Sacral Nerve Neuromodulation in a Patient with Idiopathic Detrusor Hyperactivity. Clinical Case Presentation and Long Term Follow Up (Five Years)
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Urinary incontinence is a frequent pathology which affects women predominantly. The physical discomfort and associated inconveniences it produces affect quality of life significantly. It can be classified as effort incontinence, urge incontinence and mixed – type incontinence; effort incontinence is the most frequent type. Medical treatment isn´t always effective and many patients persist with symptoms even after starting it. We present the case of a patient with urge incontinence from detrusor hyperactivity that was treated with the implantantion of a sacral nerve neuromodulation system. The patient improved more than 80 % in all measured parameters. Urinary frequency returned to normal, nocturia disappeared, she has no pain and has no need to use diapers or protective pads. Quality of life related to urinary function is normal.
incontinencia urinaria, vejiga urinaria hiperactiva, detrusor hiperactivo, vejiga urinaria, Urinary incontinence, hyperactive urinary bladder, detrusor hyperactivity, urinary bladder,
2. Hunskaar S, Burgio K, Diokno A, Herzog R, Hjalmas K, Lapitan C. Epidemiology and natural history of urinary incontinence in women. Urology. 2003;62:16-23.
3. Kinchen K, Bumb RC, Gobir JR. Prevalence and frequency of stress urinary incontinence among community-dwelling women. Eur Urol. 2002;1(1):85.
4. Fong E, Nitti VW. Urinary incontinence. Prim Care. 2010;37(3):599-612.
5. Drake M, Abrams P. Overactive bladder. In: Wein AJ, editor. Campbell-Walsh urology. 10th ed. Philadelphia, Pa: Saunders Elsevier; 2011.
6. Jiménez MA. Tratamiento farmacológico con anticolinérgicos. Rev Med Univ Navarra. 2004;48:37-42.
7. Leroi AM. The role of sacral neuromodulation in double incontinence. Colorectal Dis. 2011;13 Suppl 2:15-8.
8. Brazzelli M, Murray A, Fraser C. Efficacy and safety of sacral nerve stimulation for urinary urge incontinence: a systematic review. J Urol. 2006;175:835-41.
9. Kessler TM, Wöllner J, Kozomara M, Mordasini L, Mehnert U. Sacral neuromodulation for neurogenic bladder dysfunction. Urologe A. 2012;51:179-83.
10. Nordermal S, Rydningen M, Lindsetmo RO, Lein D, Vonen B. Sacral nerve stimulation. Tidsskr Nor Laegeforen. 2011; 131(12):1190-3.
11. van Kerrebroeck PE, van Voskuilen AC, Heesakkers JP, Lycklama á Nijholt AA, Siegel S, Jonas U et al. Results of sacral neuromodulation therapy for urinary voiding dysfunction: outcomes of a prospective, worldwide clinical study. J Urol. 2007;178(5): 2029-34.
12. Occhino JA, Siegel SW. Sacral nerve modulation in overactive bladder. Curr Urol Rep. 2010;11:348-52.