Is there a role for sacral neuromodulation in patients with neurogenic lower urinary tract dysfunction?
Int. braz. j. urol
;
46(6): 891-901, Nov.-Dec. 2020. tab, graf
Artigo
em Inglês
| LILACS
| ID: biblio-1134270
ABSTRACT
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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Bexiga Urinaria Neurogênica
/
Terapia por Estimulação Elétrica
Limite:
Humanos
Idioma:
Inglês
Revista:
Int. braz. j. urol
Assunto da revista:
Urologia
Ano de publicação:
2020
Tipo de documento:
Artigo
País de afiliação:
Brasil
/
Colômbia
/
México
Instituição/País de afiliação:
Centro Médico Nacional Siglo XXI, IMSS/MX
/
Clinica del Country/CO
/
Moinhos de Vento Hospital/BR
Similares
MEDLINE
...
LILACS
LIS