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Efficacy analysis of sacral neuromodulation in treating juvenile neurogenic chronic urinary retention
KMJ-Kuwait Medical Journal. 2017; 49 (4): 354-360
in English | IMEMR | ID: emr-188890
ABSTRACT
This study aims to investigate the efficacy and safety of sacral neuromodulation [SNM] in treating juvenile neurogenic chronic urinary retention [NCUR]. The clinical data of three juvenile NCUR patients treated with SNM from June 2013 to December 2014 were retrospectively analyzed. The results of urodynamic examination of these three patients were all weak detrusor contraction. Nerve leads were implanted into the 3[rd] sacral nerve for 4-week in vitro testing. Urination diary, residual urine volume, constipation score and urodynamic parameters were recorded to assess the results. All these patients received significant improvements, so they subsequently underwent permanent implantation of the stimulator. The symptoms of dysuria, frequent urination and constipation were significantly reduced after surgery, and the residual urine volumes were decreased to 20 ml, 50 ml and 20 ml, respectively. Urination diary and urodynamic parameters were improved, compared with those before surgery. The patients were followed up until 18, 23 and 6 months after surgery, with stable efficacies and no adverse reaction. SNM could improve such symptoms as urination and constipation in juvenile NCUR patients, and the safety was high
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Index: IMEMR (Eastern Mediterranean) Language: English Journal: Kuwait Med. J. Year: 2017

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Index: IMEMR (Eastern Mediterranean) Language: English Journal: Kuwait Med. J. Year: 2017