Is there a role for sacral neuromodulation in patients with neurogenic lower urinary tract dysfunction?
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | International Braz J Urol (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382020000600891 |
Resumo: | ABSTRACT Purpose To review current literature regarding sacral neuromodulation (SNM) for neurogenic lower urinary tract dysfunction (NLUTD) focused on indications, barriers and latest technological developments. Material and Methods A PubMed database search was performed in April 2020, focusing on SNM and various neuro-urological conditions. Results SNM has been increasingly indicated for lower urinary tract dysfunction (LUTD) in neuro-urological patients. Most studies are cases series with several methodological limitations and limited follow-up, lacking standardized definition for SNM clinical success. Most series focused on neurogenic overactive bladder in spinal cord injured (incomplete lesions) and multiple sclerosis patients. Barriers for applying this therapy in neurogenic LUTD were mainly related to magnetic resonance imaging incompatibility, size of the implantable pulse generator (IPG), and battery depletion. Newer technological advances have been made to address these limitations and will be widely available in the near future. Conclusions SNM seems a promising therapy for neurogenic LUTD in carefully selected patients with incomplete lesions. Further studies are still needed to define which subgroups of neurological patients benefit the most from this minimally invasive technique. |
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Is there a role for sacral neuromodulation in patients with neurogenic lower urinary tract dysfunction?Urinary TractLower Urinary Tract SymptomsTranscutaneous Electric Nerve StimulationABSTRACT Purpose To review current literature regarding sacral neuromodulation (SNM) for neurogenic lower urinary tract dysfunction (NLUTD) focused on indications, barriers and latest technological developments. Material and Methods A PubMed database search was performed in April 2020, focusing on SNM and various neuro-urological conditions. Results SNM has been increasingly indicated for lower urinary tract dysfunction (LUTD) in neuro-urological patients. Most studies are cases series with several methodological limitations and limited follow-up, lacking standardized definition for SNM clinical success. Most series focused on neurogenic overactive bladder in spinal cord injured (incomplete lesions) and multiple sclerosis patients. Barriers for applying this therapy in neurogenic LUTD were mainly related to magnetic resonance imaging incompatibility, size of the implantable pulse generator (IPG), and battery depletion. Newer technological advances have been made to address these limitations and will be widely available in the near future. Conclusions SNM seems a promising therapy for neurogenic LUTD in carefully selected patients with incomplete lesions. Further studies are still needed to define which subgroups of neurological patients benefit the most from this minimally invasive technique.Sociedade Brasileira de Urologia2020-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382020000600891International braz j urol v.46 n.6 2020reponame:International Braz J Urol (Online)instname:Sociedade Brasileira de Urologia (SBU)instacron:SBU10.1590/s1677-5538.ibju.2020.99.10info:eu-repo/semantics/openAccessAverbeck,Marcio AugustoMoreno-Palacios,JorgeAparicio,Alejandroeng2020-09-08T00:00:00Zoai:scielo:S1677-55382020000600891Revistahttp://www.brazjurol.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||brazjurol@brazjurol.com.br1677-61191677-5538opendoar:2020-09-08T00:00International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU)false |
dc.title.none.fl_str_mv |
Is there a role for sacral neuromodulation in patients with neurogenic lower urinary tract dysfunction? |
title |
Is there a role for sacral neuromodulation in patients with neurogenic lower urinary tract dysfunction? |
spellingShingle |
Is there a role for sacral neuromodulation in patients with neurogenic lower urinary tract dysfunction? Averbeck,Marcio Augusto Urinary Tract Lower Urinary Tract Symptoms Transcutaneous Electric Nerve Stimulation |
title_short |
Is there a role for sacral neuromodulation in patients with neurogenic lower urinary tract dysfunction? |
title_full |
Is there a role for sacral neuromodulation in patients with neurogenic lower urinary tract dysfunction? |
title_fullStr |
Is there a role for sacral neuromodulation in patients with neurogenic lower urinary tract dysfunction? |
title_full_unstemmed |
Is there a role for sacral neuromodulation in patients with neurogenic lower urinary tract dysfunction? |
title_sort |
Is there a role for sacral neuromodulation in patients with neurogenic lower urinary tract dysfunction? |
author |
Averbeck,Marcio Augusto |
author_facet |
Averbeck,Marcio Augusto Moreno-Palacios,Jorge Aparicio,Alejandro |
author_role |
author |
author2 |
Moreno-Palacios,Jorge Aparicio,Alejandro |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Averbeck,Marcio Augusto Moreno-Palacios,Jorge Aparicio,Alejandro |
dc.subject.por.fl_str_mv |
Urinary Tract Lower Urinary Tract Symptoms Transcutaneous Electric Nerve Stimulation |
topic |
Urinary Tract Lower Urinary Tract Symptoms Transcutaneous Electric Nerve Stimulation |
description |
ABSTRACT Purpose To review current literature regarding sacral neuromodulation (SNM) for neurogenic lower urinary tract dysfunction (NLUTD) focused on indications, barriers and latest technological developments. Material and Methods A PubMed database search was performed in April 2020, focusing on SNM and various neuro-urological conditions. Results SNM has been increasingly indicated for lower urinary tract dysfunction (LUTD) in neuro-urological patients. Most studies are cases series with several methodological limitations and limited follow-up, lacking standardized definition for SNM clinical success. Most series focused on neurogenic overactive bladder in spinal cord injured (incomplete lesions) and multiple sclerosis patients. Barriers for applying this therapy in neurogenic LUTD were mainly related to magnetic resonance imaging incompatibility, size of the implantable pulse generator (IPG), and battery depletion. Newer technological advances have been made to address these limitations and will be widely available in the near future. Conclusions SNM seems a promising therapy for neurogenic LUTD in carefully selected patients with incomplete lesions. Further studies are still needed to define which subgroups of neurological patients benefit the most from this minimally invasive technique. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382020000600891 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382020000600891 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1677-5538.ibju.2020.99.10 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Urologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Urologia |
dc.source.none.fl_str_mv |
International braz j urol v.46 n.6 2020 reponame:International Braz J Urol (Online) instname:Sociedade Brasileira de Urologia (SBU) instacron:SBU |
instname_str |
Sociedade Brasileira de Urologia (SBU) |
instacron_str |
SBU |
institution |
SBU |
reponame_str |
International Braz J Urol (Online) |
collection |
International Braz J Urol (Online) |
repository.name.fl_str_mv |
International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU) |
repository.mail.fl_str_mv |
||brazjurol@brazjurol.com.br |
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1750318077652762625 |