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Peripheral and Sacral Neuromodulation in the Treatment of Neurogenic Lower Urinary Tract Dysfunction.

Abstract Sacral and peripheral neuromodulation are minimally invasive surgical procedures that are third-line therapy options for the treatment of patients with idiopathic overactive bladder syndrome. There has been interest in their efficacy in the management of neurogenic lower urinary tract dysfunction (NLUTD). Contemporary data suggest promising outcomes for urinary and bowel symptoms in carefully selected patients with spinal cord injury and/or multiple sclerosis. This article reviews the current literature regarding urinary and bowel outcomes in patients with NLUTD and also discusses contemporary studies that suggest that treatment during particular stages of neurologic injury may prevent long-term urinary sequelae.
PMID
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Authors

Mayor MeshTerms

Implantable Neurostimulators

Keywords

Multiple sclerosis

Neurogenic bladder

Neuromodulation

Overactive bladder

Posterior tibial

Sacral

Spinal cord injury

Journal Title the urologic clinics of north america
Publication Year Start




PMID- 28716325
OWN - NLM
STAT- MEDLINE
DA  - 20170718
DCOM- 20170803
LR  - 20170803
IS  - 1558-318X (Electronic)
IS  - 0094-0143 (Linking)
VI  - 44
IP  - 3
DP  - 2017 Aug
TI  - Peripheral and Sacral Neuromodulation in the Treatment of Neurogenic Lower
      Urinary Tract Dysfunction.
PG  - 453-461
LID - S0094-0143(17)30029-0 [pii]
LID - 10.1016/j.ucl.2017.04.011 [doi]
AB  - Sacral and peripheral neuromodulation are minimally invasive surgical procedures 
      that are third-line therapy options for the treatment of patients with idiopathic
      overactive bladder syndrome. There has been interest in their efficacy in the
      management of neurogenic lower urinary tract dysfunction (NLUTD). Contemporary
      data suggest promising outcomes for urinary and bowel symptoms in carefully
      selected patients with spinal cord injury and/or multiple sclerosis. This article
      reviews the current literature regarding urinary and bowel outcomes in patients
      with NLUTD and also discusses contemporary studies that suggest that treatment
      during particular stages of neurologic injury may prevent long-term urinary
      sequelae.
CI  - Copyright (c) 2017 Elsevier Inc. All rights reserved.
FAU - Barboglio Romo, Paholo G
AU  - Barboglio Romo PG
AD  - Female Pelvic Medicine and Reconstructive Surgery, Department of Urology,
      University of Michigan, 1500 East Medical Center Drive, 3875 Taubman Center, Ann 
      Arbor, MI 48109-5330, USA.
FAU - Gupta, Priyanka
AU  - Gupta P
AD  - Department of Urology, University of Michigan, 1500 East Medical Center Drive,
      3875 Taubman Center, Ann Arbor, MI 48109-5330, USA. Electronic address:
      [email protected]
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Urol Clin North Am
JT  - The Urologic clinics of North America
JID - 0423221
SB  - AIM
SB  - IM
MH  - Adult
MH  - Female
MH  - Humans
MH  - *Implantable Neurostimulators
MH  - Lower Urinary Tract Symptoms/etiology/*surgery
MH  - Lumbosacral Plexus
MH  - Multiple Sclerosis/complications
MH  - Neurosurgical Procedures
MH  - Peripheral Nervous System
MH  - Spinal Cord Injuries/complications
MH  - Urinary Bladder, Neurogenic/etiology/*surgery
MH  - Urologic Surgical Procedures/methods
OTO - NOTNLM
OT  - Multiple sclerosis
OT  - Neurogenic bladder
OT  - Neuromodulation
OT  - Overactive bladder
OT  - Posterior tibial
OT  - Sacral
OT  - Spinal cord injury
EDAT- 2017/07/19 06:00
MHDA- 2017/08/05 06:00
CRDT- 2017/07/19 06:00
AID - S0094-0143(17)30029-0 [pii]
AID - 10.1016/j.ucl.2017.04.011 [doi]
PST - ppublish
SO  - Urol Clin North Am. 2017 Aug;44(3):453-461. doi: 10.1016/j.ucl.2017.04.011.