Sacral neuromodulation for treating XXXX : clinical and urodynamic study.

@entity1 @entity1494 @entity16 @entity1973 @entity2055
PURPOSE: The efficacy of sacral neuromodulation for treating refractory idiopathic lower urinary tract dysfunction is now well established. Nevertheless, results of this technique in neurological @entity1 are still controversial. The aim of this retrospective study was to assess the results of sacral neuromodulation in @entity1494 . MATERIALS AND METHODS: Between 1998 and 2008, a percutaneous nerve evaluation or a two-stage technique was performed in 62 @entity1 (mean age 50.5        14.8 years) with @entity1973 . Before and during the temporary stimulation, each @entity1 had a urodynamic evaluation and performed a bladder diary. The test was considered positive if the clinical and urodynamic improvement was over 50% and if the symptoms reappeared after turning the stimulation off. RESULTS: Lower urinary tract dysfunction was detrusor overactivity in 34 cases and chronic urinary retention in 28 cases. A detrusor-sphincter @entity2055 (DSD) was associated in nine cases. Out of the 62 @entity1 , 41 @entity1 (66.1%) had more than 50% improvement on urodynamic evaluation and bladder diary and 37 were implanted. With a mean follow-up of 4.3        3.7 years, results remained similar to the evaluation phase in 28 cases (75.7%), were partially altered in three cases (8.1%) and lost in six cases (16.2%). In these six cases, neuromodulation failed on average 12.0        12.4 months after implantation. CONCLUSION: Sacral neuromodulation seems to constitute a serious therapeutic option for @entity1 with @entity1973 . However, its results depend on the type of the underlying @entity16 and in particular, whether it may progress or not.
