Short- and Long-term Effectiveness of Sacral Nerve Stimulation in Patients with Overactive Bladder

Authors

  • Bassam Mahmood Flamerz Arkawazi Neurosurgery, Department of Surgery, Division of Neurosurgery, University of Baghdad, Alkindy College of Medicine, Iraq, Baghdad
  • Harth Mohamed Kamber Urology, Department of Surgery, Division of Urology, University of Baghdad, Alkindy College of Medicine, Baghdad, Iraq
  • Hayder Nabeel Abdulwadoud Neurosurgery, Neurosciences Hospital, Baghdad, Iraq

DOI:

https://doi.org/10.3889/oamjms.2020.5433

Keywords:

Overactive Bladder, Sacral Nerve Stimulation, Neuromodulation

Abstract

BACKGROUND: Sacral nerve stimulation (SNS) approved for use in North America since 1997 despite the fact that the concept of using SNS to treat patients with voiding dysfunction discussed first almost 50 years ago.

AIM: The objectives of the study were to assess the effectiveness of SNS the short and long term for patients with overactive bladder (OAB) dysfunction and its relation to age, gender, and causes.

PATIENTS AND METHODS: This is a clinical prospective study that involved 50 cases (32 females and 18 males) with OAB. It was carried out at Ibn Sina Hospital, and the neurosciences hospital in Baghdad/Iraq from April 2015 to April 2018. All the patients were assessed preoperatively and certain inclusion criteria were used. The patients went through the 2 stage implantations of the Medtronic InterStim®. The patients were assessed at 6 months (short term) and 2 years (long term) postoperatively.

RESULTS: The results of our patients were analyzed with respect to age, gender, causes of OAB, and post-operative complications. We found that younger age patients, female patients, and patients with neurogenic causes of OAB showed a better response in both the short- and long-term follow-up.

CONCLUSION: Considerable progress has been made in the surgical management of OAB. Proper selection of patients is the key to the success of SNS, and female patients have better results compared to male patients. Furthermore, younger patients and patients with neurogenic causes did better than older patients and patients with idiopathic causes. SNS is a safe minimally invasive surgery with a low complication rate, and the 2 stages procedure has better results than the percutaneous nerve evaluation.

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References

Siegel SW, Catanzaro F, Dijkema HE, Elhilali MM, Fowler CJ, Gajewski JB, et al. Long-term results of a multicenter study on sacral nerve stimulation for treatment of urinary urge incontinence, urgency-frequency, and retention. Urology. 2000;56(6 Suppl 1):87-91. https://doi.org/10.1016/s0090-4295(00)00597-5 PMid:11114569 DOI: https://doi.org/10.1016/S0090-4295(00)00597-5

Dmochowski R, Chapple C, Nitti VW, Chancellor M, Everaert K, Thompson C, et al. Efficacy and safety of onabotulinumtoxinA for idiopathic overactive bladder: A double-blind, placebo controlled, randomized, dose ranging trial. J Urol. 2010;184(6):2416-22. https://doi.org/10.1016/j.juro.2010.08.021 PMid:20952013 DOI: https://doi.org/10.1016/j.juro.2010.08.021

Brazzelli M, Murray A, Fraser C. Efficacy and safety of sacral nerve stimulation for urinary urge incontinence: A systematic review. J Urol. 2006;175(3 Pt 1):835-41. https://doi.org/10.1016/s0022-5347(05)00326-5 PMid:16469561 DOI: https://doi.org/10.1016/S0022-5347(05)00326-5

Bosch JR. An update on sacral neuromodulation: Where do we stand with this in the management of lower urinary tract dysfunction in 2010? BJU Int. 2010;106(10):1432-42. https://doi.org/10.1111/j.1464-410x.2010.09702.x PMid:20977592 DOI: https://doi.org/10.1111/j.1464-410X.2010.09702.x

Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology in lower urinary tract function: Report from the standardisation sub-committee of the International Continence Society. Urology. 2003;61(1):37-49. https://doi.org/10.1016/s0090-4295(02)02243-4 PMid:12559262 DOI: https://doi.org/10.1016/S0090-4295(02)02243-4

Haylen BT, De Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29(1):4-20. https://doi.org/10.1002/nau.20798 PMid:19941278 DOI: https://doi.org/10.1002/nau.20798

Drake MJ. Do we need a new definition of the overactive bladder syndrome? ICI-RS 2013. Neurourol Urodyn. 2014;33(5):622-4. https://doi.org/10.1002/nau.22609 PMid:24838519 DOI: https://doi.org/10.1002/nau.22609

Gibbs RS, Karlan BY, Haney AF, Nygaard IE. Danforth’s Obstetrics and Gynecology. Philadelphia, PA: Lippincott Williams and Wilkins; 2008.

Habermann TM, Ghosh AK. Mayo Clinic Internal Medicine Concise Textbook. Rochester, MN: CRC Press; 2007. https://doi.org/10.1201/b14442 DOI: https://doi.org/10.1201/b14442

Kessler TM, Buchser E, Meyer S, Engeler DS, Al-Khodairy AW, Bersch U, et al. Sacral neuromodulation for refractory lower urinary tract dysfunction: Results of a nationwide registry in Switzerland. Eur Urol. 2007;51(5):1357-63. https://doi.org/10.1016/j.eururo.2006.11.011 PMid:17113216 DOI: https://doi.org/10.1016/j.eururo.2006.11.011

Leong RK, Marcelissen TA, Nieman FH, De Bie RA, Van Kerrebroeck PE, De Wachter SG. Satisfaction and patient experience with sacral neuromodulation: Results of a single center sample survey. J Urol. 2011;185(2):588-92. https://doi.org/10.1016/j.juro.2010.09.090 PMid:21168881 DOI: https://doi.org/10.1016/j.juro.2010.09.090

Mehmood S, Altaweel WM. Long-term outcome of sacral neuromodulation in patients with idiopathic nonobstructive urinary retention: Single-center experience. Urol Ann. 2017;9(3):244. https://doi.org/10.4103/ua.ua_165_16 PMid:28794590 DOI: https://doi.org/10.4103/UA.UA_165_16

Van Voskuilen A, Oerlemans D, Weil E, De Bie R, Van Kerrebroeck PE. Long term results of neuromodulation by sacral nerve stimulation for lower urinary tract symptoms: A retrospective single center study. Eur Urol. 2006;49(2):366-72. https://doi.org/10.1016/j.eururo.2005.11.009 PMid:16413105 DOI: https://doi.org/10.1016/j.eururo.2005.11.009

White WM, Mobley III JD, Doggweiler R, Dobmeyer-Dittrich C, Klein FA. Incidence and predictors of complications with sacral neuromodulation. Urology. 2009;73(4):731-5. https://doi.org/10.1016/j.urology.2008.11.047 PMid:19193415 DOI: https://doi.org/10.1016/j.urology.2008.11.047

Cameron AP, Anger JT, Madison R, Saigal CS, Clemens JQ, Urologic Diseases in America Project. National trends in the usage and success of sacral nerve test stimulation. J Urol. 2011;185(3):970-5. https://doi.org/10.1016/j.juro.2010.10.060 PMid:21247596 DOI: https://doi.org/10.1016/j.juro.2010.10.060

Everaert K, Kerckhaert W, Caluwaerts H, Audenaert M, Vereecke H, De Cuypere G, et al. A prospective randomized trial comparing the 1-stage with the 2-stage implantation of a pulse generator in patients with pelvic floor dysfunction selected for sacral nerve stimulation. Eur Urol. 2004;45(5):649-54. https://doi.org/10.1016/j.eururo.2003.11.015 PMid:15082209 DOI: https://doi.org/10.1016/j.eururo.2003.11.015

Datta SN, Chaliha C, Singh A, Gonzales G, Mishra VC, Kavia RB, et al. Sacral neurostimulation for urinary retention: 10-year experience from one UK centre. BJU Int. 2008;101(2):192-6. https://doi.org/10.1111/j.1464-410x.2007.07282.x PMid:17970787 DOI: https://doi.org/10.1111/j.1464-410X.2007.07282.x

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Published

2020-11-23

How to Cite

1.
Arkawazi BMF, Kamber HM, Abdulwadoud HN. Short- and Long-term Effectiveness of Sacral Nerve Stimulation in Patients with Overactive Bladder. Open Access Maced J Med Sci [Internet]. 2020 Nov. 23 [cited 2024 Mar. 28];8(B):1207-11. Available from: https://oamjms.eu/index.php/mjms/article/view/5433