS aims to improve or restore function in patients with pelvic floor disorders.
Purpose of the Study:
- To review the history and mechanism of sacral nerve stimulation.
- To describe the implantation procedure for SNS devices.
- To discuss advancements and landmark literature in SNS therapy.
Main Methods:
- Literature review of sacral nerve stimulation.
- Analysis of historical data and procedural descriptions.
- Examination of current and off-label applications of SNS.
Main Results:
- SNS is approved for urgency urinary incontinence, urinary urgency-frequency, nonobstructive urinary retention, and fecal incontinence.
- The review covers the evolution of SNS over two decades.
- Off-label uses for various pelvic floor disorders are also discussed.
Conclusions:
- Sacral nerve stimulation is an established therapy for specific pelvic floor dysfunctions.
- Ongoing research and advancements continue to expand its applications.
- SNS offers a treatment option for patients with refractory symptoms.
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