Neuromodulation for the treatment of urinary incontinence

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Neuromodulation for the treatment of urinary incontinence.

The prevalence of overactive bladder (OAB) in the United States ranges from 10% - 30%. The mainstay of treatment is anticholinergic medication. All agents have significant side effects and at least 30% of patients fail to respond. This paper reviews neuromodulation which involves the use of electrical stimulation of either the sacral or peripheral nerves to modify the behavior of the bladder. I...

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Sacral neuromodulation for the treatment of refractory urinary urge incontinence after stress incontinence surgery.

OBJECTIVE This study was undertaken to evaluate the response to sacral neuromodulation in women with refractory, nonobstructive urinary urge incontinence after stress incontinence surgery. STUDY DESIGN We reviewed the medical records of women in whom sacral neuromodulation was performed for worsening or de novo urinary urge incontinence after a stress incontinence procedure. All patients had ...

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Treatment of mixed urinary incontinence

INTRODUCTION Mixed urinary incontinence (MUI) is a prevalent condition and imposes a significant impact on a woman's quality of life. Treatment is often challenging, as a single modality may be inadequate for alleviating both the urge and stress component. MATERIALS AND METHODS A MEDLINE search was conducted regarding English-language literature pertaining to the pathophysiology, diagnosis of...

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Pharmacological treatment of urinary incontinence.

Urinary incontinence (UI) is a major problem especially to the elderly. The only absolute indications for drug therapy in this condition are infection and atrophic urethritis. Other causes of UI should be treated with behavioural remedies and physiotherapy. If these measures are impractical or fail to improve the condition, then we would recommend additional drug therapy.

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Surgical treatment of urinary incontinence.

Urinary incontinence of the severity encountered in spina bifida and bladder exstrophy can deal a shattering blow to the fragile self esteem of children and young people. Patients stigmatised by incontinence in childhood are often underachievers at school and denied employment opportunities as young adults. Treatment is aimed at creating the degree of continence required to enable them to fulfi...

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ژورنال

عنوان ژورنال: International Journal of Urology

سال: 2008

ISSN: 0919-8172

DOI: 10.1111/j.1442-2042.2008.02080.x