Peripheral and Sacral Neuromodulation in the Treatment of Neurogenic Lower Urinary Tract Dysfunction

被引：12
|
作者：
Romo, Paholo G. Barboglio [1 ]
Gupta, Priyanka [2 ]
机构：
[1] Univ Michigan, Dept Urol, Female Pelv Med & Reconstruct Surg, 1500 East Med Ctr Dr,3875 Taubman Ctr, Ann Arbor, MI 48109 USA
[2] Univ Michigan, Dept Urol, 1500 East Med Ctr Dr,3875 Taubman Ctr, Ann Arbor, MI 48109 USA
来源：
UROLOGIC CLINICS OF NORTH AMERICA | 2017年 / 44卷 / 03期
关键词：
Neurogenic bladder; Neuromodulation; Sacral; Posterior tibial; Multiple sclerosis; Spinal cord injury; Overactive bladder; MULTIPLE-SCLEROSIS PATIENTS; TIBIAL NERVE-STIMULATION; SPINAL-CORD-INJURY; FECAL INCONTINENCE; ELECTRICAL-STIMULATION; DETRUSOR OVERACTIVITY; SYMPTOMS; DISORDERS; BLADDER;
D O I：
10.1016/j.ucl.2017.04.011
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
Sacral and peripheral neuromodulation are minimally invasive surgical procedures that are third-line therapy options for the treatment of patients with idiopathic over-active bladder syndrome. There has been interest in their efficacy in the management of neurogenic lower urinary tract dysfunction (NLUTD). Contemporary data suggest promising outcomes for urinary and bowel symptoms in carefully selected patients with spinal cord injury and/or multiple sclerosis. This article reviews the current literature regarding urinary and bowel outcomes in patients with NLUTD and also discusses contemporary studies that suggest that treatment during particular stages of neurologic injury may prevent long-term urinary sequelae.
引用
收藏
页码：453 / +
页数：11
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