A retrospective analysis of sacral neuromodulation for female overactive bladder and interstitial cystitis/painful blader syndrome
10.3760/cma.j.issn.1000-6702.2017.10.008
- VernacularTitle:骶神经调节术治疗女性膀胱过度活动症及间质性膀胱炎/膀胱疼痛综合征的疗效分析
- Author:
Lei WANG
1
;
Qixiang SONG
;
Xin CHENG
;
Ya GAO
;
Shuguang PIAO
;
Zhiyong LIU
Author Information
1. 第二军医大学附属长海医院泌尿外科
- Keywords:
Sacral neuromodulation (SNM);
Overactive bladder (OAB);
Interstitial cystitis/painful bladder syndrome(IC/PBS)
- From:
Chinese Journal of Urology
2017;38(10):751-754
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effects of sacral neuromodulation (SNM) on female overactive bladder (OAB) and interstitial cystitis/ painful bladder syndrome (IC/PBS).Methods From May 2016 to April 2017,13 patients with OAB or IC/PBS who had been treated with SNM were assessed retrospectively.Among them,6 cases were OAB patients,and 7 cases were IC/PBS patients.The average age was 52.3 (42-67)years old,and the preoperative and postoperative 24 h urine frequency,night urination frequency and average voided volume were compared.Results Totally 13 patients underwent stage Ⅰprocedure.The operation time for stage Ⅰ was 52-125min(average 92 min).After an average follow-up of 3.6 weeks,stage 11 procedures were performed on responders.Four OAB patients accepted stage Ⅱ1 surgery (conversion rate:66.7％),and the 24h frequency and night urination frequency reduced from preoperative 22.5 and 5.2 times to postoperative 14.3 and 2.3 times (P ＜ 0.05) respectively,and average voided volume increased from 120.3ml to 166.4ml (P ＜ 0.05).Among 4 patients presenting IC/PBS who had underwent stage Ⅱ surgery (conversion rate:57.1％),VAS score and 24 h voiding frequency reduced from 7.3 and 21.6 to 3.8 and 16.8 (P ＜ 0.05),respectively.No adverse event,such as wound infection or electrode translocation was detected during an average follow-up of 8.3 months.Conclusions Stage Ⅰ procedure is crucial for the long term efficacy of SNM.Postsurgical wound management and parameter adjustment are equal essential in order to achieve a maximum benefits.SNM has advantages in minimal invasiveness and less bleeding,which provides a minimal invasive approach for the managemem of OAB and IC/PBS.
